This form contains 70 fields organized into 38 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Alias Summons to Issue for
Alias Summons Recipient Text
Please provide the name or description of the party for whom the alias summons should be issued. Fill only if 'Alias Summons to Issue' is 'Yes'.
Depends on: Alias Summons to Issue
Amended Complaint or Petition - Allowed
Amended Complaint or Petition Allowed Details Text
Enter any specific details or conditions related to the allowance of the amended complaint or petition. Fill only if 'Amended Complaint or Petition - Allowed' is 'Yes'.
Depends on: Amended Complaint or Petition - Allowed
Appeal Status and Attached Order
Order Final and Appealable Checkbox
Check this box if the order issued is final and subject to appeal.
See Attached Order Checkbox
Check this box if there is an additional order attached to this document.
Attorney Information
Attorney Number Text
Please provide the attorney's identification number.
Attorney Name Text
Please provide the full name of the attorney.
Attorney For Text
Please specify the party or entity for whom the attorney is representing.
Attorney Street Address Text
Please provide the street address of the attorney's office.
Attorney City State Zip Code Text
Please provide the city, state, and zip code of the attorney's office.
Attorney Telephone Text
Please provide the telephone number for the attorney's office.
Case Parties
Plaintiff(s) Text
Enter the full name(s) of the plaintiff(s) in this case.
Defendant(s) Text
Enter the full name(s) of the defendant(s) in this case.
Close Discovery - Allowed
Discovery Close Date Date
Enter the date by which discovery is allowed to be closed. Fill only if 'Close Discovery - Allowed' is 'Yes'.
Depends on: Close Discovery - Allowed
Court Information
Municipal District Text
Please enter the municipal district for the court.
Line Number Text
Please enter the line number associated with the case.
Case Number Text
Please enter the case number for this court record.
Default Information
Defendant Name Text
Provide the full legal name of the defendant who is being defaulted. Fill only if 'Defendant Default' is 'Yes'.
Depends on: Defendant Default
Defendant Identifier Text
Provide any additional unique identifier or descriptor for the defaulted defendant, if applicable. Fill only if 'Defendant Default' is 'Yes'.
Depends on: Defendant Default
Default Judgment for Plaintiff
Judgment Amount Number
Provide the monetary amount of the default judgment awarded to the plaintiff. Fill only if 'Default Judgment for Plaintiff' is 'Yes'.
Depends on: Default Judgment for Plaintiff
Defendant Name Text
Enter the name of the defendant against whom the default judgment is issued. Fill only if 'Default Judgment for Plaintiff' is 'Yes'.
Depends on: Default Judgment for Plaintiff
Entry Date
Month and Day Date
Enter the month and day this form was entered.
Year Number
Enter the year this form was entered.
File Appearance or Jury Demand Answer or Plead Allowed
Appearance and Plead Allowed Details Text
Please provide additional details regarding the file appearance, jury demand answer, or plead that was allowed. Fill only if 'Check Box9' is 'Yes'.
Depends on: Check Box9
File Counterclaim or Cross Complaint - Allowed
Allowed Counterclaim or Cross-Complaint Details Text
Provide any specific details or conditions related to the allowed filing of a counterclaim or cross-complaint. Fill only if 'File Counterclaim or Cross Complaint - Allowed' is 'Yes'.
Depends on: File Counterclaim or Cross Complaint - Allowed
General
it being further agreed that installment payments be made as follows 2 Text
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Installment Payment Details
First Installment Payment Detail Text
Provide the first line of details regarding the installment payment arrangement. Fill only if 'Installment Payments' is 'Yes'.
Depends on: Installment Payments
Additional Installment Payment Details Text
Provide any additional details or a continuation of the installment payment arrangement.
Installment Payment Terms / Schedule
Installment Payments Checkbox
Check this box if installment payments have been agreed upon and their terms will be specified.
Judgment for Defendant
Judgment Amount Number
Provide the monetary amount of the judgment for the defendant. Fill only if 'Judgment for Defendant' is 'Yes'.
Depends on: Judgment for Defendant
Judgment for Plaintiff after trial
Judgment Amount Number
Please enter the monetary amount awarded in the judgment for the plaintiff after trial. Fill only if 'Judgment for Plaintiff after trial for $' is 'Yes'.
Depends on: Judgment for Plaintiff after trial for $
Defendant Name for Costs Text
Please provide the name of the defendant against whom costs are assessed. Fill only if 'Judgment for Plaintiff after trial for $' is 'Yes'.
Depends on: Judgment for Plaintiff after trial for $
Order Row 1 - Alias Summons to Issue
Alias Summons to Issue Checkbox
Check this box if the court has ordered an alias summons to be issued.
Order Row 10 - Case Dismissed for Want of Prosecution
Case Dismissed for Want of Prosecution Checkbox
Check this box if the court dismisses the case because the plaintiff failed to pursue it (for want of prosecution).
Order Row 11 - Case Dismissed by Agreement (With/Without Prejudice)
Case Dismissed by Agreement of Parties/No Cost Checkbox
Check this box if the case is dismissed by agreement of the parties with no cost.
With Prejudice Checkbox
Check this box if the case is dismissed by agreement with prejudice, meaning the plaintiff cannot refile the lawsuit on the same claim. Fill only if 'Case Dismissed by Agreement of Parties/No Cost' is 'Yes'.
Depends on: Case Dismissed by Agreement of Parties/No Cost
Without Prejudice Checkbox
Check this box if the case is dismissed by agreement without prejudice, meaning the plaintiff can refile the lawsuit on the same claim later. Fill only if 'Case Dismissed by Agreement of Parties/No Cost' is 'Yes'.
