This form contains 103 fields organized into 30 sections, giving it a Form Complexity Index of 65/100 (complex). Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attorney-client fee dispute (Question 7)
Yes Checkbox
Check this box if your claim is about an attorney-client fee dispute.
No Checkbox
Check this box if your claim is not about an attorney-client fee dispute.
Attach SC-101 (arbitration completed) Checkbox
Check this box if your claim is an attorney-client fee dispute and you have already had arbitration, and you are attaching form SC-101. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
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.
Authorized Agent Job Title Text
Enter the authorized agent’s job title, if known.
Authorized Agent Street Address Text
Enter the street address for the authorized agent’s service-of-process address.
Authorized Agent City Text
Enter the city for the authorized agent’s service-of-process address.
Authorized Agent State Text
Enter the state for the authorized agent’s service-of-process address.
Authorized Agent ZIP Code Text
Enter the ZIP code for the authorized agent’s service-of-process address.
Case Header (Plaintiff Names and Case Number)
Plaintiff Name(s) Text
Enter the full name(s) of all plaintiff(s) bringing this small claims case.
Case Number Text
Enter the court-assigned case number for this matter.
Case Information
Case Number Text
Enter the court-assigned case number for this small claims case.
Case Name Text
Enter the case name (case title), typically the parties’ names as shown by the court.
Claim for more than $2,500 (Question 10)
Yes Checkbox
Check this box if your claim is for more than $2,500.
No Checkbox
Check this box if your claim is for $2,500 or less.
Clerk Date and Deputy Clerk
Clerk Filing Date Date
Enter the date the clerk filed the form.
Deputy Clerk Name Text
Enter the name of the deputy clerk who completed this section.
Court Name and Address
Court Name and Street Address Text
Enter the full name of the court and the court’s street mailing address where the case is being filed.
Courthouse venue reason (Question 5)
Where defendant lives/does business; where damage/injury occurred; or where contract was made/performed/broken Checkbox
Check this box if this courthouse covers the area where the defendant lives or does business, where your property was damaged, where you were injured, or where the contract was made/signed/performed/broken (or where the defendant lived/did business when the contract was made).
Buyer/lessee signed contract or lived (personal/family/household goods, services, or loans) Checkbox
Check this box if this claim is about an offer or contract for personal, family, or household goods, services, or loans, and this courthouse covers where the buyer/lessee signed the contract or lives now (or lived when the contract was made).
Retail installment contract (e.g., credit card) Checkbox
Check this box if this claim is about a retail installment contract (such as a credit card) and this courthouse covers where the buyer signed the contract or lives now (or lived when the contract was made).
Vehicle finance sale (signed/lived or vehicle permanently garaged) Checkbox
Check this box if this claim is about a vehicle finance sale and this courthouse covers where the buyer signed the contract or lives now (or lived when the contract was made), or where the vehicle is permanently garaged.
Other courthouse venue reason (specify) Text
Enter the specific reason you are filing your claim at this courthouse if none of the listed venue options apply. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other (specify) Checkbox
Check this box if you have another legal reason this courthouse is the correct location for your claim and you will specify that reason in the space provided.
Defendant Case Options
More than one defendant (attach form SC-100A) Checkbox
Check this box if your case is against more than one defendant and you will attach form SC-100A.
Defendant on active military duty Checkbox
Check this box if any defendant is on active military duty and you will write that defendant’s name in the space provided.
Defendant Contact Information
Defendant Name Text
Enter the full legal name of the defendant (person, business, or public entity being sued).
Defendant Phone Number Text
Enter the defendant's phone number.
Defendant Street Address Text
Enter the defendant's street address.
Defendant City Text
Enter the city for the defendant's street address.
Defendant State Text
Enter the state for the defendant's street address.
Max length: 2 characters
Defendant ZIP Code Text
Enter the ZIP code for the defendant's street address.
Defendant Mailing Address (if different)
Defendant Mailing Street Address Text
Enter the defendant's mailing street address if it is different from the street address listed above. Fill only if 'Defendant Street Address', 'Defendant City', 'Defendant State', 'Defendant ZIP Code' is different (any of these fields).
Depends on: Defendant Street Address, Defendant City, Defendant State, Defendant ZIP Code
Defendant Mailing City Text
Enter the city for the defendant's mailing address if it is different from the street address listed above. Fill only if 'Defendant Street Address', 'Defendant City', 'Defendant State', 'Defendant ZIP Code' is different (any of these fields).
Depends on: Defendant Street Address, Defendant City, Defendant State, Defendant ZIP Code
Defendant Mailing State Text
Enter the state for the defendant's mailing address if it is different from the street address listed above. Fill only if 'Defendant Street Address', 'Defendant City', 'Defendant State', 'Defendant ZIP Code' is different (any of these fields).
Max length: 2 characters
Depends on: Defendant Street Address, Defendant City, Defendant State, Defendant ZIP Code
Defendant Mailing ZIP Code Text
Enter the ZIP code for the defendant's mailing address if it is different from the street address listed above. Fill only if 'Defendant Street Address', 'Defendant City', 'Defendant State', 'Defendant ZIP Code' is different (any of these fields).
