This form contains 334 fields organized into 41 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
After Court Trial Info
After Court Trial Checkbox
Check this box when the judgment was entered after a court trial (the jury was waived and the court considered the evidence at trial). Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
After Court Trial — Date and time of trial Date
Enter the date and time when the case was tried. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
After Court Trial — Name of judicial officer Text
Enter the full name of the judicial officer who presided over the trial. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Amounts - Cross-defendant must pay Cross-complainant (6c) Header
6c. Cross-defendant must pay cross-complainant Checkbox
Check this box when the cross-defendant named in item 5c must pay the cross-complainant on the cross-complaint.
Amounts - Defendant must pay Plaintiff (6a) Header
6a Defendant named in item 5a must pay plaintiff on the complaint Checkbox
Check this box when the defendant identified in item 5a is required to pay the plaintiff on the complaint (i.e., you are entering amounts the defendant must pay).
6a(1) Damages Checkbox
Check this box when the judgment includes an award of damages (use when you will enter the damages dollar amount in the adjacent field). Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Attorney or Party Contact
State Bar No. Text
Enter the attorney's State Bar number as issued by the state bar.
Name (Attorney or Party) Text
Provide the full name of the attorney or the party representing themselves on this case.
Firm Name Text
Enter the name of the attorney's law firm or employer, or leave blank if not applicable.
Street Address Text
Enter the street mailing address for the attorney or party, including number, street, and suite or unit if applicable.
City Text
Enter the city portion of the mailing address for the attorney or party.
State Text
Enter the state for the mailing address (e.g., CA or California).
Max length: 2 characters
ZIP Code Text
Enter the postal ZIP code for the mailing address.
Telephone No. Text
Provide a telephone number where the attorney or party can be reached, including area code.
Fax No. Text
Provide a fax number for the attorney or party, including area code, if available.
Email Address Text
Enter the email address for service or correspondence for the attorney or party.
Attorney for (name) Text
Enter the name of the party that the attorney represents (for example, the plaintiff or defendant's name).
Case Header
Plaintiff Text
Enter the full name of the plaintiff (the person or entity bringing the case) exactly as it should appear on the judgment.
Defendant Text
Enter the full name of the defendant (the person or entity against whom the case is brought) exactly as it should appear on the judgment.
Case Number Text
Enter the court-assigned case number or docket number for this matter as it appears on court documents.
Case Number and Parties
Case Number Text
Enter the court-assigned case number for this matter exactly as shown on official documents (include any letters, dashes, or suffixes).
Plaintiff Name Text
Enter the full name of the plaintiff (the person or entity bringing the action) as it should appear on the record.
Defendant Name Text
Enter the full name of the defendant (the person or entity the action is against) as it should appear on the record.
Clerk Date & Signature
Clerk Date Date
Enter the date the clerk completed or signed this judgment.
Clerk, by Checkbox
Check this box when the clerk (or deputy clerk) signs the form to indicate the clerk's signature (Clerk, by ___ , Deputy).
Clerk's Certificate Date
Clerk's Certificate Date Date
Enter the date the clerk certified that this is a true copy of the original judgment on file in the court.
