Preview
CM-01D
ATTORNEY 0R PARTY wnmom ATmRNvaa l
59ar3«‘me
e r a m1 a am 55 ).- 3V FORCF’W‘EEELD
.
Arlene M. Cordoba Dashkovitz (SB y‘
The Law Office of Arlene M. Cordoba Dashkovitz DUPER'OR COURT 0F CAA-ggsgm
Po Box 2393, Riverside, CA 9251 6
TELEPHONE No: 951 -23 6-21 49 mx no. (cpsimm): 951-23 6-21 49
Sgfiggggggfiggfiflwsm
EMAIL Aonasss; attorneycordoba@gmail.com ,
ATTORNEY FOR mama).Jake Thomas Laurent FEB O 3 2022
SUPERIOR COURT 0F CALIFORNSA. COUNTY 0F San Bernardino
smear ADDRESS: 247 West 3rd Street
MAILING AooRess. 247 West 3rd Street
cm AND zap conaSan Bernardino, CA 9241 5
BRANCH NAMESan Bernardino Justice Center
CASE NAME:
Jake Thomas Laurent
CML CASE COVER SHEET Complex Case flesignation CASE NUMBER‘
E: unumitad m L‘mi‘Ed
D Counter
Filed with first appearance by defendant
[j Joinder
CIV SB 2 2 0 0 1 o 1’.
éifioaflfed ézmzefied is
JUBGE;
exceeds $25900) $25,000 or less)
“3a" Ru'es Of ”“9 3402’
om: CW"
Items 7—6 below mus! be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tart
D
E Auto (22)
Uninsured motorist (46)
Contract
E
S Braach of Gonkacymnamy (06)
Rule 3.740 conectionsmg)
Provisionally
E
(Cal.
Complex
Ruins of Calm, rules 3.4004403)
Anmmsmradmegmafim
Civil Litigation
(03)
Other Pl/PDIWD (Personal InjuryJProperty
E] 0mg, ceuectims [j CODStFUCtiOfi 63901 (10)
DamagaiWrongful Death} Tort
ASbesms
E
D msumnce wwrage
(09}
{18) [:1
E
Mass ton (4g)
E
1::
Pmdum
(04)
"ability (24)
0mg, ccnmcgwn
E
[:1
Securitieslitigation (28)
Environmentalffoxic
g
tort (30)
Rea! Property
L]
Medical malpraciice (45)
Other pnpDiWD {23)
E Eminent domawlmeme
Insuranpe coverage claims arising from the
above pI’OWSIonaHV CDmp‘QX 6858
Non-PVPDM‘D
E (Other) Tort E
D
condemnation (14)
Wrongful eviction (33)
Other
23:86
Enfofggisng ogJudgment
E Business toruunfair business practice (O7)
CM! rights (08) ”mam“ mm“?
Q
r661 pronerty (26)
[:1 Enforcemem ofjudgmem
Miscenaneous Complaint
(go)
E
Civil
Defamation (13) cowmer‘f‘a' (31)
[:3
E
L:
FraUd {15)
'meflemua' pmpeny (19) E
[-41 mafia”! (32)
Dmgs (3V8)
E
Rico (~27;
Other complaint (no! specified above) (42)
Misceflanaous
RM“ Civil Petition
[j
E
Professionai negligence (25) Jud‘cia'
E A389! *Ofiei‘ure (05) E P a n "erg h.
a ”d comm?te governa me ( 21)
m
'
Other non PthD/wo tort (35)
f?
Empioymem petition re: arbitrage" award [Z] Othgr‘petmon (not spewfled above) (43)
E
[:1
v
Wrongfut termination (36)
Other emptoymem
_
('15)
E]
Cl
.
.
Writ of
Other
mandate
judicial
(02)
review (39)
(11)
Petition for Change of Name
2. This case C] is
E is not complex under
management:
rule 3400 of the California Rules of Court. If the case is complex. mark the
a.
b1
Q
factors requiring exceptional judic'eal
E Large number of separately represented parties
Extansive motion practice raising difficutt or novel
d.
e.
