Form SC-100A, Other Plaintiffs or Defendants (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court) Instructions
This form contains 56 fields organized into 11 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Defendants Checkbox | ||
| Additional Defendants | Checkbox |
Check this box if your case is against more than two defendants and you need to fill out and attach another form SC-100A.
|
| First Declaration | ||
| Declaration Date | Date |
Provide the date of the declaration.
|
| Declarant Name | Text |
Provide the full name of the person making the declaration.
|
| Fourth Plaintiff Information | ||
| Fictitious Name - Yes | Checkbox |
Check this box if the fourth plaintiff is doing business under a fictitious name.
|
| Fictitious Name - No | Checkbox |
Check this box if the fourth plaintiff is not doing business under a fictitious name.
|
| Fourth Plaintiff Street Address | Text |
Enter the street number and name for the fourth plaintiff's primary address.
|
| Fourth Plaintiff City | Text |
Enter the city for the fourth plaintiff's primary address.
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| Fourth Plaintiff State | Text |
Enter the state for the fourth plaintiff's primary address.
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| Fourth Plaintiff Zip Code | Text |
Enter the zip code for the fourth plaintiff's primary address.
|
| Fourth Plaintiff Mailing Street Address (if different) | Text |
If different from the primary street address, enter the street number and name for the fourth plaintiff's mailing address.
|
| Fourth Plaintiff Mailing Zip Code (if different) | Text |
If different from the primary zip code, enter the zip code for the fourth plaintiff's mailing address.
|
| Fourth Plaintiff Mailing State (if different) | Text |
If different from the primary state, enter the state for the fourth plaintiff's mailing address.
|
| Fourth Plaintiff Mailing City (if different) | Text |
If different from the primary city, enter the city for the fourth plaintiff's mailing address.
|
| Fourth Plaintiff Name | Text |
Enter the full name of the fourth plaintiff.
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| Fourth Plaintiff Phone Number | Text |
Enter the phone number for the fourth plaintiff.
|
| General | ||
| Print this form | Button | |
| Save this form | Button | |
| Clear this form | Button | |
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button | |
| If more than two plaintiffs (person, business, or entity suing), list their information below: (1) | ||
| Case Number | Text |
Provide the court case number for this legal proceeding.
|
| This form is attached to form SC-100, item 1 or 2. | Checkbox |
Check this box if this SC-100A form is being used as an attachment to form SC-100, specifically for information related to item 1 or 2 on form SC-100.
|
| Is your claim for more than $2,500? | ||
| No | Checkbox |
Check this box if your claim is not for more than $2,500.
|
| Yes | Checkbox |
Check this box if your claim is for more than $2,500.
|
| More than 4 Plaintiffs Checkbox | ||
| More than 4 Plaintiffs | Checkbox |
Check this box if there are more than 4 plaintiffs, and you need to fill out and attach another form SC-100A.
|
| Other Defendant Information | ||
| Other Defendant's Name | Text |
Enter the full name of the additional defendant.
|
| Defendant's Street Address | Text |
Enter the street address of the defendant.
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| Defendant's Zip Code (Street Address) | Text |
Enter the zip code of the defendant's street address.
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| Defendant's State (Street Address) | Text |
Enter the state of the defendant's street address.
|
| Defendant's City (Street Address) | Text |
Enter the city of the defendant's street address.
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| Defendant's Mailing Street Address (if different) | Text |
Enter the mailing street address of the defendant if it is different from the primary street address.
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| Defendant's Mailing Zip Code (if different) | Text |
Enter the zip code of the defendant's mailing address if it is different.
|
| Defendant's Mailing State (if different) | Text |
Enter the state of the defendant's mailing address if it is different.
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| Defendant's Mailing City (if different) | Text |
Enter the city of the defendant's mailing address if it is different.
|
| Agent Name for Service of Process | Text |
Enter the name of the person or agent authorized for service of process for the defendant. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Agent's Street Address for Service of Process | Text |
Enter the street address of the person or agent authorized for service of process. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Agent's Zip Code for Service of Process | Text |
Enter the zip code of the agent's address for service of process. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Agent's State for Service of Process | Text |
Enter the state of the agent's address for service of process. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Agent's City for Service of Process | Text |
Enter the city of the agent's address for service of process. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Defendant's Phone | Text |
Enter the phone number of the defendant.
|
| Agent Job Title (if known) | Text |
Enter the job title of the person or agent authorized for service of process, if known. Fill only if 'Other Defendant's Name' is a corporation, limited liability company, or public entity.
Depends on:
Other Defendant's Name
|
| Page Number | ||
| Current page number | Text |
Enter the current page number of this form (the page index within the document).
|
| Total number of pages | Text |
Enter the total number of pages in this document so the page count reads 'page X of Y'.
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| Second Declaration | ||
| Second Declarant Date | Date |
Please provide the date of the declaration.
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| Second Declarant Name | Text |
Please type or print the full name of the second declarant.
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| Third Plaintiff Information | ||
| Plaintiff Mailing Street Address | Text |
If different from the physical address, enter the street number and name for the third plaintiff's mailing address.
|
| Plaintiff Mailing Zip Code | Text |
If different from the physical address, enter the zip code for the third plaintiff's mailing address.
|
| Plaintiff State | Text |
Enter the state for the third plaintiff's physical address.
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| Plaintiff Zip Code | Text |
Enter the zip code for the third plaintiff's physical address.
|
| Plaintiff Name | Text |
Enter the full legal name of the third plaintiff, which can be a person, business, or other entity.
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| Plaintiff Street Address | Text |
Enter the street number and name for the third plaintiff's physical address.
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| Plaintiff City | Text |
Enter the city for the third plaintiff's physical address.
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| Fictitious Name: Yes | Checkbox |
Check this box if the third plaintiff is doing business under a fictitious name.
|
| Fictitious Name: No | Checkbox |
Check this box if the third plaintiff is NOT doing business under a fictitious name.
|
| Plaintiff Mailing State | Text |
If different from the physical address, enter the state for the third plaintiff's mailing address.
|
| Plaintiff Mailing City | Text |
If different from the physical address, enter the city for the third plaintiff's mailing address.
|
| Plaintiff Phone Number | Text |
Enter the phone number for the third plaintiff.
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