Continued Attachment Notes
Continued on Attachment 3b — plaintiff Checkbox
Check this box when the plaintiff's appearance/details are continued on Attachment 3b and not fully listed on this page. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Continued on Attachment 3b — defendant Checkbox
Check this box when the defendant's appearance/details are continued on Attachment 3b and not fully listed on this page. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Cross-complainant Amount Row 1 - Damages (6c.1)
Cross-complainant Row 1 - Damages Checkbox
Check this box when the cross-complainant is claiming damages (enter the dollar amount in the adjacent $ field) for the item listed as row 1 under Amount (6c.1). Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Damages (6c(1)) Number
Enter the dollar amount of damages claimed by the cross-complainant for item 6c(1). Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Amount Row 2 - Prejudgment interest (6c.2)
6c.2 Row 2 — Cross-complainant Prejudgment interest Checkbox
Check this box if the judgment awards prejudgment interest to the cross-complainant (row 2) at the annual rate shown as part of the amount owed under item 6c. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Row 2 - Prejudgment interest annual rate (%) Text
Enter the annual interest rate (percentage) used to calculate prejudgment interest awarded to the cross-complainant for this row. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Row 2 - Prejudgment interest amount Number
Enter the prejudgment interest amount awarded to the cross-complainant for this row. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Amount Row 3 - Attorney fees (6c.3)
Row 3 (6c.3) Attorney fees — for cross-complainant Checkbox
Check this box when you are claiming attorney fees as the amount owed to the cross-complainant in item 3 of the Amounts section (6c). Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Row 3 — Attorney fees (cross-complainant) Number
Enter the amount awarded to the cross-complainant for attorney fees in row 3 of the Amount section. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Amount Row 4 - Costs (6c.4)
Cross-complainant Row 4 - Costs Checkbox
Check this box when the judgment awards costs to the cross-complainant (the 'Costs' line, row 4) so that the costs amount is included in the cross-complainant's total (item 6c). Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
4. Cross-complainant Costs Number
Enter the dollar amount of costs awarded to the cross-complainant for item 4 (Costs) on row 4. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Amount Row 5 - Other (6c.5)
5. Other (cross-complainant) (6c.5) Checkbox
Check this box when the judgment includes an 'Other' monetary amount awarded to the cross-complainant (enter the dollar amount in the adjacent $ field and specify the reason). Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
6c.5 Row 5 - Other (specify) Text
Enter a short description specifying the nature of the 'Other' item awarded to the cross-complainant for row 5. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
6c.5 Row 5 - Other (amount) Number
Enter the dollar amount awarded to the cross-complainant for the 'Other' item listed in row 5. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-complainant Amount Row 6 - Total (6c.6)
6c.6 Total (Cross-complainant) Number
Enter the total amount owed to the cross-complainant for row 6c, which is the sum of the damages, prejudgment interest, attorney fees, costs, and other amounts listed in that column. Fill only if '6c. Cross-defendant must pay cross-complainant' is 'Yes'.
Depends on: 6c. Cross-defendant must pay cross-complainant
Cross-defendant Recovery (6d)
Cross-defendant Recovery (6d) - (1) Cross-complainant to receive nothing from cross-defendant Checkbox
Check this box when the cross-complainant should receive nothing from the cross-defendant named in item 5d.
Cross-defendant Recovery (6d) - (2) Cross-defendant named in item 5d to recover costs Checkbox
Check this box when the cross-defendant named in item 5d should be awarded recoverable costs (enter the amount on the form).
6d Cross-defendant Costs to Recover Number
Enter the dollar amount the cross-defendant named in item 5d is to recover for costs. Fill only if 'Cross-defendant Recovery (6d) - (2) Cross-defendant named in item 5d to recover costs' is 'Yes'.
Depends on: Cross-defendant Recovery (6d) - (2) Cross-defendant named in item 5d to recover costs
Cross-defendant Recovery (6d) - (3) and attorney fees Checkbox
Check this box when the cross-defendant named in item 5d should be awarded attorney fees (enter the amount on the form).
6d Cross-defendant Attorney Fees to Recover Number
Enter the dollar amount the cross-defendant named in item 5d is to recover for attorney fees. Fill only if 'Cross-defendant Recovery (6d) - (2) Cross-defendant named in item 5d to recover costs' is 'Yes'.
Depends on: Cross-defendant Recovery (6d) - (2) Cross-defendant named in item 5d to recover costs
Default Judgment Details
By Default Checkbox
Check this box when the judgment is entered by default because the defendant failed to answer or appear. Fill only if 'By Default' is 'Yes'.
Depends on: By Default
Clerk's Judgment (Code Civ. Proc., § 585(a)) Checkbox
Check this box when the default judgment was entered by the clerk under CCP §585(a), i.e., the defendant was sued only on a contract or prior judgment for recovery of money. Fill only if 'By Default' is 'Yes'.
Depends on: By Default
Court Judgment (Code Civ. Proc., § 585(b)) Checkbox
Check this box when the court (rather than the clerk) entered the default judgment under CCP §585(b) after considering evidence. Fill only if 'By Default' is 'Yes'.