E
E Large number of witnesses
Coordination with related acsions pending in one or more
issues that will be time-consuming to resolve courts in other counties, states,. or countn’es‘ or in a federal
c. E3 Substantia! amount of documentary evidence 90““
Substantiai postjudgmeni judicia: supervision
f.
3. Remedies sought {check all that apply): a. l
monetary nonmonetary; deciaratory or injunctive relief c. »_
b. punitive
Numbef of causes of action One -
Petition for Change of Name
4.
5.
6.
This case
If there
[mm is
E (specify):
is not
(1)
a ciass action
\ariwknown related cases, fiie and serve a notice of related case (You
suit.
may use form CM—O‘IS. j
\‘b’ \\’Y
Date:
Arlene M. Cordoba Dashkovitz
OR PRNT NAME]
’ \(xow‘r/
‘
(TYAPE (SIGNATURE 0F PARTY OR ATTORNEY FbR PARTY)
NOTICE
* Plaintiff must file
cover sheet wéth the first paper flied in the action or proceeding (except small claims cases or cases flied
this
under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220‘) Failure t0 fiEe may result
in sanctions.
' cover sheet
File this in addition to any cover sheet required by foca: court ruie.
’ If this case és complex under
3.400 et seq. of the Cal‘rfomia Rules of Court, you must serve a copy of this cover sheet on ail
rule
other parties to the action or proceeding.
o Uniess this is a collections case under rule 3.740 or a compiex case‘ this cover sheet will be used for statistical purposes only.
Page 1 o! 2
Form Adopted for Mandatory Use CaL Rules Court rules 2.30, 3.220. 3.400»~3.40C5 3740:
Judicial Comes: cf Callfoméa
Clvu‘ CASE COVER SHEET Cal.
of
Scandards or Jvdiciai Administration. aid. 3.10
CM-mo [Rev‘September 1, 2021} mvwcmzdsfia gm
msmuéfibns 0N How To COMPLETE THE cova’snem CM-010
To Piaintiffs and Others Filing First Papers.a first paper (for example‘ a complaint) En a civii case, you must
if you are filing
complete and file. along with your first paper, the-Civil Case Cover Sheet contained on page 1. This information will be used to compiie
statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item
1, you must check
ene box for the case type that best describes the case. lf the case fits both a generak and a more specific type cf case listed in item 1.
check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action.
To assist you in campieting the sheet, exampfes of the cases that beiong under each case type in item 1 are provided below. A cover
sheet must be filed oniy with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
To Parties in Rule 3.740 Collections Cases. A ”coilections case" under rule 3.740 is defined as an action for recovery of money owed
in a sum stated to be
not mere than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
certain that is
property, services, or acquired on credit. A collections case does not include an action seeking the foliowing: (1) tort
money was
damages. (2) punitive damages, (3) recavery of real property, (4) recovery of persona: property, or (5) a prejudgment writ of
attachment The identification of a case as a rule 3.740 coflections case on this form means that will be exempt from the general“rt
time-for—service requirements and case management miss, unless a defendant files a responsive pleading. A rum 3.740 coltections
case will be subject to the requirements .for service and obtaining a judgment in ruie 3.740.
To Parties in Compiax Cases. In complex cases only, parties must also use the Civil Case Cover Sheet lo designate whether the
case is complex. If a piaintiff believes the case is complex under rule 3400 of the California Rules of Court. this must be indicated by
completing the appropriate boxes in items 1 and 2. If a plaintiffdesignates a casa as complex. the cover sheet must be served with the-
complaint an all parties to the action. A defendant may file and serve no Eater than me time of its first appearance a joinder in the
plaintiff's designation, a counter-designation that the case is not complex. or, if the plaintiff has
made no designation. a designation £hat
the case is compfex_ CASE TYPES AND EXAMPLES
Auto Ton WW“! Provisionaaly complex cm: Litigation (Cal.
