This form contains 140 fields organized into 49 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Accessibility
MC-410, Disability Accommodation Request Button
Click this button to access the MC-410 form for requesting disability accommodations.
MC-410, Disability Button
Click this button to access the MC-410 form for requesting disability accommodations.
Accommodation Request Button
Click this button to access the form for requesting disability accommodations.
INT-300, Request for Interpreter (Civil) Button
Click this button to access the INT-300 form for requesting an interpreter for civil cases.
INT-140 Button
Click this button to access the INT-140 form.
Additional Defendant Status (Multiple Defendants / Military Duty)
Case against more than one defendant (attach form) Checkbox
Check this box if your case is against more than one defendant and you will attach the additional form for multiple defendants.
Defendant on active military duty Checkbox
Check this box if any defendant is on active military duty and you will write that defendant’s name in the space provided.
Active Military Duty Defendant Name Text
Enter the name of the defendant who is on active military duty. Fill only if 'Defendant on active military duty' is 'Yes'.
Depends on: Defendant on active military duty
Additional Forms
SC-500, Plaintiff’s Claim and ORDER to Go to Small Claims Court (COVID-19 Rental Debt).) Button
Button to access SC-500, Plaintiff’s Claim and ORDER to Go to Small Claims Court (COVID-19 Rental Debt).
SC-107, Small Claims Subpoena and Declaration Button
Button to access the SC-107 form, which is the Small Claims Subpoena and Declaration.
SC-120 Button
Button to access the SC-120 form.
SC-150 Button
Button to access the SC-150 form.
Additional Information
MC-031 Button
Button to access form MC-031 for additional space.
Amount Defendant Owes
Total Amount Defendant Owes Number
Enter the total dollar amount the plaintiff claims the defendant owes.
Appeals
SC-140, Notice of Appeal Button
Click this button to access the SC-140 form for filing a notice of appeal.
www dot courts dot ca dot gov slash small claims slash appeals Button
Click this button to visit the California Courts website for information on small claims appeals.
www dot courts dot ca dot gov slash small claims slash appeals Button
Click this button to visit the California Courts website for information on small claims appeals.
Attorney-Client Fee Dispute (Item 7)
Yes Checkbox
Check this box if your claim is about an attorney-client fee dispute.
No Checkbox
Check this box if your claim is not about an attorney-client fee dispute.
Attach SC-101 (arbitration completed) Checkbox
Check this box if you answered “Yes” and you have had arbitration, and you are attaching form SC-101 to this form. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Authorized Service of Process Agent Information
Authorized Agent Name Text
Enter the full name of the person or agent authorized to accept service of process for the defendant entity.
Authorized Agent Job Title Text
Enter the job title of the authorized service of process agent, if known.
Authorized Agent Street Address Text
Enter the street address where the authorized service of process agent can be served.
Authorized Agent City Text
Enter the city for the authorized service of process agent's address.
Authorized Agent State Text
Enter the state for the authorized service of process agent's address.
Authorized Agent ZIP Code Text
Enter the ZIP code for the authorized service of process agent's address.
Aviso al Demandado:
Case Number Text
Enter the court-assigned case number for this small claims matter.
Case Name Text
Enter the case name as it should appear in court records (typically the plaintiff name versus the defendant name).
Case Details
SC-100A Button
Button to attach form SC-100A if your case involves more than one defendant.
Case Identification (Plaintiff Names and Case Number)
Plaintiff Name(s) Text
Enter the full name of each plaintiff (all people or entities bringing the claim).
Case Number Text
Enter the court-assigned case number for this small claims case.
Claim Amount Over $2,500 (Item 10)
Yes Checkbox
Check this box if your claim is for more than $2,500.
No Checkbox
Check this box if your claim is for $2,500 or less.
Clerk Completion (Date and Clerk Name)
Clerk Completion Date Date
Enter the date the clerk completed this Order to Go to Court section.
