This form contains 93 fields organized into 30 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Case Number
Case Number Text
Enter the court case number assigned to this matter.
Case Number Text
Enter the court case number assigned to this matter.
Case Number and Case Name
Case Number Text
Enter the court-assigned case number for this small claims matter.
Case Name Text
Enter the case name (typically the names of the parties, such as Plaintiff v. Defendant) as it appears on court records.
Clerk Filing Date and Clerk Name
Clerk Filing Date Date
Enter the date the clerk filed the form with the court.
Clerk Name Text
Enter the name of the clerk (or authorized staff) who completed the clerk section and is signing on behalf of the clerk.
Court Name and Street Address
Court Name and Street Address Text
Enter the full name of the court and the court’s street address where the case will be filed or heard.
Defendant (First) Information
First Defendant Name Text
Enter the full legal name of the first defendant (person, business, or public entity being sued).
First Defendant Phone Text
Enter the phone number for the first defendant.
First Defendant Street Address Text
Enter the street address where the first defendant is located or can be served.
First Defendant City Text
Enter the city for the first defendant's street address.
First Defendant State Text
Enter the state for the first defendant's street address.
First Defendant ZIP Code Text
Enter the ZIP code for the first defendant's street address.
First Defendant Mailing Street Address Text
Enter the first defendant's mailing street address, if different from the street address.
First Defendant Mailing City Text
Enter the city for the first defendant's mailing address, if different from the street address.
First Defendant Mailing State Text
Enter the state for the first defendant's mailing address, if different from the street address.
First Defendant Mailing ZIP Code Text
Enter the ZIP code for the first defendant's mailing address, if different from the street address.
Defendant (Second) Information
Second Defendant Name Text
Enter the full legal name of the second defendant.
Second Defendant Phone Text
Enter the phone number for the second defendant.
Second Defendant Street Address Text
Enter the second defendant’s street address.
Second Defendant City Text
Enter the city for the second defendant’s street address.
Second Defendant State Text
Enter the state for the second defendant’s street address.
Second Defendant ZIP Code Text
Enter the ZIP code for the second defendant’s street address.
Second Defendant Mailing Street Address Text
Enter the second defendant’s mailing street address (if different from the street address).
Second Defendant Mailing City Text
Enter the city for the second defendant’s mailing address (if different).
Second Defendant Mailing State Text
Enter the state for the second defendant’s mailing address (if different).
Second Defendant Mailing ZIP Code Text
Enter the ZIP code for the second defendant’s mailing address (if different).
Defendant Additional Checkboxes
More than 2 defendants (attach form SC-120A) Checkbox
Check this box if there are more than two defendants and you will attach form SC-120A.
Defendant doing business under a fictitious name (attach form SC-103) Checkbox
Check this box if either defendant listed above is doing business under a fictitious name and you will attach form SC-103.
Defendant Claim Amount
Defendant Claim Amount Number
Enter the dollar amount the defendant claims the plaintiff owes.
Defendant Claim Calculation
Defendant Claim Calculation Explanation Text
Provide a detailed explanation of how you calculated the amount you claim the plaintiff owes you, excluding any court costs or service fees.
Defendant Claim Date or Date Range
Defendant Claim Date Date
Enter the date when the event or issue occurred that the defendant says caused the plaintiff to owe money.
Defendant Claim Date Range Start Date
Enter the start date of the time period when the event(s) occurred if there is no single specific date. Fill only if 'Defendant Claim Date' is blank (no specific date) .
Depends on: Defendant Claim Date
Defendant Claim Date Range End Date
Enter the end date of the time period when the event(s) occurred if there is no single specific date. Fill only if 'Defendant Claim Date' is blank (no specific date) .
Depends on: Defendant Claim Date
Defendant Claim Explanation
Defendant Claim Explanation Text
Provide a detailed explanation of why you claim the plaintiff owes you money, including the key facts and circumstances.
Defendant Names
Defendant Names Text
Enter the full name(s) of the defendant(s) involved in this case.
Defendant Signature - Date and Printed Name
Defendant Signature Date Date
Enter the date the defendant signs the declaration.
Defendant Printed Name Text
Enter the defendant’s full name as typed or printed.
Defendants (List Names)
Defendants (List Names) Text
Enter the full name(s) of all defendants in this case.
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
More Space Needed Checkbox (Item 3)
Item 3 - Need more space Checkbox
Check this box if you need additional space to explain Item 3, and attach one sheet of paper or form MC-031 labeled “SC-120, Item 3” at the top.
Need Help / Small Claims Advisor Notes
Need Help / Small Claims Advisor Notes Text
Enter any notes, questions, or details you want to provide for the county Small Claims Advisor regarding your case.
Order to Go to Court Schedule - First Hearing
First Hearing Date Date
Enter the scheduled date for the first court hearing.
First Hearing Time Time
Enter the scheduled time for the first court hearing.
First Hearing Department Text
Enter the court department (department number or designation) where the first hearing will be held.
First Hearing Court Name and Address (If Different) Text
Enter the name and street address of the court for the first hearing 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
Order to Go to Court Schedule - Second Hearing
Second Hearing Date Date
Enter the scheduled date for the second court hearing.
Second Hearing Time Time
Enter the scheduled time for the second court hearing.
Second Hearing Department Text
Enter the court department (department number or name) where the second hearing will take place.