Auto (22)—Personai lnjury/Propeny Breach of Contract/Warranty (0a)
Rules of Court Ruins 3..400—3.403)
DamageNVrongful Death Breach of RentallLease
AntitrusUTrade Regutation (03)
Uninsured Motorist (46) (if {he Contract (not unlawful detainer
Construction Defect (10)
case Involves an uninsured or wrongful eviction)
Claims involving Mass Tort (40)
motorist claim subjed to Contract/Warranty Breach~Seller
Securities Litigation (28)
arbitration, check this item Pfaintifr (not fraud ornegfigehce}
Envimnmentali‘roxic Tort (30)
instead of Auto) Negligent Breach of Contract!
lnsuranca Coverage Claims
Other PIIPDIWD (Personal Injury!
Warranty
(arising from provisionally comptex
Propefly DamagelWrongfui Death) Other Breach 0f Contract/Warranty
case type listed above) (41)
Tort Collections (a9, money owed, open Enforcament o'f Judgment
Asbestos {04) book accounts) {09)
Enforcement of Judgment (20)
Asbestos Property Damage Collection Case—Seller Plaintiff
Abstract of Judgment (Out of
Asbestos Persona! Injury] Other Promissory Note/Caliecfions
County)
Wrongfufi Death Case
Confession of Judgment (non-
Pmduct Liabiiity {not asbestos or Insurance Coverage {not provisionally
domestic relations)
roxidenvimnmental) (24) complex) (1 8)
Sister State Judgment
Medical Maipmcn‘ce (45) Auto Subpogasion
Administrative Agency Award
Medical Malpracfice~ Other Coverage
(no! unpaid taxes)
Physicians & Surgeons Other Contract (37)
PetitionJCertification of Entry of
Other Professionai Health Care Contractual Fraud
Judgment on Unpaid Taxes
Malpractice Other Contract Dispute
Othar Enforcement of Judgment
Other PllPD/WD (23) Real Property
Case
Premises Liability (e‘gn slip
Eminent Domainllnverse
Misceitaneous Civil Compiaint
and Condemnation (14)
fan) RICO (27)
Wrongful Eviction (33)
Intentiona: Bodiiy injury/PD/wn Other Complaint (not specified
(e.g., assault, vandaksm) Other Rea! Property (9.9.. quiet title) (26)
above) (42)
Wn‘t of Possession of Real Property
Intentional Infiiction of Declaratory Relief Oniy
Emcfional Distress Mortgage Foreclosure
Injunctive Relief Only (nom
Negiigent lnfliction of Quiet Titie
harassment)
Emotional Distress Other Real Property (‘not-eminent
Mechahics Lien
Other PUPD/WD domain: fandlord/fenant, or
Other Commerciat Cumpkaint
Non-Pl/PDIWD (Other) Tort foreclosure)
Case (non-tort/noneomplex}
Busmess TorUUnfair Business Unlawfui Detainar
Other Civil Complaint
Practice (07) Commercial (31)
(nominrt/non-complex)
Civil Rights Residential (32)
(9.9., discrimination, Misceflaneous Civil Petition
false arrest) (net civil
Drugs (38) (if the case involves illegal
Partnership and Comorate
harassment) {08) drugs, check this item; othemise,
Governance (21)
Defamation (9.9., slander, report as Commercia! or Residential)
libel) Other Petition (not specified
(13)
Judicia! Review
above) (43)
Fraud (16) Asset Forfeiture (05)
Civii Harassment
Intellectual Property (19) Petition Re: Arbitration Award (11)
Workplace Violence
Professional Negligence (25) Wri: of Mandate (02)
Eider/Dependent Adult
Legai Malpractice Writ~Administra1jve Mandamus
Abuse
Other Professionai Maipractice Wdt~Mandamus on Limited Court
Election Contest
{not medical or legal) Case Matter
Petition for Name Change
Other Non~PllPDIWD Ton (35) Writ~0therLémited Court Case
Petition for Relflef From Late
Employmeni Review
Claim
Wrongfui Termination (36) Other Judicial Review (39)
omer Civil Petition
Other Employment (15) Review of Heaith Officer Order