Depends on: By Default
Plaintiff's testimony and other evidence Checkbox
Check this box when the court considered the plaintiff's live testimony or other evidence as the basis for the default judgment. Fill only if 'By Default' is 'Yes'.
Depends on: By Default
Plaintiff's written declaration (Code Civ. Proc., § 585(d)) Checkbox
Check this box when the court relied on the plaintiff's written declaration under CCP §585(d) as the basis for the default judgment. Fill only if 'By Default' is 'Yes'.
Depends on: By Default
Defendant Appearances
Defendant (name each) Checkbox
Check this box to indicate the defendant appeared (or their presence is noted) and list each defendant's name on the lines provided. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant Appearance 1 (name) Text
Enter the full name of the first defendant who appeared at the hearing; if there are multiple defendants, list each defendant on a separate line. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant Appearance 2 (name) Text
Enter the full name of the second defendant who appeared at the hearing; if there are additional defendants, continue listing one name per line or field as directed. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant Attorney Appearances
Defendant's attorney (name each) Checkbox
Check this box when the defendant's attorney appeared at the hearing and you will list each attorney's name on the lines provided. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant's Attorney 1 - Name Text
Enter the full name of the first attorney who appeared on behalf of the defendant in this proceeding. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant's Attorney 2 - Name Text
Enter the full name of the second attorney who appeared on behalf of the defendant in this proceeding (if applicable). Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Defendant Recovery (6b)
6b - Plaintiff to receive nothing from defendant named in item 5b Checkbox
Check this box when the plaintiff should receive nothing (no recovery) from the defendant identified in item 5b.
6b - Defendant named in item 5b to recover costs Checkbox
Check this box when the defendant identified in item 5b is to recover court costs (enter the cost amount in the adjacent field).
6b Costs to Recover Number
Enter the dollar amount the defendant named in item 5b is ordered to recover for costs. Fill only if '6b - Defendant named in item 5b to recover costs' is 'Yes'.
Depends on: 6b - Defendant named in item 5b to recover costs
6b - Defendant named in item 5b to recover attorney fees Checkbox
Check this box when the defendant identified in item 5b is to recover attorney fees (enter the fee amount in the adjacent field).
6b Attorney Fees to Recover Number
Enter the dollar amount the defendant named in item 5b is ordered to recover for attorney fees. Fill only if '6b - Defendant named in item 5b to recover costs' is 'Yes'.
Depends on: 6b - Defendant named in item 5b to recover costs
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
Superior Court of California, County of Text
BRANCH NAME Text
CITY AND ZIP CODE Text
STREET ADDRESS Text
MAILING ADDRESS Text
Plaintiff/Petitioner Text
Defendant/Respondent Text
CASE NUMBER Text
Entry of Default CheckBox
Clerk's Judgment CheckBox
Court Judgment CheckBox
STATE Text
Max length: 2 characters
ZIP CODE Text
CITY Text
STREET ADDRESS Text
FIRM NAME Text
NAME Text
State Bar Number Text
TELEPHONE NUMBER Text
FAX NUMBER Text
EMAIL ADDRESS Text
ATTORNEY FOR name Text
on (date) Text
by (name) Text
Enter default of defendant (names) CheckBox
Specify names Text
I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant CheckBox
Specify name Text
Enter clerk’s judgment CheckBox
for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section 1174(c) does not apply. (Code Civ. Proc., § 1169.) CheckBox
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section 415.46 CheckBox
under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the reverse (item 5).) CheckBox
for default previously entered on CheckBox
(date) Text
Demand of complaint - Amount Text
Demand of complaint - credits acknowledged Text
demand of complaint - balance Text
statement of damages - special - amount Text
statement of damages - special - credits acknowledged Text
statement of damages - special - balance Text
statement of damages - general - amount Text
statement of damages - general - credits acknowledged Text
statement of damages - general - balance Text
interest - amount Text
interest - credits acknowledged Text
