# La. Sup. Ct. R. App. C: Appendix C. CIVIL WRIT APPLICATION FILING SHEET

> Louisiana · Court rules · In force

URL: https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RC

## Section

- **Citation:** La. Sup. Ct. R. App. C
- **Heading:** Appendix C. CIVIL WRIT APPLICATION FILING SHEET
- **Jurisdiction:** Louisiana
- **Kind:** Court rules
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Louisiana Court Rules / Rules of the Supreme Court of Louisiana / La. Sup. Ct. R. App. C

## Text

APPENDIX C.
SUPREME COURT OF LOUISIANA
CIVIL
WRIT APPLICATION FILING SHEET
TO BE COMPLETED BY COUNSEL OR PRO SE LITIGANT FILING APPLICATION
CASE TITLE: _________________________________________________________________________
APPLICANT PARTY NAME(S):__________________________________________________________
Have there been any other filings in this Court in this matter: □ YES □ NO
Are you seeking a Stay Order? □ YES □ NO. If so, you MUST complete a civil priority form.
Are you seeking Priority Treatment? □ YES □ NO. If so, you MUST complete a civil priority form.
Does this pleading contain confidential information? □ YES □ NO. If so, please file a motion to seal.
Does any pleading contain a constitutional challenge to any Louisiana codal or statutory provision? □ YES □ NO
If yes, which pleading? _______________________
If yes, has the Office of the Louisiana Attorney General been notified pursuant to La. R.S. 13:4448? □ YES □ NO
LEAD COUNSEL / PRO SE LITIGANT INFORMATION
APPLICANT:
Lead Counsel Name: ________________________________ Bar Roll No.___________________
Email address:______________________________________ Cell No.:______________________
RESPONDENT:
Lead Counsel Name: ________________________________ Bar Roll No.___________________
Email address:______________________________________ Cell No.:______________________
Is the pleading being filed: □ In proper person. □ In forma pauperis
Are there any pro se litigants involved in this matter: □ YES □ NO
TYPE OF PLEADING
□ Tort □ Contract □ Property □ Probate □ Family □ Juvenile □ Workers’ Comp
ead Counsel Name: ________________________________ Bar Roll No.___________________
Email address:______________________________________ Cell No.:______________________
Is the pleading being filed: □ In proper person. □ In forma pauperis
Are there any pro se litigants involved in this matter: □ YES □ NO
TYPE OF PLEADING
□ Tort □ Contract □ Property □ Probate □ Family □ Juvenile □ Workers’ Comp. □ Revenue (tax) □ Civil Other
□ Administrative Agency □ Bar Admission □ Lawyer Discipline □ Judicial Discipline □ Licensing / Discipline Other
LOWER COURT INFORMATION
Parish and Judicial District Court:_________________________________________ Docket No:______________
Judge and Section:___________________________________________ Date of Ruling:_____________________
APPELLATE COURT INFORMATION
Circuit:_________ Docket No.:__________ Applicant:_________________________ Filing date:_____________
Was this pleading simultaneously filed? □ YES □ NO.
Ruling date:_____________ Action:______________________________________________________________
Panel of Judges:_____________________________________________________________________ En Banc: □
REHEARING INFORMATION
Applicant:__________________________ Filing date:______________ Ruling date:________________________
Action:____________________________ Panel of Judges:___________________________________ En Banc: □
PRESENT STATUS
□ pre-trial
□ hearing; scheduled date:____________
□ trial; scheduled date:______________
□ trial in progress
Is there a stay now in effect: □ YES □ NO
VERIFICATION
I certify that the above information and all of the information contained in this application is true and correct to the best of my knowledge
and that all relevant pleadings and rulings, as required by Supreme Court Rule X, are attached to this filing. I further certify that a copy of
this application has been mailed or delivered to the appropriate court of appeal, to the lower court judge, and to all other counsel and
unrepresented parties
the information contained in this application is true and correct to the best of my knowledge
and that all relevant pleadings and rulings, as required by Supreme Court Rule X, are attached to this filing. I further certify that a copy of
this application has been mailed or delivered to the appropriate court of appeal, to the lower court judge, and to all other counsel and
unrepresented parties.
Date:____________________ Signature:_______________________________________________________ (Rev. 12/2022)

## Nearby sections

- [La. Sup. Ct. R. App. A-1 Appendix A-1. FIRST UNIFORM APPLICATION FOR POST-CONVICTION RELIEF](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RA_1.md)
- [La. Sup. Ct. R. App. A-2 Appendix A-2. SECOND OR SUBSEQUENT UNIFORM APPLICATION FOR POST-CONVICTION RELIEF](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RA_2.md)
- [La. Sup. Ct. R. App. A-3 Appendix A-3. UNIFORM MOTION TO CORRECT AN ILLEGAL SENTENCE](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RA_3.md)
- [La. Sup. Ct. R. App. B Appendix B. UNIFORM CAPITAL SENTENCE REPORT](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RB.md)
- [La. Sup. Ct. R. App. C Appendix C. CIVIL WRIT APPLICATION FILING SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RC.md)
- [La. Sup. Ct. R. App. D Appendix D. CRIMINAL WRIT APPLICATION FILING SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RD.md)
- [La. Sup. Ct. R. App. E Appendix E. CIVIL PRIORITY FILING SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RE.md)
- [La. Sup. Ct. R. App. F Appendix F. CRIMINAL PRIORITY FILING SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RF.md)
- [La. Sup. Ct. R. App. G-1 Appendix G-1. RECORDS SAMPLE COVER SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RG_1.md)
- [La. Sup. Ct. R. App. G-2 Appendix G-2. EXAMPLE OF COMPLETED SAMPLE COVER SHEET](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RG_2.md)
- [La. Sup. Ct. R. I Rule I. General Filing and Confidentiality Requirements](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RI.md)
- [La. Sup. Ct. R. II Rule II. Fees](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RII.md)
- [La. Sup. Ct. R. III Rule III. Preparation of Records](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RIII.md)
- [La. Sup. Ct. R. IV Rule IV. Briefs](https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RIV.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/SRULES_LA_SCR_RC. Check the current official text before relying on it. Not legal advice.