Nofice of Appaai-A-Labor
Commissmner Appeals
CM~010 {Rev‘ Sapzember 1‘ 2021'}
CIVEL CASE COVER SHEET Page 2 of 2
Preview
CM-01D ATTORNEY 0R PARTY wnmom ATmRNvaa l 59ar3«‘me e r a m1 a am 55 ).- 3V FORCF’W‘EEELD . Arlene M. Cordoba Dashkovitz (SB y‘ The Law Office of Arlene M. Cordoba Dashkovitz DUPER'OR COURT 0F CAA-ggsgm Po Box 2393, Riverside, CA 9251 6 TELEPHONE No: 951 -23 6-21 49 mx no. (cpsimm): 951-23 6-21 49 Sgfiggggggfiggfiflwsm EMAIL Aonasss; attorneycordoba@gmail.com , ATTORNEY FOR mama).Jake Thomas Laurent FEB O 3 2022 SUPERIOR COURT 0F CALIFORNSA. COUNTY 0F San Bernardino smear ADDRESS: 247 West 3rd Street MAILING AooRess. 247 West 3rd Street cm AND zap conaSan Bernardino, CA 9241 5 BRANCH NAMESan Bernardino Justice Center CASE NAME: Jake Thomas Laurent CML CASE COVER SHEET Complex Case flesignation CASE NUMBER‘ E: unumitad m L‘mi‘Ed D Counter Filed with first appearance by defendant [j Joinder CIV SB 2 2 0 0 1 o 1’. éifioaflfed ézmzefied is JUBGE; exceeds $25900) $25,000 or less) “3a" Ru'es Of ”“9 3402’ om: CW" Items 7—6 below mus! be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tart D E Auto (22) Uninsured motorist (46) Contract E S Braach of Gonkacymnamy (06) Rule 3.740 conectionsmg) Provisionally E (Cal. Complex Ruins of Calm, rules 3.4004403) Anmmsmradmegmafim Civil Litigation (03) Other Pl/PDIWD (Personal InjuryJProperty E] 0mg, ceuectims [j CODStFUCtiOfi 63901 (10) DamagaiWrongful Death} Tort ASbesms E D msumnce wwrage (09} {18) [:1 E Mass ton (4g) E 1:: Pmdum (04) "ability (24) 0mg, ccnmcgwn E [:1 Securitieslitigation (28) Environmentalffoxic g tort (30) Rea! Property L] Medical malpraciice (45) Other pnpDiWD {23) E Eminent domawlmeme Insuranpe coverage claims arising from the above pI’OWSIonaHV CDmp‘QX 6858 Non-PVPDM‘D E (Other) Tort E D condemnation (14) Wrongful eviction (33) Other 23:86 Enfofggisng ogJudgment E Business toruunfair business practice (O7) CM! rights (08) ”mam“ mm“? Q r661 pronerty (26) [:1 Enforcemem ofjudgmem Miscenaneous Complaint (go) E Civil Defamation (13) cowmer‘f‘a' (31) [:3 E L: FraUd {15) 'meflemua' pmpeny (19) E [-41 mafia”! (32) Dmgs (3V8) E Rico (~27; Other complaint (no! specified above) (42) Misceflanaous RM“ Civil Petition [j E Professionai negligence (25) Jud‘cia' E A389! *Ofiei‘ure (05) E P a n "erg h. a ”d comm?te governa me ( 21) m ' Other non PthD/wo tort (35) f? Empioymem petition re: arbitrage" award [Z] Othgr‘petmon (not spewfled above) (43) E [:1 v Wrongfut termination (36) Other emptoymem _ ('15) E] Cl . . Writ of Other mandate judicial (02) review (39) (11) Petition for Change of Name 2. This case C] is E is not complex under management: rule 3400 of the California Rules of Court. If the case is complex. mark the a. b1 Q factors requiring exceptional judic'eal E Large number of separately represented parties Extansive motion practice raising difficutt or novel d. e. E E Large number of witnesses Coordination with related acsions pending in one or more issues that will be time-consuming to resolve courts in other counties, states,. or countn’es‘ or in a federal c. E3 Substantia! amount of documentary evidence 90““ Substantiai postjudgmeni judicia: supervision f. 3. Remedies sought {check all that apply): a. l monetary nonmonetary; deciaratory or injunctive relief c. »_ b. punitive Numbef of causes of action One - Petition for Change of Name 4. 5. 