This form contains 65 fields organized into 27 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attorney or Party Information
Attorney or Party Information Text
Enter the name, State Bar number, and complete address of the attorney or party without an attorney.
Telephone Number Text
Provide the telephone number.
Fax Number Text
Provide the optional fax number.
Email Address Text
Provide the optional email address.
Attorney For Name Text
Enter the name of the party the attorney represents.
Case Number
Case Number Text
Enter the court case number for this filing.
Case Number Text
Provide the unique identifying number assigned to this case.
Case Parties
Plaintiff Text
Enter the name of the plaintiff.
Defendant Text
Enter the name of the defendant.
Plaintiff Text
Enter the full name of the plaintiff.
Defendant Text
Enter the full name of the defendant.
Continuation Attachment
Continuation Attachment Checkbox
Check this box if the list of names and addresses of persons to whom notice was mailed is continued on a separate attachment or form MC-025.
Court Information
County Text
Enter the name of the county where the court is located.
Street Address Text
Enter the street address of the court.
Mailing Address Text
Enter the mailing address of the court.
City and Zip Code Text
Enter the city and zip code of the court.
Branch Name Text
Enter the specific branch name of the court.
Estimated Trial Length
Estimated Trial Length - Days Checkbox
Check this box to specify the estimated trial length in days.
Estimated Trial Days Number
Enter the estimated number of days the trial will take.
Estimated Trial Length - Hours Checkbox
Check this box to specify the estimated trial length in hours, especially if the trial is expected to be less than one day.
Estimated Trial Hours Number
Enter the estimated number of hours the trial will take, if the estimated trial is less than one day.
Fifth Recipient Name and Address
Fifth Recipient Name Text
Enter the full name of the fifth person to whom notice was mailed.
Fifth Recipient Address Text
Enter the full address (number, street, city, and zip code) of the fifth person to whom notice was mailed.
Filing Party
Filing Party: Plaintiff Checkbox
Check this box if the Plaintiff is the party making the request to set the case for trial.
Filing Party: Defendant Checkbox
Check this box if the Defendant is the party making the request to set the case for trial.
Filing Type
Request Checkbox
Check this box if this document is an initial request to set the case for trial.
Counter-Request Checkbox
Check this box if this document is a counter-request to set the case for trial.
First Recipient Name and Address
First Recipient Name Text
Enter the full name of the first person to whom the notice was mailed.
First Recipient Address Text
Enter the complete mailing address (number, street, city, and zip code) of the first person to whom the notice was mailed.
Fourth Recipient Name and Address
Fourth Recipient Name Text
Provide the full name of the fourth recipient to whom notice was mailed.
Fourth Recipient Address Text
Provide the full address, including number, street, city, and zip code, of the fourth recipient to whom notice was mailed.
General
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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
Mailing Details
Mailing Date Date
Enter the date the mail was sent.
Mailing Place (City and State) Text
Enter the city and state where the mail was sent.
Method of Service
Depositing in US Mail Checkbox
Check this box if the sealed envelope was deposited in the United States mail with postage fully prepaid on the date and at the place shown in item 3c.
Placing for Collection Checkbox
Check this box if the envelope was placed for collection and mailing on the date and at the place shown in item 3c, following ordinary business practices where mail is deposited with the United States Postal Service on the same day.
Plaintiff's Request
Plaintiff's request Checkbox
Check this box if you are the plaintiff and are requesting the court to set the case for trial, confirming that all parties have been served with process and have appeared or had a default or dismissal entered against them.
Premises Possession Status
Premises Possession Still In Issue Checkbox
Check this box if, to your knowledge, the right to possession of the premises is still in issue.
Premises Possession No Longer In Issue Checkbox
Check this box if, to your knowledge, the right to possession of the premises is no longer in issue and no defendant or other person is in possession.
Second Recipient Name and Address
Second Recipient Name Text
Enter the full name of the second person to whom notice was mailed.
Second Recipient Address Text
Enter the complete address (number, street, city, and zip code) of the second person to whom notice was mailed.
Server's Address
Server's Residence or Business Address Text
Enter the full residence or business address of the person who served the document.
Server's Declaration
Declaration Date Date
Enter the date on which the declaration is signed.
Declarant's Printed Name Text
Enter the full printed name of the person making the declaration.
Signature Details
Date Date
Enter the date the declaration is signed.
Typed or Printed Name Text
Enter the typed or printed name of the signatory.
Sixth Recipient Name and Address
Sixth Recipient Name Text
Enter the full name of the sixth recipient to whom notice was mailed.
Sixth Recipient Address Text
Enter the complete mailing address for the sixth recipient, including number, street, city, and zip code.
Third Recipient Name and Address
Third Recipient's Name Text
Provide the full name of the third recipient of the mailed notice.
Third Recipient's Address Text
Provide the complete mailing address of the third recipient, including number, street, city, and zip code.
Trial Preference Location
Trial Preference Premises Location Text
Provide the full location of the premises, including the street address, apartment number, city, zip code, and county.
Trial Type
Jury Trial Checkbox
Check this box if you are requesting a jury trial.
Nonjury Trial Checkbox
Check this box if you are requesting a nonjury trial.
Unavailability Dates
Unavailability Dates 1 Text
Enter the specific dates and reasons for unavailability for the trial.
Unlawful Detainer Assistant Details
Assistant's Name Text
Provide the full name of the unlawful detainer assistant who provided advice or assistance for compensation with this form.
Assistant's Street Address, City, and Zip Code Text
Enter the complete street address, city, and zip code of the unlawful detainer assistant.
Assistant's Telephone Number Text
Provide the telephone number of the unlawful detainer assistant.
Assistant's County of Registration Text
Enter the county where the unlawful detainer assistant is registered.
Assistant's Registration Number Text
Provide the registration number of the unlawful detainer assistant.
Assistant's Registration Expiration Date Date
Enter the date when the unlawful detainer assistant's registration expires.
Unlawful Detainer Assistant Use
Unlawful Detainer Assistant did not Checkbox
Check this box if an unlawful detainer assistant did not provide compensated advice or assistance with this form.
Unlawful Detainer Assistant did Checkbox
Check this box if an unlawful detainer assistant did provide compensated advice or assistance with this form.