interest - balance Text
costs see reverse - amount Text
costs see reverse - credits acknowledged Text
costs see reverse - balance Text
attorney fees - amount Text
attorney fees - credits acknowledged Text
attorney fees - balance Text
TOTALS - credits acknowledged Text
TOTALS - credits acknowledged Text
TOTALS - balance Text
Daily damages were demanded in complaint at the rate of Text
(date) Text
(Check if filed in an unlawful detainer case.) Legal document assistant or unlawful detainer assistant information is on the reverse (complete item 4) CheckBox
type or print name Text
Date Text
CIV-100[0].Page1[0].CourtUse[0].RadioButtonList[0]_0 RadioButton
CIV-100[0].Page1[0].CourtUse[0].RadioButtonList[0]_1 RadioButton
Clerk, by Text
(date) Text
(state reason) Text
Plaintiff/Petitioner Text
Defendant/Respondent Text
CASE NUMBER Text
CIV-100[0].Page2[0].List4[0].RadioButtonList2[0]_0 RadioButton
CIV-100[0].Page2[0].List4[0].RadioButtonList2[0]_1 RadioButton
Assistant's name Text
Street address, city, and zip code Text
Phone number Text
county of registration Text
registration number Text
Expires on (date) Text
Declaration under Code Civil Procedure section 585.5 (for entry of default under Code Civil Procedure section 585(a)). This action CheckBox
is CheckBox
is not CheckBox
is not CheckBox
is CheckBox
is not CheckBox
is CheckBox
CIV-100[0].Page2[0].List6[0].P2Li6a[0].RadioButtonList[0]_0 RadioButton
CIV-100[0].Page2[0].List6[0].P2Li6a[0].RadioButtonList[0]_1 RadioButton
(names) Text
Mailed on (date) Text
To (specify names and addresses shown on the envelopes) Text
Date Text
(TYPE OR PRINT NAME) Text
Enter amount Text
Enter amount Text
other specify Text
Enter amount Text
FillText140 Text
Enter amount Text
Enter total amount Text
Costs and disbursements are waived CheckBox
Date Text
(TYPE OR PRINT NAME) Text
Clear this form Button
Save this form Button
Print this form Button
For your protection and privacy, please press the Clear This Form button after you have printed the form Button
CASE NUMBER Text
Plaintiff/Petitioner Text
Defendant/Respondent Text
the search results that I received from https://scra.dmdc.osd.mil/ say the defendant/respondent is not in the U.S. military service CheckBox
I am in regular communication with the defendant/respondent and know that they are not in the U.S. military service CheckBox
I recently contacted the defendant/respondent, and they told me that they are not in the U.S. military service CheckBox
I know that the defendant/respondent was discharged from U.S. military service on or about CheckBox
(date) Text
the defendant/respondent is not eligible to serve in the U.S. military because they are CheckBox
incarcerated CheckBox
a business entity CheckBox
other CheckBox
(specify) Text
Date Text
(TYPE OR PRINT NAME) Text
CASE NUMBER Text
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) Text
Phone number Text
Fax number Text
E-MAIL ADDRESS (Optional) Text
ATTORNEY FOR (Name) Text
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Text
STREET ADDRESS Text
MAILING ADDRESS Text
CITY AND ZIP CODE Text
BRANCH NAME Text
PLAINTIFF OR PETITIONER Text
DEFENDANT OR RESPONDENT Text
Reference Number or File Number Text
summons CheckBox
complaint CheckBox
Alternative Dispute Resolution (ADR) package CheckBox
Civil Case Cover Sheet (served in complex cases only) CheckBox
cross-complaint CheckBox
other CheckBox
(specify documents) Text
Party served (specify name of party as shown on documents served) Text
Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a) CheckBox
specify name and relationship to the party named in item 3a Text
Address where the party was served Text
by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party CheckBox
on (date) Text
at time Text
by substituted service CheckBox
On (date) Text
at (time) Text
I left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3) Text
(business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. I informed him or her of the general nature of the papers CheckBox
(home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of abode of the party. I informed him or her of the general nature of the papers CheckBox
(physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be served, other than a United States Postal Service post office box. I informed him or her of the general nature of the papers CheckBox
I thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the place where the copies were left (Code Civ. Proc., § 415.20). I mailed the documents on CheckBox
(date) Text
from (city) Text