6. This case If there [mm is E (specify): is not (1) a ciass action \ariwknown related cases, fiie and serve a notice of related case (You suit. may use form CM—O‘IS. j \‘b’ \\’Y Date: Arlene M. Cordoba Dashkovitz OR PRNT NAME] ’ \(xow‘r/ ‘ (TYAPE (SIGNATURE 0F PARTY OR ATTORNEY FbR PARTY) NOTICE * Plaintiff must file cover sheet wéth the first paper flied in the action or proceeding (except small claims cases or cases flied this under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220‘) Failure t0 fiEe may result in sanctions. ' cover sheet File this in addition to any cover sheet required by foca: court ruie. ’ If this case és complex under 3.400 et seq. of the Cal‘rfomia Rules of Court, you must serve a copy of this cover sheet on ail rule other parties to the action or proceeding. o Uniess this is a collections case under rule 3.740 or a compiex case‘ this cover sheet will be used for statistical purposes only. Page 1 o! 2 Form Adopted for Mandatory Use CaL Rules Court rules 2.30, 3.220. 3.400»~3.40C5 3740: Judicial Comes: cf Callfoméa Clvu‘ CASE COVER SHEET Cal. of Scandards or Jvdiciai Administration. aid. 3.10 CM-mo [Rev‘September 1, 2021} mvwcmzdsfia gm msmuéfibns 0N How To COMPLETE THE cova’snem CM-010 To Piaintiffs and Others Filing First Papers.a first paper (for example‘ a complaint) En a civii case, you must if you are filing complete and file. along with your first paper, the-Civil Case Cover Sheet contained on page 1. This information will be used to compiie statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check ene box for the case type that best describes the case. lf the case fits both a generak and a more specific type cf case listed in item 1. check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in campieting the sheet, exampfes of the cases that beiong under each case type in item 1 are provided below. A cover sheet must be filed oniy with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A ”coilections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be not mere than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which certain that is property, services, or acquired on credit. A collections case does not include an action seeking the foliowing: (1) tort money was damages. (2) punitive damages, (3) recavery of real property, (4) recovery of persona: property, or (5) a prejudgment writ of attachment The identification of a case as a rule 3.740 coflections case on this form means that will be exempt from the general“rt time-for—service requirements and case management miss, unless a defendant files a responsive pleading. A rum 3.740 coltections case will be subject to the requirements .for service and obtaining a judgment in ruie 3.740. To Parties in Compiax Cases. In complex cases only, parties must also use the Civil Case Cover Sheet lo designate whether the case is complex. If a piaintiff believes the case is complex under rule 3400 of the California Rules of Court. this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiffdesignates a casa as complex. the cover sheet must be served with the- complaint an all parties to the action. A defendant may file and serve no Eater than me time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex. or, if the plaintiff has made no designation. a designation £hat the case is compfex_ CASE TYPES AND EXAMPLES Auto Ton WW“! Provisionaaly complex cm: Litigation (Cal. Auto (22)—Personai lnjury/Propeny Breach of Contract/Warranty (0a) Rules of Court Ruins 3..400—3.403) DamageNVrongful