Clerk Name Text
Enter the name of the clerk who completed this section on behalf of the court.
Courthouse Venue Basis and Location (Item 5-6)
Defendant location / injury / property damage / contract location Checkbox
Check this box if this courthouse covers the area where the defendant lives or does business, where your property was damaged, where you were injured, or where the contract was made/signed/performed/broken.
Buyer/lessee contract for household goods/services/loans location Checkbox
Check this box if this claim involves an offer or contract for personal, family, or household goods, services, or loans and this courthouse covers where the buyer/lessee signed, lives now, or lived when the contract was made.
Retail installment contract (e.g., credit card) location Checkbox
Check this box if this claim involves a retail installment contract (like a credit card) and this courthouse covers where the buyer signed, lives now, or lived when the contract was made.
Vehicle finance sale location / vehicle garaged Checkbox
Check this box if this claim is about a vehicle finance sale and this courthouse covers where the buyer signed, lives now, lived when the contract was made, or where the vehicle is permanently garaged.
Other (specify) Checkbox
Check this box if none of the other venue reasons apply and you will specify another reason this courthouse is the correct location.
Venue Basis - Other (Specify) Line 1 Text
Provide the first line of your explanation for why you are filing your claim at this courthouse under the “Other (specify)” venue basis.
Venue Basis - Other (Specify) Line 2 Text
Provide any additional details for your “Other (specify)” reason for filing your claim at this courthouse. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Venue Location ZIP Code Text
Enter the ZIP code for the place corresponding to the venue option you checked in item 5. Fill only if 'Defendant location / injury / property damage / contract location', 'Buyer/lessee contract for household goods/services/loans location', 'Retail installment contract (e.g., credit card) location', 'Vehicle finance sale location / vehicle garaged', 'Other (specify)' is 'Yes' (any).
Depends on: Defendant location / injury / property damage / contract location, Buyer/lessee contract for household goods/services/loans location, Retail installment contract (e.g., credit card) location, Vehicle finance sale location / vehicle garaged, Other (specify)
Defendant Contact Information
Defendant Name Text
Enter the full legal name of the defendant (person, business, or public entity being sued).
Defendant Phone Number Text
Enter the defendant’s primary phone number.
Defendant Street Address Text
Enter the defendant’s street address (number and street name).
Defendant City Text
Enter the city for the defendant’s street address.
Defendant State Text
Enter the state for the defendant’s street address.
Max length: 2 characters
Defendant ZIP Code Text
Enter the ZIP code for the defendant’s street address.
Defendant Mailing Address (if different)
Defendant Mailing Street Address Text
Enter the defendant’s mailing street address if it is different from the street address listed above.
Defendant Mailing City Text
Enter the city for the defendant’s mailing address if it is different from the street address listed above.
Defendant Mailing State Text
Enter the state for the defendant’s mailing address if it is different from the street address listed above.
Max length: 2 characters
Defendant Mailing ZIP Code Text
Enter the ZIP code for the defendant’s mailing address if it is different from the street address listed above.
Dismissal
CIV-110, Request for Dismissal Button
Click this button to access the CIV-110 form for requesting dismissal.
First Plaintiff Signature Date and Printed Name
Plaintiff Date Signed Date
Enter the date the first plaintiff signs the declaration.
Plaintiff Printed Name Text
Type or print the first plaintiff’s full legal name.
First Trial Date Entry
First Trial Date Date
Enter the date of the first scheduled trial or court appearance.
First Trial Time Time
Enter the time of the first scheduled trial or court appearance.
First Trial Department Text
Enter the department (or courtroom/department identifier) for the first scheduled trial.
Court Name and Address (if different) Text
Enter the name and address of the court for the first trial date if it is different from the court listed above. Fill only if 'Court name and street address' is different from the court for the first trial.
Depends on: Court name and street address
Form Actions
For your protection and privacy, please press the Clear This Form button after you have printed the form Button
Button to clear the form for your protection and privacy after printing.