a declaration of mailing is attached CheckBox
I attach a declaration of diligence stating actions taken first to attempt personal service CheckBox
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
PLAINTIFF OR PETITIONER Text
DEFENDANT OR RESPONDENT Text
CASE NUMBER Text
by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to the address shown in item 4, by first-class mail, postage prepaid CheckBox
on (date) Text
from (city) Text
with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) CheckBox
to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.) CheckBox
by other means CheckBox
(specify means of service and authorizing code section) Text
Additional page describing service is attached CheckBox
as an individual defendant CheckBox
as the person sued under the fictitious name of CheckBox
(specify) Text
as occupant CheckBox
On behalf of CheckBox
(specify) Text
416.10 (corporation) CheckBox
416.20 (defunct corporation) CheckBox
416.30 (joint stock company/association) CheckBox
416.40 (association or partnership) CheckBox
416.50 (public entity) CheckBox
415.95 (business organization, form unknown) CheckBox
416.60 (minor) CheckBox
416.70 (ward or conservatee) CheckBox
416.90 (authorized person) CheckBox
415.46 (occupant) CheckBox
other CheckBox
other Text
Name Text
Address Text
Telephone number Text
The fee for service was: dollar amount Text
not a registered California process server CheckBox
exempt from registration under Business and Professions Code section 22350(b) CheckBox
a registered California process server CheckBox
owner CheckBox
employee CheckBox
independent contractor CheckBox
Registration Number Text
County Text
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct CheckBox
I am a California sheriff or marshal and I certify that the foregoing is true and correct CheckBox
Date Text
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) Text
Judgment Debtor / Claim Type (7)
7. Judgment debtor is a natural person Checkbox
Check this box when the judgment debtor is a natural person and the judgment is being entered under the applicable statute (for example claims related to medical expenses, personal debt, or consumer debt as referenced).
7 — Amount for medical expense claim Number
Enter the dollar amount of this judgment that is on a claim related to medical expenses. Fill only if '7. Judgment debtor is a natural person' is 'Yes'.
Depends on: 7. Judgment debtor is a natural person
7 — Amount for personal debt claim Number
Enter the dollar amount of this judgment that is on a claim related to personal debt. Fill only if '7. Judgment debtor is a natural person' is 'Yes'.
Depends on: 7. Judgment debtor is a natural person
7 — Amount for consumer debt included in personal debt Number
Enter the dollar amount of the personal-debt portion of the judgment that specifically concerns consumer debt. Fill only if '7. Judgment debtor is a natural person' is 'Yes'.
Depends on: 7. Judgment debtor is a natural person
Judgment Entry and Stipulation
Judgment entered by: The Court Checkbox
Check this box when the judgment is being entered by the court (judge) rather than by the clerk.
Judgment entered by: The Clerk Checkbox
Check this box when the judgment is being entered by the court clerk rather than by the judge.
Stipulated Judgment Checkbox
Check this box when the judgment is entered according to a stipulation or agreement between the parties.
Judgment Selection Checkboxes
By Clerk Checkbox
Check this box when the judgment was entered by the court clerk (a clerk-entered judgment rather than one entered by the judge).
By Court Checkbox
Check this box when the judgment was entered by the court (the judge) as the court's action.
By Default Checkbox
Check this box when the judgment is a default judgment because the defendant failed to respond or otherwise defend the action.
On Stipulation Checkbox
Check this box when the judgment was entered by agreement of the parties (by stipulation) and approved by the court.
After Court Trial Checkbox
Check this box when the judgment was issued following a court trial on the merits.
Defendant Did Not Appear at Trial Checkbox
Check this box when the judgment was entered because the defendant did not appear at the trial.
Judicial Officer Date & Signature
Judicial Officer Date Date
Enter the date the judicial officer signed the judgment in MM/DD/YYYY format (the date shown on the Judicial Officer signature line).
Date (Judicial Officer) Checkbox
Check this box when the judicial officer has entered the date for their signature on the judgment form.