Second Hearing Court Name and Address Text
Enter the name and address of the court for the second hearing 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
Order to Go to Court Schedule - Third Hearing
Third Hearing Date Date
Enter the date scheduled for the third court hearing.
Third Hearing Time Time
Enter the time scheduled for the third court hearing.
Third Hearing Department Text
Enter the court department (department number or name) for the third hearing.
Third Hearing Court Name and Address (If Different) Text
Enter the name and address of the court for the third hearing 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
Plaintiff (First) Information
First Plaintiff Name Text
Enter the full legal name of the first plaintiff (person, business, or public entity that sued first).
First Plaintiff Phone Text
Enter the phone number for the first plaintiff.
First Plaintiff Street Address Text
Enter the street address for the first plaintiff.
First Plaintiff City Text
Enter the city for the first plaintiff's street address.
First Plaintiff State Text
Enter the state for the first plaintiff's street address.
First Plaintiff ZIP Code Text
Enter the ZIP code for the first plaintiff's street address.
First Plaintiff Mailing Street Address Text
Enter the mailing street address for the first plaintiff if it is different from the street address.
First Plaintiff Mailing City Text
Enter the city for the first plaintiff's mailing address (if different).
First Plaintiff Mailing State Text
Enter the state for the first plaintiff's mailing address (if different).
First Plaintiff Mailing ZIP Code Text
Enter the ZIP code for the first plaintiff's mailing address (if different).
Plaintiff (Second) Information
Second Plaintiff Name Text
Enter the full name of the second plaintiff (the next plaintiff listed after the first).
Second Plaintiff Phone Text
Enter the phone number for the second plaintiff.
Second Plaintiff Street Address Text
Enter the street address for the second plaintiff.
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.
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.
Second Plaintiff Mailing City Text
Enter the city for the second plaintiff's mailing address if different.
Second Plaintiff Mailing State Text
Enter the state for the second plaintiff's mailing address if different.
Second Plaintiff Mailing ZIP Code Text
Enter the ZIP code for the second plaintiff's mailing address if different.
Plaintiff Additional Checkboxes and Active Duty Name
More than 2 plaintiffs (attach form SC-120A) Checkbox
Check this box if there are more than two plaintiffs in the case and you will attach form SC-120A.
Plaintiff on active military duty (write name) Checkbox
Check this box if any plaintiff is on active military duty and write that plaintiff’s name in the space provided.
Plaintiff Active Military Duty Name Text
Enter the name of the plaintiff who is on active military duty. Fill only if 'Plaintiff on active military duty (write name)' is 'Yes'.
Depends on: Plaintiff on active military duty (write name)
Q4 - Asked Plaintiff to Pay Before Suing (Yes/No)
Q4 - Yes Checkbox
Check this box if you asked the Plaintiff (in person, in writing, or by phone) to pay you before you sue.
Q4 - No Checkbox
Check this box if you did not ask the Plaintiff (in person, in writing, or by phone) to pay you before you sue.
Q5 - Arbitration Attachment Checked
Q5 - Attached SC-101 (Attorney-Client Fee Arbitration) Checkbox
Check this box if your claim is about an attorney-client fee dispute and you have had arbitration, and you are attaching form SC-101 to this form. Fill only if 'Q5 - Yes (Attorney-client fee dispute)' is 'Yes'.
Depends on: Q5 - Yes (Attorney-client fee dispute)
Q5 - Attorney-Client Fee Dispute (Yes/No)
Q5 - Yes (Attorney-client fee dispute) Checkbox
Check this box if your claim is about an attorney-client fee dispute.
Q5 - No (Attorney-client fee dispute) Checkbox
Check this box if your claim is not about an attorney-client fee dispute.
Q6 - Claim Filed with Public Entity (Checkbox and Date)
Q6 - Claim was filed (date provided) Checkbox
Check this box if you filed a written claim with the public entity and you will enter the date the claim was filed.
Q6 - Claim Filed Date Date
Enter the date the claim was filed with the public entity. Fill only if 'Q6 - Are you suing a public entity? (Yes)', 'Q6 - Claim was filed (date provided)' is 'Yes' and all.
Depends on: Q6 - Are you suing a public entity? (Yes), Q6 - Claim was filed (date provided)
Q6 - Suing a Public Entity (Yes/No)
Q6 - Are you suing a public entity? (Yes) Checkbox
Check this box if you are suing a public entity.
Q6 - Are you suing a public entity? (No) Checkbox
Check this box if you are not suing a public entity.
Q7 - Filed More Than 12 Other Small Claims in Last 12 Months (Yes/No)
Q7 - Yes, filed more than 12 other small claims in last 12 months Checkbox
Check this box if you have filed more than 12 other small claims cases in California within the last 12 months.
Q7 - No, did not file more than 12 other small claims in last 12 months Checkbox
Check this box if you have not filed more than 12 other small claims cases in California within the last 12 months.
Second Defendant Signature - Date and Printed Name
Second Defendant Date Date
Enter the date the second defendant signs the declaration. Fill only if 'More than one defendant (list next defendant here)' is 'Yes'.
Depends on: Second Defendant Name
Second Defendant Printed Name Text
Type or print the full name of the second defendant. Fill only if 'More than one defendant (list next defendant here)' is 'Yes'.
Depends on: Second Defendant Name