Form SC-100, Plaintiff’s Claim and ORDER to Go to Small Claims Court Instructions
This form contains 103 fields organized into 16 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Authorized Agent for Service of Process | ||
| Authorized Agent Name | Text |
Enter the full name of the person or agent authorized to accept service of process for the defendant entity.
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| Authorized Agent Job Title | Text |
Enter the authorized agent’s job title, if known.
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| Authorized Agent Street Address | Text |
Enter the street address for the authorized agent for service of process.
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| Authorized Agent City | Text |
Enter the city of the authorized agent’s address.
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| Authorized Agent State | Text |
Enter the state of the authorized agent’s address.
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| Authorized Agent ZIP Code | Text |
Enter the ZIP code for the authorized agent’s address.
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| Case Information (Number and Name) | ||
| Case Number | Text |
Enter the court-assigned case number for this small claims matter.
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| Case Name | Text |
Enter the case name or short title used by the court for this matter (for example, Plaintiff v. Defendant).
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| Case Number | ||
| Case Number | Text |
Enter the court-assigned case number for this matter.
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| Claim Amount and Explanation | ||
| Claim Amount Owed | Number |
Enter the total dollar amount the plaintiff claims the defendant owes.
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| Explanation of Claim | Text |
Describe why the defendant owes the plaintiff money, including the key facts supporting the claim.
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| Clerk Signature Date and Clerk Name | ||
| Clerk Signature Date | Date |
Enter the date the clerk signs or completes this order section.
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| Clerk Name | Text |
Enter the name of the clerk who signs this order (the clerk listed after “Clerk, by”).
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| Court Name and Street Address | ||
| Court Name and Street Address | Text |
Enter the full name of the court and its street address where the case will be filed (e.g., Superior Court of California, County of ___, followed by the court’s street address).
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| Defendant Additional Information Checkboxes | ||
| Check here if your case is against more than one defendant (attach form SC-100A) | Checkbox |
Check this box if you are suing more than one defendant and you will attach form SC-100A.
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| Check here if any defendant is on active military duty (write defendant’s name) | Checkbox |
Check this box if any defendant is currently on active military duty, and write that defendant’s name in the space provided.
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| Defendant Contact and Address | ||
| Defendant Name | Text |
Enter the full legal name of the defendant (person, business, or public entity being sued).
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| Defendant Phone | Text |
Enter the defendant’s phone number.
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| Defendant Street Address | Text |
Enter the defendant’s street address (street number and street name).
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| Defendant City | Text |
Enter the city for the defendant’s street address.
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| Defendant State | Text |
Enter the state for the defendant’s street address.
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| Defendant ZIP Code | Text |
Enter the ZIP code for the defendant’s street address.
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| Defendant Mailing Street Address | Text |
Enter the defendant’s mailing street address, if different from the street address.
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| Defendant Mailing City | Text |
Enter the city for the defendant’s mailing address, if different from the street address.
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| Defendant Mailing State | Text |
Enter the state for the defendant’s mailing address, if different from the street address.
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| Defendant Mailing ZIP Code | Text |
Enter the ZIP code for the defendant’s mailing address, if different from the street address.
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| General | ||
| Plintiff (list names) | Text | |
| Case number | Text | |
| When did this happen? Date | Text | |
| Date started | Text | |
| through | Text | |
| How did you calculate the money owed to you? (Do not include court costs or fees for service.) | Text | |
| Check here if you need more space. Attach one sheet of paper or form MC-031 and write “SC-100, Item 3” at the top | CheckBox | |
| You must ask the defendant (in person, in writing, or by phone) to pay you before you sue. If your claim is for possession of property, you must ask the defendant to give you the property. Have you done this? If no, explain why not | Text | |
| Check if you asked defendant to pay before you sue | CheckBox | |
| Check if you did not ask defendant to pay before you sue | CheckBox | |
| (1) Where the defendant lives or does business. (2) Where the plaintiff’s property was damaged. (3) Where the plaintiff was injured. (4) Where a contract (written or spoken) was made, signed, performed, or broken by the defendant or where the defendant lived or did business when the defendant made the contract | CheckBox | |
| Where the buyer or lessee signed the contract, lives now, or lived when the contract was made, if this claim, is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civil Procedure, section 395(b).) | CheckBox | |
| Where the buyer signed the contract, lives now, or lived when the contract was made, if this claim is about a retail installment contract (like a credit card). (Civil Code, section 1812.10.) | CheckBox | |
| Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is permanently garaged, if this claim is about a vehicle finance sale. (Civil Code, section 2984.4.) | CheckBox | |
| specify | Text | |
| Other | CheckBox | |
| List the zip code of the place checked in 5 above (if you know) | Text | |
| Check if your claim is about a client-fee dispute | CheckBox | |
| Check if your claim is not about a client-fee dispute | CheckBox | |
| If yes, and if you have had arbitration, fill out form SC-101, attach it to this form, and check here | CheckBox | |
| Check if you are suing a public entity | CheckBox | |
| Check if you are not suing a public entity | CheckBox | |
| A claim was filed on | CheckBox | |
| date | Text | |
| Plaintiff (list names) | Text | |
| Case number | Text | |
| Check if you have filed more than 12 other small claims in the last 12 months in California | CheckBox | |
| Check if you have not filed more than 12 other small claims in the last 12 months in California | CheckBox | |
| Check if your claim is for more than $2,500 | CheckBox | |
| Check if your claim is not for more than $2,500 | CheckBox | |
| date | Text | |
| Plaintiff types or prints name here | Text | |
| date | Text | |
| Second plaintiff types or prints name here | Text | |
| County Small claims advisor Info | Text | |
| Button | ||
| Save | Button | |
| Clear | Button | |
| Necesita ayuda | Text | |
| Plaintiff (First) Contact and Address | ||
| Plaintiff 1 Name | Text |
Enter the full name of the first plaintiff (person, business, or public entity bringing the lawsuit).