Nonappearance and Statement of Decision
Defendant did not appear at trial Checkbox
Check this box when the defendant failed to appear at trial and was properly served with notice of the trial. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
A statement of decision (Code Civ. Proc., § 632) Checkbox
Check this box to indicate the court is making a record about a statement of decision under Code of Civil Procedure § 632 (then select whether it 'was' or 'was not' requested). Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
was not requested Checkbox
Check this box when a statement of decision was not requested. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
was requested Checkbox
Check this box when a statement of decision was requested. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Other (8)
Other CheckBox
Other (8) — Additional information Text
Enter any other information, explanation, or specification related to item 8 of the judgment that does not fit elsewhere on the form. Fill only if 'Other' is 'Yes'.
Depends on: Other
Parties - Cross-complainant (5c)
5c - for cross-complainant (name each) Checkbox
Check this box when the judgment is in favor of a cross-complainant — i.e., when one or more cross-complainants are named as the party receiving the judgment.
5c - Cross-complainant (name each) Text
Enter the full name(s) of the cross-complainant(s) for item 5c. Fill only if '5c - for cross-complainant (name each)' is 'Yes'.
Depends on: 5c - for cross-complainant (name each)
5c - Cross-defendant (name each) Text
Enter the full name(s) of the cross-defendant(s) listed against the cross-complainant(s) in item 5c. Fill only if '5c - for cross-complainant (name each)' is 'Yes'.
Depends on: 5c - for cross-complainant (name each)
5c - Continued on Attachment 5c Checkbox
Check this box when the list of cross-complainants and/or cross-defendants continues on an attached Attachment 5c page. Fill only if '5c - for cross-complainant (name each)' is 'Yes'.
Depends on: 5c - for cross-complainant (name each)
Parties - Cross-defendant (5d)
5d. for cross-defendant (name each) Checkbox
Check this box when the judgment is entered for the cross-defendant(s); list each cross-defendant's name next to the label.
5d Cross-defendant (name each) Text
Enter the full name(s) of the cross-defendant(s) corresponding to item 5d. Fill only if '5d. for cross-defendant (name each)' is 'Yes'.
Depends on: 5d. for cross-defendant (name each)
Parties - Defendant (5b)
5b. for defendant (name each) Checkbox
Check this box when the judgment is entered in favor of the defendant(s); write each defendant's name on the line provided.
5b Defendant (name each) Text
Enter the full name or names of the defendant(s) for item 5b exactly as they should appear on the judgment. Fill only if '5b. for defendant (name each)' is 'Yes'.
Depends on: 5b. for defendant (name each)
Parties - Plaintiff & Defendant (5a)
5a for plaintiff (name each) Checkbox
Check this box when the judgment is being entered for the plaintiff(s) listed in item 5a.
5a Plaintiff (name each) Text
Enter the full name or names of the plaintiff(s) named in section 5a. Fill only if '5a for plaintiff (name each)' is 'Yes'.
Depends on: 5a for plaintiff (name each)
5a Defendant (name each) Text
Enter the full name or names of the defendant(s) against whom the judgment is entered in section 5a. Fill only if '5a for plaintiff (name each)' is 'Yes'.
Depends on: 5a for plaintiff (name each)
5a Continued on Attachment Checkbox
Check this box when the list of plaintiff or defendant names for item 5a continues on an attached page (Attachment 5a). Fill only if '5a for plaintiff (name each)' is 'Yes'.
