This form contains 58 fields organized into 18 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Approval / Case Closure Checkboxes
Approved as to form, notice of entry waived Checkbox
Check this box if the judgment is approved as to form and the notice of entry is waived. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Do not close case (judgment does not resolve last pending claim) Checkbox
Check this box if the judgment does not resolve the last pending claim and the case should not be closed. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
CERTIFICATE OF MAILING
Mailing Certificate Date Date
Enter the date you completed and signed the certificate of mailing.
Signature Text
Provide your signature certifying that you mailed a copy of the judgment as stated above.
Court Contact Information
Court Address Text
Enter the full mailing address of the court handling this case.
Court Telephone Number Text
Enter the court’s telephone number.
Court Identification
Judicial District Text
Enter the number or name of the judicial district for the court handling this case.
Judicial Circuit Text
Enter the number or name of the judicial circuit for the court handling this case.
Case Number and Judge Text
Enter the court case number and the name of the assigned judge.
Defendant/Attorney
Judge/Court Clerk Signature and Date Text
Enter the judge or court clerk’s signature information and the date the judgment was signed/entered. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Defendant/Defendant Attorney Contact Information
Defendant/Defendant Attorney Name, Address, and Telephone Text
Enter the defendant’s or the defendant’s attorney’s full name, mailing address, and telephone number.
Dismissal Options
Dismissal Checkbox
Check this box if the judgment being entered is a dismissal of the case/claim.
Without prejudice Checkbox
Check this box if the dismissal is without prejudice (the claim may be refiled). Fill only if 'Dismissal' is 'Yes'.
Depends on: Dismissal
No cause of action Checkbox
Check this box if the dismissal is because there is no cause of action. Fill only if 'Dismissal' is 'Yes'.
Depends on: Dismissal
With prejudice Checkbox
Check this box if the dismissal is with prejudice (the claim is dismissed permanently and cannot be refiled). Fill only if 'Dismissal' is 'Yes'.
Depends on: Dismissal
Installment Payment Terms
Installment payments Checkbox
Check this box if the defendant will pay the judgment in installment payments (with an amount and schedule) until the judgment is paid in full. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Installment Payment Amount Number
Enter the dollar amount to be paid in each installment payment. Fill only if 'Installment payments' is 'Yes'.
Depends on: Installment payments
Installment Payment Interval Text
Enter how often the installment payments will be made (for example, weekly, biweekly, or monthly). Fill only if 'Installment payments' is 'Yes'.
Depends on: Installment payments
Installment Payments Start Date Date
Enter the date on which the installment payment schedule begins. Fill only if 'Installment payments' is 'Yes'.
Depends on: Installment payments
JUDGMENT (1)
Text
Case Number and Judge Text
Enter the court case number and the name of the judge assigned to this matter.
Judgment Basis (Select One)
Trial Checkbox
Check this box if the judgment is based on the result of a trial. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Summary Disposition Checkbox
Check this box if the judgment is based on a court order granting summary disposition. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Consent Checkbox
Check this box if the judgment is entered by consent/agreement of the parties. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Default Checkbox
Check this box if the judgment is a default judgment because the opposing party failed to respond or appear. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Judgment Date
Judgment Date Date
Enter the date the judgment was ordered or entered by the court. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Judgment Parties (For/Against)
Judgment Checkbox
Check this box to indicate that a civil judgment is being entered in this case (with the parties listed on the “For” and “Against” lines).
Judgment For (Party) Number
Enter the name of the party or parties in whose favor the judgment is entered. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Judgment Against (Party) Number
Enter the name of the party or parties against whom the judgment is entered. Fill only if 'Judgment' is 'Yes'.
Depends on: Judgment
Order of Judgment Amounts (Damages, Costs, Attorney Fees, Total)
Damages Amount Number
Enter the total dollar amount of damages awarded in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Costs – Filing Fee Number
Enter the dollar amount of costs for the filing fee to be included in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Costs – Jury Fee Number
Enter the dollar amount of costs for the jury fee to be included in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Costs – Motion Fee Number
Enter the dollar amount of costs for motion fees to be included in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Costs – Service Fee Number
Enter the dollar amount of costs for service fees to be included in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Costs – Statutory Number
Enter the dollar amount of statutory costs to be included in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Total Costs (Fees) Number
Enter the total dollar amount of all costs (fees) awarded in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Attorney fee: statutory Checkbox
Check this box if the attorney fee being included in the judgment is a statutory attorney fee authorized by law. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Attorney fee: other (specify) Checkbox
Check this box if the attorney fee being included in the judgment is not statutory and must be described in the “other (specify)” line. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Attorney Fee – Other (Specify) Text
If attorney fees are awarded as “other,” specify the basis or type of attorney fee being awarded. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Attorney Fee Amount Number
Enter the total dollar amount of attorney fees awarded in the judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Total Judgment Amount Number
Enter the total dollar amount of the judgment (damages plus costs and attorney fees). Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Other Conditions (if any)
Other Conditions Text
Enter any additional terms, conditions, or special instructions that apply to this judgment. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Parties (Plaintiff and Defendant)
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.
Plaintiff Attorney Information
Plaintiff or Plaintiff's Attorney Contact Information Text
Enter the name, mailing address, and telephone number for the plaintiff or the plaintiff’s attorney.
Plaintiff/Attorney
Plaintiff/Attorney Signature Date
Enter the plaintiff’s or plaintiff’s attorney’s signature (typed name) to sign this judgment form. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Statutory Interest Calculation
Judgment Interest Accrued Amount Number
Enter the total dollar amount of judgment interest accrued from the filing date of the complaint through the judgment date. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
The statutory rate of Checkbox
Check this box if the judgment interest amount is calculated using a single statutory interest rate for the specified date range. Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
Statutory Interest Rate (%) Number
Enter the statutory interest rate percentage used to calculate the interest for the period shown. Fill only if 'The statutory rate of' is 'Yes'.
Depends on: The statutory rate of
Statutory Rate Period Start Date Date
Enter the start date for the period during which the statutory interest rate shown applies. Fill only if 'The statutory rate of' is 'Yes'.
Depends on: The statutory rate of
Statutory Rate Period End Date Date
Enter the end date for the period during which the statutory interest rate shown applies. Fill only if 'The statutory rate of' is 'Yes'.
Depends on: The statutory rate of
The statutory 6-month rate(s) of Checkbox
Check this box if the judgment interest amount is calculated using one or more statutory 6-month interest rates for the specified date range(s). Fill only if 'JUDGMENT' is 'Yes'.
Depends on: Judgment
6-Month Statutory Rate 1 (%) Number
Enter the first statutory 6-month interest rate percentage used to calculate interest. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of
6-Month Rate 1 Period Start Date Date
Enter the start date for the first 6-month rate period. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of
6-Month Rate 1 Period End Date Date
Enter the end date for the first 6-month rate period. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of
6-Month Statutory Rate 2 (%) Number
Enter the second statutory 6-month interest rate percentage used to calculate interest. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of
6-Month Rate 2 Period Start Date Date
Enter the start date for the second 6-month rate period. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of
6-Month Rate 2 Period End Date Date
Enter the end date for the second 6-month rate period. Fill only if 'The statutory 6-month rate(s) of' is 'Yes'.
Depends on: The statutory 6-month rate(s) of