Depends on: Defendant Street Address, Defendant City, Defendant State, Defendant ZIP Code
General
Button
Button
Button
I understand that by filing a claim in small claims court, I have no right to appeal this claim.
Plaintiff Signature Date Date
Enter the date the plaintiff signed the declaration acknowledging there is no right to appeal.
Plaintiff Printed Name Text
Type or print the plaintiff’s full name to accompany the plaintiff’s signature on the no-appeal acknowledgment.
Second Plaintiff Signature Date Date
Enter the date the second plaintiff signed the declaration acknowledging there is no right to appeal. Fill only if 'More than one plaintiff (second plaintiff listed)' is 'Yes'.
Depends on: Second Plaintiff Name
Second Plaintiff Printed Name Text
Type or print the second plaintiff’s full name to accompany the second plaintiff’s signature on the no-appeal acknowledgment. Fill only if 'More than one plaintiff (second plaintiff listed)' is 'Yes'.
Depends on: Second Plaintiff Name
Item 3a - Amount Owed and Reason
Amount Owed Number
Enter the total dollar amount the plaintiff claims the defendant owes.
Reason Amount Is Owed Text
Explain why the defendant owes the plaintiff money, including the key facts supporting the claim.
Item 3b - Date of Event or Date Range
Date of Event Date
Enter the date when the event happened.
Date Range Start Date
Enter the start date of the time period if there is no single specific event date. Fill only if 'Date of Event' is not provided (no specific date given).
Depends on: Date of Event
Date Range End Date
Enter the end date of the time period if there is no single specific event date. Fill only if 'Date of Event' is not provided (no specific date given).
Depends on: Date of Event
Item 3c - Calculation of Amount Owed (and Extra Space Checkbox)
Amount Owed Calculation Explanation Text
Describe how you calculated the amount the defendant owes you, excluding court costs and fees for service.
Need more space (Item 3) Checkbox
Check this box if you need additional space to explain how you calculated the money owed (Item 3), and you will attach an extra sheet or form MC-031 labeled “SC-100, Item 3.”
More than 12 other small claims in last 12 months (Question 9)
Yes Checkbox
Check this box if you have filed more than 12 other small claims within the last 12 months in California.
No Checkbox
Check this box if you have not filed more than 12 other small claims within the last 12 months in California.
Page 5
Small Claims Advisor contact information Text
Enter any contact details or notes for your county’s Small Claims Advisor (for example, phone number, address, or office hours).
Page 6
Notas Text
Escriba cualquier nota o información adicional relevante relacionada con esta página del formulario.
Plaintiff Additional Declarations/Attachments 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.
Plaintiff doing business under 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.
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.
Plaintiff names and case number
Plaintiff name(s) Text
Enter the full name of each plaintiff bringing this small claims case.
Case number Text
Enter the court-assigned case number for this matter.
Primary Plaintiff Contact Information
Plaintiff name Text
Enter the full legal name of the primary plaintiff (person, business, or public entity bringing the lawsuit).
Plaintiff phone number Text
Enter the primary phone number for the plaintiff.
Plaintiff street address Text
Enter the plaintiff’s street address.
Plaintiff city Text
Enter the city for the plaintiff’s street address.
Plaintiff state Text
Enter the state for the plaintiff’s street address.
Max length: 2 characters
Plaintiff ZIP code Text
Enter the ZIP code for the plaintiff’s street address.
Plaintiff mailing street address Text
Enter the plaintiff’s mailing street address if it is different from the street address. Fill only if 'Plaintiff street address', 'Plaintiff city', 'Plaintiff state', 'Plaintiff ZIP code' is different (any).
Depends on: Plaintiff street address, Plaintiff city, Plaintiff state, Plaintiff ZIP code
Plaintiff mailing city Text
Enter the city for the plaintiff’s mailing address. Fill only if 'Plaintiff street address', 'Plaintiff city', 'Plaintiff state', 'Plaintiff ZIP code' is different (any).
Depends on: Plaintiff street address, Plaintiff city, Plaintiff state, Plaintiff ZIP code
Plaintiff mailing state Text
Enter the state for the plaintiff’s mailing address. Fill only if 'Plaintiff street address', 'Plaintiff city', 'Plaintiff state', 'Plaintiff ZIP code' is different (any).
Max length: 2 characters
Depends on: Plaintiff street address, Plaintiff city, Plaintiff state, Plaintiff ZIP code
Plaintiff mailing ZIP code Text
Enter the ZIP code for the plaintiff’s mailing address. Fill only if 'Plaintiff street address', 'Plaintiff city', 'Plaintiff state', 'Plaintiff ZIP code' is different (any).
Depends on: Plaintiff street address, Plaintiff city, Plaintiff state, Plaintiff ZIP code
Plaintiff email address Text
Enter the plaintiff’s email address, if available.
Rev. January 1, 2026
Plaintiff Name(s) Text
Enter the full name of the plaintiff (or list all plaintiffs if there is more than one).
