Southern District of Florida | United States District Court
Form Following Rule 5.1
(1" from top of page, and centered, begin title of Court)
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF FLORIDA
Case No. -CV-
(Judge’s Last Name/Magistrate’s Last Name)
(Full Name of Plaintiff/s) ,
Plaintiff (s)
vs.
(Full Name of Defendant/s),
Defendant(s).
_____________________________________/
TITLE OF DOCUMENT
I, _________________________________________ [plaintiff or defendant], in the above styled
cause,
Respectfully submitted,
Dated: Month, day, year
Name of Filer
Attorney Bar Number (if applicable)
Attorney E-mail Address (if applicable)
Firm Name (if applicable)
Street Address
City, State, Zip Code
Telephone:
Facsimile:
Attorneys for Plaintiff/Defendant [Party name(s)]
(if applicable)
Certificate of Service
I hereby certify that a true and correct copy of the foregoing was served by
[specify method of service] on [date]
on all counsel or parties of record on the Service List below.
_________________________________________
Signature of Filer
SERVICE LIST
Party or Attorney Name Party or Attorney Name
Attorney E–mail Address (if applicable) Attorney E–mail Address (if applicable)
Firm Name (if applicable) Firm Name (if applicable)
Street Address Street Address
City, State, Zip Code City, State, Zip Code
Telephone: Telephone:
Facsimile: Facsimile:
Attorneys for Plaintiff/Defendant Attorneys for Plaintiff/Defendant
[Party's Name(s)] (if applicable) [Party’s Name(s)] (if applicable)
................
................
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