Death Breach of RentallLease AntitrusUTrade Regutation (03) Uninsured Motorist (46) (if {he Contract (not unlawful detainer Construction Defect (10) case Involves an uninsured or wrongful eviction) Claims involving Mass Tort (40) motorist claim subjed to Contract/Warranty Breach~Seller Securities Litigation (28) arbitration, check this item Pfaintifr (not fraud ornegfigehce} Envimnmentali‘roxic Tort (30) instead of Auto) Negligent Breach of Contract! lnsuranca Coverage Claims Other PIIPDIWD (Personal Injury! Warranty (arising from provisionally comptex Propefly DamagelWrongfui Death) Other Breach 0f Contract/Warranty case type listed above) (41) Tort Collections (a9, money owed, open Enforcament o'f Judgment Asbestos {04) book accounts) {09) Enforcement of Judgment (20) Asbestos Property Damage Collection Case—Seller Plaintiff Abstract of Judgment (Out of Asbestos Persona! Injury] Other Promissory Note/Caliecfions County) Wrongfufi Death Case Confession of Judgment (non- Pmduct Liabiiity {not asbestos or Insurance Coverage {not provisionally domestic relations) roxidenvimnmental) (24) complex) (1 8) Sister State Judgment Medical Maipmcn‘ce (45) Auto Subpogasion Administrative Agency Award Medical Malpracfice~ Other Coverage (no! unpaid taxes) Physicians & Surgeons Other Contract (37) PetitionJCertification of Entry of Other Professionai Health Care Contractual Fraud Judgment on Unpaid Taxes Malpractice Other Contract Dispute Othar Enforcement of Judgment Other PllPD/WD (23) Real Property Case Premises Liability (e‘gn slip Eminent Domainllnverse Misceitaneous Civil Compiaint and Condemnation (14) fan) RICO (27) Wrongful Eviction (33) Intentiona: Bodiiy injury/PD/wn Other Complaint (not specified (e.g., assault, vandaksm) Other Rea! Property (9.9.. quiet title) (26) above) (42) Wn‘t of Possession of Real Property Intentional Infiiction of Declaratory Relief Oniy Emcfional Distress Mortgage Foreclosure Injunctive Relief Only (nom Negiigent lnfliction of Quiet Titie harassment) Emotional Distress Other Real Property (‘not-eminent Mechahics Lien Other PUPD/WD domain: fandlord/fenant, or Other Commerciat Cumpkaint Non-Pl/PDIWD (Other) Tort foreclosure) Case (non-tort/noneomplex} Busmess TorUUnfair Business Unlawfui Detainar Other Civil Complaint Practice (07) Commercial (31) (nominrt/non-complex) Civil Rights Residential (32) (9.9., discrimination, Misceflaneous Civil Petition false arrest) (net civil Drugs (38) (if the case involves illegal Partnership and Comorate harassment) {08) drugs, check this item; othemise, Governance (21) Defamation (9.9., slander, report as Commercia! or Residential) libel) Other Petition (not specified (13) Judicia! Review above) (43) Fraud (16) Asset Forfeiture (05) Civii Harassment Intellectual Property (19) Petition Re: Arbitration Award (11) Workplace Violence Professional Negligence (25) Wri: of Mandate (02) Eider/Dependent Adult Legai Malpractice Writ~Administra1jve Mandamus Abuse Other Professionai Maipractice Wdt~Mandamus on Limited Court Election Contest {not medical or legal) Case Matter Petition for Name Change Other Non~PllPDIWD Ton (35) Writ~0therLémited Court Case Petition for Relflef From Late Employmeni Review Claim Wrongfui Termination (36) Other Judicial Review (39) omer Civil Petition Other Employment (15) Review of Heaith Officer Order Nofice of Appaai-A-Labor Commissmner Appeals CM~010 {Rev‘ Sapzember 1‘ 2021'} CIVEL CASE COVER SHEET Page 2 of 2