Case Number Text
Enter the court-assigned case number for this matter.
Second Plaintiff Contact Information
Second Plaintiff Name Text
Enter the full name of the second plaintiff (the next plaintiff listed).
Second Plaintiff Phone Text
Enter the phone number for the second plaintiff.
Second Plaintiff Street Address Text
Enter the second plaintiff’s street address.
Second Plaintiff City Text
Enter the city for the second plaintiff’s street address.
Second Plaintiff State Text
Enter the state for the second plaintiff’s street address.
Max length: 2 characters
Second Plaintiff ZIP Code Text
Enter the ZIP code for the second plaintiff’s street address.
Second Plaintiff Mailing Street Address Text
Enter the second plaintiff’s mailing street address if it is different from the street address. Fill only if 'Second Plaintiff Street Address', 'Second Plaintiff City', 'Second Plaintiff State', 'Second Plaintiff ZIP Code' is different (any).
Depends on: Second Plaintiff Street Address, Second Plaintiff City, Second Plaintiff State, Second Plaintiff ZIP Code
Second Plaintiff Mailing City Text
Enter the city for the second plaintiff’s mailing address. Fill only if 'Second Plaintiff Street Address', 'Second Plaintiff City', 'Second Plaintiff State', 'Second Plaintiff ZIP Code' is different (any).
Depends on: Second Plaintiff Street Address, Second Plaintiff City, Second Plaintiff State, Second Plaintiff ZIP Code
Second Plaintiff Mailing State Text
Enter the state for the second plaintiff’s mailing address. Fill only if 'Second Plaintiff Street Address', 'Second Plaintiff City', 'Second Plaintiff State', 'Second Plaintiff ZIP Code' is different (any).
Max length: 2 characters
Depends on: Second Plaintiff Street Address, Second Plaintiff City, Second Plaintiff State, Second Plaintiff ZIP Code
Second Plaintiff Mailing ZIP Code Text
Enter the ZIP code for the second plaintiff’s mailing address. Fill only if 'Second Plaintiff Street Address', 'Second Plaintiff City', 'Second Plaintiff State', 'Second Plaintiff ZIP Code' is different (any).
Depends on: Second Plaintiff Street Address, Second Plaintiff City, Second Plaintiff State, Second Plaintiff ZIP Code
Second Plaintiff Email Address Text
Enter the second plaintiff’s email address, if available.
Suing a public entity and claim filing date (Question 8)
Yes — suing a public entity Checkbox
Check this box if the defendant you are suing is a public entity (such as a city, county, state agency, or other government entity).
No — not suing a public entity Checkbox
Check this box if the defendant you are suing is not a public entity.
Claim was filed (enter date) Checkbox
Check this box if you filed a written claim with the public entity before filing this case, and enter the date the claim was filed.
Public Entity Claim Filing Date Date
Enter the date you filed a written claim with the public entity you are suing. Fill only if 'Yes — suing a public entity' is 'Yes'.
Depends on: Yes — suing a public entity
Trial Date Schedule (First Row)
Trial Date (Row 1) Date
Enter the scheduled trial date for the first listed court appearance.
Trial Time (Row 1) Time
Enter the scheduled time for the first listed trial date.
Department (Row 1) Text
Enter the court department number or identifier for the first listed trial date.
Court Name and Address (Row 1) Text
Enter the name and mailing address of the court for the first listed trial date if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above.
Depends on: Court Name and Street Address
Trial Date Schedule (Second Row)
Trial Date (Row 2) Date
Enter the scheduled trial date for the second listed court appearance.
Trial Time (Row 2) Time
Enter the scheduled time for the second listed court appearance.
Department (Row 2) Text
Enter the courtroom department number or designation for the second listed court appearance.
Court Name and Address (Row 2) Text
Enter the name and address of the court for the second listed court appearance if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above.
Depends on: Court Name and Street Address
Trial Date Schedule (Third Row)
Trial Date (Row 3) Date
Enter the trial date for the third listed court appearance.
Trial Time (Row 3) Time
Enter the time the trial is scheduled to begin for the third listed court appearance.
Department (Row 3) Text
Enter the court department (department number or designation) for the third listed court appearance.
Court Name and Address (if different) (Row 3) Text
Enter the name and street address of the court for the third listed court appearance if it is different from the court listed above. Fill only if 'Court Name and Street Address' is different from above.
Depends on: Court Name and Street Address
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?
Explanation if you did not ask defendant to pay/return property Text
Explain why you did not ask the defendant to pay you (or return the property, if applicable) before filing this lawsuit. Fill only if 'No' is 'Yes'.
Depends on: No
Yes Checkbox
Check this box if you have asked the defendant to pay you (or to return the property, if your claim is for possession) before filing this lawsuit.
No Checkbox
Check this box if you have not asked the defendant to pay you (or to return the property, if your claim is for possession) before filing this lawsuit.
Zip code for place checked in Question 5 (Question 6)
Zip Code (Place Checked in Question 5) Text
Enter the ZIP code for the location you selected in Question 5.