Civil Chapter 61 Filing Submission


Please provide the following filing information. All fields in Bold are required.

MESSAGE
Your Name
Your E-Mail Address
Your Country Code
Your Area Code
Your Phone Number
Your Extension
Bill To
Form Name
Form Version
CASE IDENTITY
Client Account
Case Number
FILING
Statute
Reason
Service Type
PLAINTIFF
Name Type
Name Format
Last
First
Middle
Suffix
Race
SSN
Date of Birth (mm/dd/ccyy)
Gender

Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Phone Type
Phone Location
Country Code
Area Code
Phone Number
Extension

PLAINTIFF ATTORNEY
Name Type
Name Format
Last
First
Middle
Suffix
Race
SSN
Date of Birth (mm/dd/ccyy)
Gender

Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Phone Type
Phone Location
Country Code
Area Code
Phone Number
Extension

Bar Number
DEFENDANT #1
Name Type
Name Format
Last
First
Middle
Suffix
Race
SSN
Date of Birth (mm/dd/ccyy)
Gender

Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Check this box if you are
entering a second address
for Defendant #1 below:
Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Phone Type
Phone Location
Country Code
Area Code
Phone Number
Extension

DEFENDANT #2
Check this box if you are
entering information about
a second defendant below:
Name Type
Name Format
Last
First
Middle
Suffix
Race
SSN
Date of Birth (mm/dd/ccyy)
Gender

Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Check this box if you are
entering a second address
for Defendant #2 below:
Address Type
Address Line 1
Address Line 2
City
State
County
Zip
Country

Phone Type
Phone Location
Country Code
Area Code
Phone Number
Extension
PRAYER
Amount
Interest Prejudgement
Percent
Interest Prejudgement
From Date (mm/dd/ccyy)
Interest Postjudgement
Statutory
Interest Postjudgement
Percent
Damage
Amount
Setting
Date (mm/dd/ccyy)
Other
Value
Fees
Amount