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| Plaintiff 1 Phone Number | Text |
Enter the phone number for the first plaintiff.
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| Plaintiff 1 Street Address | Text |
Enter the street address for the first plaintiff's primary address.
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| Plaintiff 1 City | Text |
Enter the city for the first plaintiff's primary address.
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| Plaintiff 1 State | Text |
Enter the state for the first plaintiff's primary address.
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| Plaintiff 1 ZIP Code | Text |
Enter the ZIP code for the first plaintiff's primary address.
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| Plaintiff 1 Mailing Street Address | Text |
Enter the first plaintiff's mailing street address if it is different from the street address above.
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| Plaintiff 1 Mailing City | Text |
Enter the city for the first plaintiff's mailing address, if different.
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| Plaintiff 1 Mailing State | Text |
Enter the state for the first plaintiff's mailing address, if different.
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| Plaintiff 1 Mailing ZIP Code | Text |
Enter the ZIP code for the first plaintiff's mailing address, if different.
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| Plaintiff 1 Email Address | Text |
Enter the first plaintiff's email address, if available.
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| Plaintiff (Second) Contact and Address | ||
| Second Plaintiff Name | Text |
Enter the full name of the second plaintiff.
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| Second Plaintiff Phone | Text |
Enter the phone number for the second plaintiff.
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| Second Plaintiff Street Address | Text |
Enter the street address for the second plaintiff.
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| Second Plaintiff City | Text |
Enter the city for the second plaintiff's street address.
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| Second Plaintiff State | Text |
Enter the state for the second plaintiff's street address.
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| Second Plaintiff ZIP Code | Text |
Enter the ZIP code for the second plaintiff's street address.
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| Second Plaintiff Mailing Street Address | Text |
Enter the second plaintiff's mailing street address if it is different from the street address.
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| Second Plaintiff Mailing City | Text |
Enter the city for the second plaintiff's mailing address, if different.
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| Second Plaintiff Mailing State | Text |
Enter the state for the second plaintiff's mailing address, if different.
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| Second Plaintiff Mailing ZIP Code | Text |
Enter the ZIP code for the second plaintiff's mailing address, if different.
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| Second Plaintiff Email Address | Text |
Enter the second plaintiff's email address, if available.
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| Plaintiff Additional Information Checkboxes | ||
| More than two plaintiffs (attach form SC-100A) | Checkbox |
Check this box if there are more than two plaintiffs and you will attach form SC-100A.
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| Doing business under a fictitious name (attach form SC-103) | Checkbox |
Check this box if either plaintiff listed above is doing business under a fictitious name and you will attach form SC-103.
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| Plaintiff is a licensee or deferred deposit originator (payday lender) | Checkbox |
Check this box if any plaintiff is a “licensee” or “deferred deposit originator” (payday lender) under Financial Code sections 23000 et seq.
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| Plaintiff List Names | ||
| Plaintiff Name List | Text |
Enter the full name(s) of the plaintiff(s) bringing the lawsuit.
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| Trial Date Schedule - First Setting | ||
| First Trial Setting Date | Date |
Enter the date scheduled for the first trial setting.
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| First Trial Setting Time | Time |
Enter the time scheduled for the first trial setting.
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| First Trial Setting Department | Text |
Enter the court department (department number or identifier) for the first trial setting.
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| First Trial Setting Court Name and Address | Text |
Enter the name and address of the court for the first trial setting if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above (use alternate court name and address).
Depends on:
Court Name and Street Address
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| Trial Date Schedule - Second Setting | ||
| Second Setting Trial Date | Date |
Enter the trial date for the second scheduled court setting.
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| Second Setting Trial Time | Time |
Enter the time the parties must appear for the second scheduled trial setting.
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| Second Setting Department | Text |
Enter the department (courtroom) number or designation for the second scheduled trial setting.
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| Second Setting Court Name and Address (if different) | Text |
Enter the name and address of the court for the second scheduled trial setting if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above (use alternate court name and address).
Depends on:
Court Name and Street Address
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| Trial Date Schedule - Third Setting | ||
| Third Setting Trial Date | Date |
Enter the trial date for the third scheduled court setting.
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| Third Setting Trial Time | Time |
Enter the time the trial is scheduled to begin for the third court setting.
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| Third Setting Department | Text |
Enter the court department (department number or name) for the third trial setting.
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| Third Setting Court Name and Address | Text |
Enter the name and address of the court for the third trial setting if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above (use alternate court name and address).
Depends on:
Court Name and Street Address
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