Miscellaneous: V C A UNITED LLC V HANSLER, MELISSA L

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                                we" CASE NUMBER: 502020CA007471XXXXMB Div: AE ****

Filing # 110336368 E-Filed 07/16/2020 11:59:36 AM

FORM 1.997. CIVIL COVER SHEET

The civil cover sheet and the information contained in it neither replace nor supplement the filing and service of

pleadings or other documents as required by law. This form must be filed by the plaintiff or petitioner with the
Clerk of Court for the purpose of reporting data pursuant to section 25.075, Florida Statutes. (See instructions
for completion.)

 

L CASE STYLE
IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT,
IN AND FOR PALM BEACH COUNTY, FLORIDA

 

Case No.:,
Judge:

VCA United LLC

Plaintiff

vs.
Melissa L Hansler
Defendant
I. AMOUNT OF CLAIM

Please indicate the estimated amount of the claim rounded to the nearest dollar $200,000

Mh. TYPE OF CASE _(\f the case fits more than one type of case, select the most definitive category.) If the
most descriptive label is a subcategory (is indented under a broader category), place an x on both the main
category and subcategory lines.

    

 

© Malpractice — other professional
O Condominium ‘& Other
Contracts and indebtedness O  Antitrust/Trade Regulation
G Eminent domain O Business Transaction
O Auto negligence B® Circuit Civil - Not Applicable
O Negligence — other O Constitutional challenge-statute or ordinance
O Business governance O Constitutional challenge-proposed amendment
0 Business torts OG Corporate Trusis
O  Environmental/Toxic tort © _ Discrimination-employment or other
O Third party indemnification Insurance claims
GQ Construction defect Oo Intellectual property
Gs Mass tort OD sLibel/Stander
O Negligent security O Shareholder derivative action
O Nursing home negligence O Securities litigation
O Premises liability - commercial O Trade secrets
Premises tlabity = resident! ao Tus
D Products liability
1 Real Property/Mortgage foreclosure County Civil
© Commercial foreclosure O Small Claims up to $8,000
0 _ Homestead residential foreclosure OD Civil
© _Non-homestead residential foreclosure O _ Replevins
0 Other real property actions O Evictions
O Professional malpractice O Other civil (non-monetary)
Malpractice — business

lolo

Malpractice — medical

CHEN. DAIAARCACUAAIINTY Cl CUADAND ANAFY FLEDY ATMaINNON 44.50.28 ANA
PILL. PAL BLAU VUUINE TT, FL, GHIA. DUUN, ULLIAN, Ul tureuey 1 1.ug.uU iviCOMPLEX BUSINESS COURT

This action is appropriate for assignment to Complex Business Court as delineated and mandated by the

Administrative Order. Yes oa No ww

NV. REMEDIES SOUGHT (check all that apply):
Monetary;
O  Non-monetary declaratory or injunctive relief;
O Punitive

Vv. NUMBER OF CAUSES OF ACTION:
(Specify)

2

Vi. IS THIS CASE A CLASS ACTION LAWSUIT?
O Yes

No

Vil. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
& No
O Yes - If “yes” list all related cases by name, case number and court:

None

Vill, 1S JURY TRIAL DEMANDED IN COMPLAINT?
d Yes
& No

 

| CERTIFY that the information | have provided i in this cover sheet is accurate to the best of my knowledge and belief, and
that | Nave read and will comply with the requirements of Fiorida Ruie of Judiciai Administration 2.425.

  

Signature: s/ James Scott Telepman
Attorney or party

FL Bar No.: 466786
(Bar number, if attorney)
James Scott Telepman
(Type or print name)

Date: 07/16/2020