This form contains 47 fields organized into 19 sections, giving it a Form Complexity Index of 46/100 (moderate). Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Additional Notice Recipients
More space needed for notice recipients	Checkbox	Check this box if you need more space to list the names and addresses of other defendants and plaintiffs who should receive notice; attach form MC-031 or a plain sheet of paper.
Case Identification
Case Number	Text	Enter the court-assigned case number for this small claims case.
Case Name	Text	Enter the case name as it appears on the court records.
Case Number	Text	Enter the court-assigned case number for this small claims case.
Case Name	Text	Enter the case name as it appears on the court documents.
Clerk’s Mailing Certification Option
Certificate of Mailing is attached	Checkbox	Check this box if you are the clerk certifying that you are not involved in the case and a Certificate of Mailing is attached.
Request was mailed to all parties	Checkbox	Check this box if you are the clerk certifying that you are not involved in the case and the request was mailed first class, postage paid, to all parties at the addresses listed in item 2.
Clerk’s Mailing Details
Mailing Date	Date	Enter the date the clerk mailed the Request for Court Order and Answer to all parties.
City Mailed From	Text	Enter the city in California from which the clerk mailed the form.
Clerk or Deputy Name	Text	Enter the name of the clerk or deputy certifying the mailing.
Court Name and Address
Court Name and Street Address	Text	Enter the name and street address of the Superior Court of California handling this case, including the county.
Court Name and Street Address	Text	Enter the name and street address of the Superior Court of California handling this case, including the county.
Date Copies Were Mailed
Date Copies Were Mailed	Date	Enter the date you mailed a copy of this form to everyone listed in items 1 and 2.
Declaration Date and Printed Name
Declaration Date	Date	Enter the date you sign the declaration under penalty of perjury.
Printed Name	Text	Type or print the name of the person signing the declaration.
Declaration Date	Date	Enter the date you sign the declaration that the information in this answer and its attachments is true and correct.
Printed Name	Text	Type or print the name of the person signing the declaration.
First Notice Recipient
First Notice Recipient Name	Text	Enter the name of the first other defendant or plaintiff who should receive notice of this request.
First Notice Recipient Address	Text	Enter the mailing address of the first other defendant or plaintiff who should receive notice of this request.
General
For your protection and privacy, please press the Clear This Form button after you have printed the form	Button
Print this form	Button
Save this form	Button
Clear this form	Button
Hearing Request
Request a Court Hearing	Checkbox	Check this box if you want the court to hold a hearing to decide the request.
Person Filing the Answer
Name of Person Filing the Answer	Text	Enter the full name of the person filing this answer.
Address of Person Filing the Answer	Text	Enter the mailing address of the person filing this answer.
A defendant in this case	Checkbox	Check this box if the person filing this answer is a defendant in this case.
A plaintiff in this case	Checkbox	Check this box if the person filing this answer is a plaintiff in this case.
Reason for Disagreement and Additional Space
Reason for Disagreeing	Text	Explain why you do not agree with the court order requested in item 3. Fill only if 'I do not agree to the order requested' is 'Yes'. Depends on: I do not agree to the order requested
Need More Space	Checkbox	Check this box if you need additional space to explain your answer to item 8 and will use form MC-031 or a separate sheet of paper.
Reasons for Requested Order
Reasons for Requested Order	Text	Explain why you are asking the court to make the requested order, including relevant facts of your case.
Need more space to explain reasons for requested order	Checkbox	Check this box if you need additional space to explain why you are asking for the order and are attaching form MC-031 or a plain sheet of paper marked “SC-105, Item 4.”
Requested Court Order
Requested Court Order	Text	Describe the specific order you want the court to make.
Additional space for requested court order	Checkbox	Check this box if you need more space to specify the order you are asking the court to make in Item 3, and attach form MC-031 or a plain sheet of paper labeled “SC-105, Item 3.”
Requesting Person's Name and Address
Requesting Person's Name	Text	Enter the full name of the person asking the court to make an order.
Requesting Person's Address	Text	Enter the address of the person asking the court to make an order.
Requesting Person's Role
A defendant in this case	Checkbox	Check this box if you are a defendant in this case and are asking the court to make an order.
A plaintiff in this case	Checkbox	Check this box if you are a plaintiff in this case and are asking the court to make an order.
Other (explain)	Checkbox	Check this box if you are asking the court to make an order but are neither a defendant nor a plaintiff in this case, and explain your role.
Other role of person requesting the order	Text	Explain the requesting person's role in the case if they are neither a defendant nor a plaintiff. Fill only if 'Other (explain)' is 'Yes'. Depends on: Other (explain)
Response to Requested Order
I agree to the order requested	Checkbox	Check this box if you agree to the order requested in item 3.
I do not agree to the order requested	Checkbox	Check this box if you do not agree to the order requested in item 3, and explain below.
Second Notice Recipient
Second Notice Recipient Name	Text	Enter the name of the second defendant or plaintiff who should receive notice of the request.
Second Notice Recipient Address	Text	Enter the mailing address of the second defendant or plaintiff who should receive notice of the request.
Service Method and Date
Mailed	Checkbox	Check this box if you mailed a copy of this form to everyone listed in item 2.
Delivered in person	Checkbox	Check this box if you delivered a copy of this form in person to everyone listed in item 2.
Date Copy Was Mailed or Delivered	Date	Enter the date you mailed or delivered a copy of this form to everyone listed in item 2. Fill only if 'Mailed', 'Delivered in person' is 'Yes' for any. Depends on: Mailed, Delivered in person

Judicial Council of California Form SC-105, Request for Court Order and Answer (Small Claims) Instructions