Depends on: 5a for plaintiff (name each)
Plaintiff Amount Row 1 - Damages (6a.1)
Plaintiff Row 1 – Damages Number
Enter the total dollar amount of damages the plaintiff seeks for item (1) on this row. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Amount Row 2 - Prejudgment interest (6a.2)
6a.2 (Row 2) Prejudgment interest Checkbox
Check this box when the plaintiff is claiming prejudgment interest for the amount in Row 2 and wants prejudgment interest applied at the annual rate shown. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
6a.2 Prejudgment interest annual rate (%) Number
Enter the annual interest rate (as a percentage) to apply for prejudgment interest for this plaintiff amount row. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
6a.2 Prejudgment interest amount ($) Number
Enter the dollar amount of prejudgment interest awarded to the plaintiff for this row. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Amount Row 3 - Attorney fees (6a.3)
Row 3 — Attorney fees (6a.3) Checkbox
Check this box when attorney fees are awarded and an amount for attorney fees should be entered for Plaintiff in Amount row 3 (item 6a.3). Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff 6a.3 — Attorney fees Number
Enter the amount of attorney fees awarded to the plaintiff for item 6a (row 3). Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Amount Row 4 - Costs (6a.4)
Row 4 (6a.4) Costs Checkbox
Check this box when the plaintiff is claiming court costs as part of the amount sought in item 6a, i.e., to indicate that the dollar amount entered on the 'Costs' line applies. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
6a.4 Plaintiff — Costs Number
Enter the dollar amount of court costs awarded to the plaintiff for line (4) Costs in the Amount section. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Amount Row 5 - Other (6a.5)
6a.5 Other (Plaintiff) Checkbox
Check this box if there is an 'Other' monetary amount (row 5) to be awarded to the plaintiff under item 6a and you will enter the specified amount in the adjacent $ field.
6a.5 Other (specify) Text
Enter a short description specifying what the “Other” charge or item is for the plaintiff in row 5 of item 6a. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
6a.5 Other Amount Number
Enter the monetary amount the plaintiff seeks for the “Other” item in row 5 of item 6a. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Amount Row 6 - Total (6a.6)
Plaintiff Row 6 Total (6a.6) Number
Enter the total dollar amount awarded to the plaintiff for row 6, equal to the sum of the amounts for Damages, Prejudgment interest, Attorney fees, Costs, and Other on this side of the form. Fill only if '6a Defendant named in item 5a must pay plaintiff on the complaint' is 'Yes'.
Depends on: 6a Defendant named in item 5a must pay plaintiff on the complaint
Plaintiff Appearances
plaintiff (name each) CheckBox
Depends on: After Court Trial
Plaintiff Appearance 1 — Plaintiff Name Text
Enter the full name of the first plaintiff who appeared in court for this case. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Plaintiff Appearance 2 — Plaintiff Name Text
Enter the full name of the second plaintiff who appeared in court for this case (if applicable). Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Plaintiff Attorney Appearances
plaintiff's attorney (name each) Checkbox
Check this box when a plaintiff's attorney appeared and you are listing that attorney's name(s) for the court record. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Plaintiff's Attorney Name 1 Text
Enter the full name of the first attorney who appeared for the plaintiff in this case. Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Plaintiff's Attorney Name 2 Text
Enter the full name of the second attorney who appeared for the plaintiff in this case (if applicable). Fill only if 'After Court Trial' is 'Yes'.
Depends on: After Court Trial
Stipulation Details
On Stipulation Checkbox
Check this box when the judgment was entered by stipulation because the plaintiff and defendant agreed and the court approved the stipulated judgment. Fill only if 'On Stipulation' is 'Yes'.
Depends on: On Stipulation
Signed written stipulation filed in the case Checkbox
Check this box when a signed written stipulation has been filed in the court file for this case. Fill only if 'On Stipulation' is 'Yes'.
Depends on: On Stipulation
Stipulation stated in open court Checkbox
Check this box when the stipulation was orally stated in open court. Fill only if 'On Stipulation' is 'Yes'.
Depends on: On Stipulation
Stipulation stated on the record Checkbox
Check this box when the stipulation was placed on the official court record. Fill only if 'On Stipulation' is 'Yes'.
Depends on: On Stipulation
Superior Court Contact
Superior Court - County Text
Enter the name of the county where the Superior Court is located (for example, "Los Angeles").
Superior Court - Street Address Text
Enter the street address of the Superior Court location or courthouse branch.
Superior Court - Mailing Address Text
Enter the mailing address for the Superior Court (PO Box or street address used for mail).
Superior Court - City and ZIP Code Text
Enter the city and ZIP code for the court (for example, "San Francisco, 94102").
Superior Court - Branch Name Text
Enter the specific branch or division name of the Superior Court (for example, "Central Civil", "Family Law", or "Small Claims").