Depends on: Case Dismissed by Agreement of Parties/No Cost
Order Row 12 - Default Judgment for Plaintiff (amount/defendant/reasons)
Default Judgment for Plaintiff Checkbox
Check this box to indicate that a default judgment is being entered for the Plaintiff.
Defendant Failed to File an Appearance Checkbox
Check this box if the defendant has been defaulted because they failed to file an appearance. Fill only if 'Default Judgment for Plaintiff' is 'Yes'.
Depends on: Default Judgment for Plaintiff
Defendant Failed to File an Answer Checkbox
Check this box if the defendant has been defaulted because they failed to file an answer. Fill only if 'Default Judgment for Plaintiff' is 'Yes'.
Depends on: Default Judgment for Plaintiff
Order Row 13 - Judgment for Plaintiff after Trial (amount/defendant)
Judgment for Plaintiff after trial for $ Checkbox
Check this box if a judgment is being entered in favor of the plaintiff after a trial, specifying the amount and the defendant against whom the judgment is made.
Order Row 14 - Assess Costs - Allowed
Assess Costs - Allowed Checkbox
Check this box if the court orders that costs are assessed and allowed.
Order Row 15 - Judgment for Defendant after Trial
Judgment for Defendant Checkbox
Check this box if the court has ordered a judgment in favor of the defendant after a trial.
Order Row 2 - Amended Complaint or Petition - Allowed
Amended Complaint or Petition - Allowed Checkbox
Check this box if an amended complaint or petition is allowed.
Order Row 3 - Close Discovery - Allowed
Close Discovery - Allowed Checkbox
Check this box if the court orders that discovery is closed and allowed in the case.
Order Row 4 - File Counterclaim or Cross Complaint - Allowed
File Counterclaim or Cross Complaint - Allowed Checkbox
Check this box if the court has ordered or allowed the filing of a counterclaim or cross-complaint.
Order Row 5 - File Appearance / Jury Demand / Answer / Plead Allowed
Check Box9 CheckBox
Order Row 6 - Defendant Default / Status Fields
Defendant Default Checkbox
Check this box if the defendant is being declared defaulted.
Order Row 7 - Failed to File / PROVE-UP Scheduling
Failed to File an Appearance Checkbox
Check this box if the defendant failed to file an appearance in the case.
Failed to File an Answer Checkbox
Check this box if the defendant failed to file an answer in the case.
PROVE-UP Checkbox
Check this box if the court is ordering a prove-up hearing to be scheduled. Fill only if 'Failed to File an Appearance', 'Failed to File an Answer' is 'Yes' for any.
Depends on: Failed to File an Appearance, Failed to File an Answer
Order Row 8 - Set for STATUS (appearance/date/time/room)
Set for STATUS Checkbox
Check this box if the court is ordering the case to be set for a status hearing, requiring all parties to appear. Fill only if 'Failed to File an Appearance', 'Failed to File an Answer' is 'Yes' for any.
Depends on: Failed to File an Appearance, Failed to File an Answer
Order Row 9 - Set for TRIAL (date/time/room)
Set for TRIAL on Checkbox
Check this box if the court is setting the case for a trial and specifies the date, time, and room. Fill only if 'Failed to File an Appearance', 'Failed to File an Answer' is 'Yes' for any.
Depends on: Failed to File an Appearance, Failed to File an Answer
Present Before the Court (Plaintiff(s)/Defendant(s)/Counsel)
Plaintiff(s) Checkbox
Check this box if the Plaintiff(s) are present before the Court.
Defendant(s) Checkbox
Check this box if the Defendant(s) are present before the Court.
Plaintiff(s)' Counsel Checkbox
Check this box if the Plaintiff(s)' Counsel is present before the Court.
Defendant(s)' Counsel Checkbox
Check this box if the Defendant(s)' Counsel is present before the Court.
Prove-Up Schedule
Prove-Up Date Date
Please enter the date for the prove-up hearing. Fill only if 'PROVE-UP' is 'Yes'.
Depends on: PROVE-UP
Prove-Up Year Date
Please enter the year for the prove-up hearing. Fill only if 'PROVE-UP' is 'Yes'.
Depends on: PROVE-UP
Prove-Up Time Time
Please enter the time for the prove-up hearing. Fill only if 'PROVE-UP' is 'Yes'.
Depends on: PROVE-UP
See Attached Order
Attached Order Number Text
Enter the number or identifier of the attached order. Fill only if 'See Attached Order' is 'Yes'.
Depends on: See Attached Order
Status Hearing Schedule
Status Hearing Date Date
Enter the date when the status hearing will be held. Fill only if 'Set for STATUS' is 'Yes'.
Depends on: Set for STATUS
Status Hearing Hour Text
Enter the hour for the status hearing. Fill only if 'Set for STATUS' is 'Yes'.
Depends on: Set for STATUS
Status Hearing Minute Text
Enter the minute for the status hearing. Fill only if 'Set for STATUS' is 'Yes'.
Depends on: Set for STATUS
Status Hearing Room Number Text
Enter the room number where the status hearing will take place. Fill only if 'Set for STATUS' is 'Yes'.
Depends on: Set for STATUS
Stricken Date
Stricken Date Date
Enter the date that is being stricken from the record.
Trial Schedule
Trial Date (Month/Day) Text
Enter the month and day for the trial. Fill only if 'Set for TRIAL on' is 'Yes'.
Depends on: Set for TRIAL on
Trial Date (Year) Number
Enter the year for the trial. Fill only if 'Set for TRIAL on' is 'Yes'.
Depends on: Set for TRIAL on
Trial Time Time
Enter the time for the trial. Fill only if 'Set for TRIAL on' is 'Yes'.
Depends on: Set for TRIAL on
Trial Room Number Text
Enter the room number where the trial will be held. Fill only if 'Set for TRIAL on' is 'Yes'.
Depends on: Set for TRIAL on