Print this form Button
Button to print the form.
Save this form Button
Button to save the form.
Clear this form Button
Button to clear the form.
Form Navigation
SC-100A Button
Click this button to access form SC-100A.
SC-103 Button
Click this button to access form SC-103.
Forms
SC-200 Button
Click this button to access the SC-200 form.
SC-130 Button
Click this button to access the SC-130 form.
SC-135, Notice of Button
Click this button to access the SC-135 form.
SC-140 Button
Click this button to access the SC-140 form.
General Information
WWW DOT COURTS DOT CA DOT GOV Button
Button to access the California Courts website for more information.
Help and Assistance
www dot courts dot ca dot gov slash small claims slash advisor Button
Button to visit the small claims advisor page on the California Courts website.
How Amount Was Calculated (Explanation)
Explanation of Amount Owed Calculation Text
Describe in detail how you calculated the amount the defendant owes you, excluding any court costs or service fees.
Instructions
SC-500, Plaintiff’s Claim and ORDER to Go to Small Claims Court Button
Click this button to access the Plaintiff’s Claim and ORDER to Go to Small Claims Court (SC-500) form.
SC-100-INFO, Information for the Plaintiff Button
Click this button to access information for the plaintiff (SC-100-INFO).
www dot courts dot ca dot gov slash forms Button
Click this button to visit the California Courts website for forms.
www dot courts dot ca dot gov slash find dash my dash court dot htm Button
Click this button to visit the California Courts website to find your court.
SC-104 Button
Click this button to access the SC-104 form.
SC-104B Button
Click this button to access the SC-104B form.
and SC-104C Button
Click this button to access the SC-104C form.
Instructions for the person suing:
Plaintiff name(s) Text
Enter the full name(s) of the plaintiff(s) (the person, business, or public entity filing the claim).
Case number Text
Enter the court-assigned case number for this small claims case, if one has been issued.
Judgment
Notice of Entry of Judgment Button
Click this button to access the form for Notice of Entry of Judgment.
Motion to Vacate Judgment and Declaration Button
Click this button to access the form for Motion to Vacate Judgment and Declaration.
Need More Space Checkbox
Check here if you need more space Checkbox
Check this box if you need additional space to explain Item 3 and will attach an extra sheet or form labeled “SC-100, Item 3” at the top.
Notice to the person being sued:
Court name and street address Text
Enter the name of the Superior Court and the court’s street address where this case will be filed.
Page 5
Small Claims Advisor Phone Number Text
Enter the phone number for your county's Small Claims Advisor where you can get help.
Page 6
Información de contacto del Asesor de Reclamos Menores Text
Ingrese el nombre y/o la información de contacto (como teléfono, dirección, correo electrónico u horario) del Asesor de Reclamos Menores de su condado.
Plaintiff 1 Contact Information
Plaintiff 1 Name Text
Enter the full legal name of the plaintiff (person, business, or public entity) bringing the lawsuit.
Plaintiff 1 Phone Number Text
Enter the plaintiff's primary phone number.
Plaintiff 1 Email Address Text
Enter the plaintiff's email address, if available.
Plaintiff 1 Mailing Address (if different)
Mailing Address Street Text
Enter Plaintiff 1’s mailing street address (if different from the street address listed above). Fill only if 'Plaintiff Street Address', 'Plaintiff City', 'Plaintiff State', 'Plaintiff ZIP Code' is different (all).
Depends on: Plaintiff Street Address, Plaintiff City, Plaintiff State, Plaintiff ZIP Code
Mailing Address City Text
Enter the city for Plaintiff 1’s mailing address (if different). Fill only if 'Plaintiff Street Address', 'Plaintiff City', 'Plaintiff State', 'Plaintiff ZIP Code' is different (all).
