CM-011 - Confidential Cover Sheet False Claims Action

Summary

Confidential Cover Sheet False Claims Action

Text

Form ID: CM-011
Title: Confidential Cover Sheet False Claims Action
Effective Date: 2018-09-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CM-011
Primary Download URL: https://www.courts.ca.gov/documents/cm011.pdf
Form Detail Page:
Confidential Cover Sheet False Claims Action
(CM-011)
Tells the court what documents are being filed under seal in cases under the False Claims Act.
Get form CM-011
Effective: September 1, 2018
PDF Text:
For your protection and privacy, please press the Clear 
This Form button after you have printed the form.
Form Adopted for Mandatory Use 
Judicial Council of California 
CM-011 [Rev. September 1, 2018]
CONFIDENTIAL COVER SHEET 
FALSE CLAIMS ACTION
Gov. Code, § 12652(c) 
Cal. Rules of Court, rules 2.570-2.573 
www.courts.ca.gov
CM-011
FOR COURT USE ONLY
CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR: PLAINTIFF OTHER (SPECIFY):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Plaintiff [UNDER SEALl]
Defendant [UNDER SEALl]
CONFIDENTIAL COVER SHEET–FALSE CLAIMS ACTION
CONFIDENTIAL
INSTRUCTIONS: This civil action is brought under the False Claims Act,  
Government Code section 12650 et seq. The documents filed in this case  
are under seal and are confidential pursuant to Government Code section 
12652(c).
This Confidential Cover Sheet must be affixed to the caption page of the  
complaint and to any other paper filed in this case until the seal is lifted.
You should check with the court to determine whether papers filed in 
False  Claims Act cases must be filed at a particular location.
Seal to expire on (date):
UNLESS: 
(1) Motion to extend time is 
pending; or 
(2) Extended by court order
1. The document to which this cover sheet is affixed is:
a. Complaint for damages for violation of the False Claims  Act
b. Civil Case Cover Sheet  (form 982.2(b)(1))
c. Motion for an extension of time to intervene
d. Affidavit or other document in support of the motion for an extension of time
e. Order extending time to intervene  (specify date order expires):
f. Other order  (describe):
g. Notice from the Attorney General of additional prosecuting authority that may have access to the file
h. Other (describe):
2. This Confidential Cover Sheet  and the attached document must each be separately file-stamped by the clerk of the court.
Date:
Page 1 of 1

Retrieval chunks

• #1

  Form ID: CM-011 Title: Confidential Cover Sheet False Claims Action Effective Date: 2018-09-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CM-011 Primary Download URL: https://www.courts.ca.gov/documents/cm011.pdf Form Detail Page: Confidential Cover Sheet False Claims Action (CM-011…

• #2

  2. This Confidential Cover Sheet and the attached document must each be separately file-stamped by the clerk of the court. Date: Page 1 of 1