Depends on: Plaintiff Street Address, Plaintiff City, Plaintiff State, Plaintiff ZIP Code
Mailing Address State Text
Enter the state for Plaintiff 1’s mailing address (if different). Fill only if 'Plaintiff Street Address', 'Plaintiff City', 'Plaintiff State', 'Plaintiff ZIP Code' is different (all).
Max length: 2 characters
Depends on: Plaintiff Street Address, Plaintiff City, Plaintiff State, Plaintiff ZIP Code
Mailing Address ZIP Code Text
Enter the ZIP code for Plaintiff 1’s mailing address (if different). Fill only if 'Plaintiff Street Address', 'Plaintiff City', 'Plaintiff State', 'Plaintiff ZIP Code' is different (all).
Depends on: Plaintiff Street Address, Plaintiff City, Plaintiff State, Plaintiff ZIP Code
Plaintiff 1 Street Address
Plaintiff Street Address Text
Enter the plaintiff's street address (street number and street name).
Plaintiff City Text
Enter the city for the plaintiff's street address.
Plaintiff State Text
Enter the state for the plaintiff's street address.
Max length: 2 characters
Plaintiff ZIP Code Text
Enter the ZIP code for the plaintiff's street address.
Plaintiff 2 Contact Information
Plaintiff 2 Name Text
Enter the full name of the second plaintiff (the next plaintiff listed).
Plaintiff 2 Phone Number Text
Enter the phone number for the second plaintiff.
Plaintiff 2 Email Address Text
Enter the email address for the second plaintiff, if available.
Plaintiff 2 Mailing Address (if different)
Plaintiff 2 Mailing Street Address Text
Enter Plaintiff 2's mailing street address if it is different from their street address. Fill only if 'Plaintiff 2 Street Address', 'Plaintiff 2 City', 'Plaintiff 2 State', 'Plaintiff 2 ZIP Code' is different (all).
Depends on: Plaintiff 2 Street Address, Plaintiff 2 City, Plaintiff 2 State, Plaintiff 2 ZIP Code
Plaintiff 2 Mailing City Text
Enter the city for Plaintiff 2's mailing address if it is different from their street address. Fill only if 'Plaintiff 2 Street Address', 'Plaintiff 2 City', 'Plaintiff 2 State', 'Plaintiff 2 ZIP Code' is different (all).
Depends on: Plaintiff 2 Street Address, Plaintiff 2 City, Plaintiff 2 State, Plaintiff 2 ZIP Code
Plaintiff 2 Mailing State Text
Enter the state for Plaintiff 2's mailing address if it is different from their street address. Fill only if 'Plaintiff 2 Street Address', 'Plaintiff 2 City', 'Plaintiff 2 State', 'Plaintiff 2 ZIP Code' is different (all).
Max length: 2 characters
Depends on: Plaintiff 2 Street Address, Plaintiff 2 City, Plaintiff 2 State, Plaintiff 2 ZIP Code
Plaintiff 2 Mailing ZIP Code Text
Enter the ZIP code for Plaintiff 2's mailing address if it is different from their street address. Fill only if 'Plaintiff 2 Street Address', 'Plaintiff 2 City', 'Plaintiff 2 State', 'Plaintiff 2 ZIP Code' is different (all).
Depends on: Plaintiff 2 Street Address, Plaintiff 2 City, Plaintiff 2 State, Plaintiff 2 ZIP Code
Plaintiff 2 Street Address
Plaintiff 2 Street Address Text
Enter the second plaintiff's street address (street number and street name).
Plaintiff 2 City Text
Enter the city for the second plaintiff's street address.
Plaintiff 2 State Text
Enter the state for the second plaintiff's street address.
Max length: 2 characters
Plaintiff 2 ZIP Code Text
Enter the ZIP code for the second plaintiff's street address.
Plaintiff Additional Information Checkboxes
More than two plaintiffs (attach form) Checkbox
Check this box if there are more than two plaintiffs and you will attach the required additional plaintiff form.
Plaintiff using fictitious business name (attach form) Checkbox
Check this box if either plaintiff listed above is doing business under a fictitious name and you will attach the required form.
Plaintiff is a licensee/deferred deposit originator (payday lender) Checkbox
Check this box if any plaintiff is a “licensee” or “deferred deposit originator” (payday lender) under Financial Code sections 23000 et seq.
Plaintiff Names and Case Number
Plaintiff names Text
Enter the full name(s) of the plaintiff(s) bringing this small claims case.
Case number Text
Enter the court-assigned case number for this matter.
Pre-suit Demand to Defendant
Explanation for No Pre-suit Demand Text
Provide an explanation of why you did not ask the defendant to pay (or return the property) before filing this lawsuit. Fill only if 'No' is 'Yes'.
Depends on: No
Yes Checkbox
Check this box if you asked the defendant (in person, in writing, or by phone) to pay you or give you the property before filing this lawsuit.
No Checkbox
Check this box if you did not ask the defendant to pay you or give you the property before filing this lawsuit.
Prior Small Claims Filings in Last 12 Months (Item 9)
Yes Checkbox
Check this box if you have filed more than 12 other small claims cases in California within the last 12 months.
No Checkbox
Check this box if you have not filed more than 12 other small claims cases in California within the last 12 months.
Public Entity Claim Details (Item 8)
Yes (suing a public entity) Checkbox
Check this box if you are suing a public entity.
No (not suing a public entity) Checkbox
Check this box if you are not suing a public entity.
Checked: written claim filed with public entity first Checkbox
Check this box if you have filed a written claim with the public entity first (as required before suing a public entity). Fill only if 'Yes (suing a public entity)' is 'Yes'.
Depends on: Yes (suing a public entity)
Claim Filed Date Date
Enter the date you filed your written claim with the public entity. Fill only if 'Yes (suing a public entity)' is 'Yes'.
Depends on: Yes (suing a public entity)
Resources
www dot courts dot ca dot gov slash small claims slash prepare Button
Click this button to visit the California Courts website for information on preparing for small claims court.
www dot courts dot ca dot gov slash forms Button
Click this button to visit the California Courts website for accessing various forms.
Second Plaintiff Signature Date and Printed Name
Second Plaintiff Signature Date Date
Enter the date the second plaintiff signs the form.
Second Plaintiff Printed Name Text
Type or print the full legal name of the second plaintiff.
Second Trial Date Entry
Second Trial Date Date
Enter the date scheduled for the second trial (item 2).
Second Trial Time Time
Enter the time scheduled for the second trial (item 2).
Second Trial Department Text
Enter the court department number or department name for the second trial (item 2).
Second Trial Court Name and Address Text
Enter the name and address of the court for the second trial if it is different from the court listed above. Fill only if 'Court name and street address' is different from the court for the second trial.
Depends on: Court name and street address
Third Trial Date Entry
Third Trial Date Date
Enter the date of the third scheduled court trial appearance.
Third Trial Time Time
Enter the time for the third scheduled court trial appearance.
Third Trial Department Text
Enter the court department number or designation for the third trial date.
Third Trial Court Name and Address Text
Enter the name and address of the court for the third trial date if it is different from the court listed above. Fill only if 'Court name and street address' is different from the court for the third trial.
Depends on: Court name and street address
When This Happened (Date or Date Range)
Incident Date Date
Enter the date when the event or issue occurred.
Date Range Start Date
Enter the start date of the time period if there is no single specific date. Fill only if 'Incident Date' is not provided.
Depends on: Incident Date
Date Range End Date
Enter the end date of the time period if there is no single specific date. Fill only if 'Incident Date' is not provided.
Depends on: Incident Date
Why Defendant Owes Plaintiff (Explanation)
Reason Defendant Owes Plaintiff Text
Describe in detail why the defendant owes the plaintiff money, including what happened and the basis for the claim.