This form contains 140 fields organized into 27 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 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
Check here if more than two plaintiffs and attach form SC-100A CheckBox
Check this box if there are more than two plaintiffs and attach form SC-100A.
Check here if you need more space. Attach one sheet of paper or form MC-031 and write “SC-100, Item 3” at the top CheckBox
Check this box if you need more space to provide information. Attach an additional sheet of paper or form MC-031 and write 'SC-100, Item 3' at the top.
MC-031 Button
Button to access form MC-031 for additional space.
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.
Arbitration Information
If yes, and if you have had arbitration, fill out form SC-101, attach it to this form, and check here CheckBox
Check this box if you have had arbitration and have filled out form SC-101, and attached it to this form.
Case Details
Check here if your case is against more than one defendant and attach form SC-100A CheckBox
Check this box if your case involves more than one defendant and attach form SC-100A.
SC-100A Button
Button to attach form SC-100A if your case involves more than one defendant.
Case Number Text
Enter the case number assigned to this small claims case.
Case Information
Case Number Text
Enter the case number assigned to this small claims case.
Case Name Text
Enter the name of the case, typically the names of the plaintiff and defendant.
Case Number Text
Enter the case number assigned to this small claims case.
Case Number Text
Enter the case number.
Claim Details
The plaintiff claims the defendant owes Number
Enter the amount of money the plaintiff claims the defendant owes.
Why does the defendant owe the plaintiff money Text
Provide a detailed explanation of why the defendant owes the plaintiff money.
When did this happen? Date Date
Enter the date when the incident or transaction that led to the claim occurred.
Date started Date
Enter the date when the issue or dispute started.
through Date
Enter the end date if the issue or dispute occurred over a period of time.
How did you calculate the money owed to you? (Do not include court costs or fees for service.) Text
Explain how you calculated the amount of money owed to you, excluding court costs or fees for service.
You must ask the defendant (in person, in writing, or by phone) to pay you before you sue. If your claim is for possession of property, you must ask the defendant to give you the property. Have you done this? If no, explain why not Text
Explain whether you have asked the defendant to pay you or return the property before filing this claim. If not, provide a reason.
Yes CheckBox
Check this box if you have asked the defendant to pay you or return the property.
No CheckBox
Check this box if you have not asked the defendant to pay you or return the property.
Claim Information
A claim was filed on CheckBox
Check this box if a claim was filed on the specified date.
(date) Date
Enter the date when the claim was filed.
Clerk Information
Date Date
Enter the date when the form is being filled out or signed by the clerk.
Clerk, by Text
Enter the name of the clerk who is processing this form.
Court Information
Superior Court of California, County of Text
Enter the name of the county where the Superior Court of California is located.
Defendant Information
defendant name Text
Enter the name of the defendant.
phone Text
Enter the phone number of the defendant.
street address Text
Enter the street address of the defendant.
city Text
Enter the city of the defendant's address.
state Text
Enter the state of the defendant's address (2 characters).
Max length: 2 characters
zip Text
Enter the ZIP code of the defendant's address.
mailing address if different street Text
Enter the mailing address of the defendant if it is different from the street address.
city Text
Enter the city of the defendant's mailing address.
state Text
Enter the state of the defendant's mailing address (2 characters).
Max length: 2 characters
zip Text
Enter the ZIP code of the defendant's mailing address.
name Text
Enter the name of the second defendant, if applicable.
job title if known Text
Enter the job title of the defendant, if known.
street Text
Enter the street address of the defendant.
city Text
Enter the city where the defendant resides.
state Text
Enter the state where the defendant resides.
zip Text
Enter the ZIP code of the defendant's address.
Check here if any defendant is on active military duty and write defendant’s name here CheckBox
Check this box if any defendant is on active military duty and write the defendant's name in the provided field.
name Text
Enter the name of the defendant who is on active military duty.
Dismissal
CIV-110, Request for Dismissal Button
Click this button to access the CIV-110 form for requesting dismissal.
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.
Yes CheckBox
Check this box if the answer is 'Yes'.
No CheckBox
Check this box if the answer is 'No'.
Yes CheckBox
Check this box if the answer is 'Yes'.
No CheckBox
Check this box if the answer is 'No'.
Yes CheckBox
Check this box if the answer is 'Yes'.
No CheckBox
Check this box if the answer is 'No'.
Yes CheckBox
Check this box if the answer is 'Yes'.
No CheckBox
Check this box if the answer is 'No'.
Help and Assistance
Help Text
Field to enter any help or assistance you need regarding the form.
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.
Necesita ayuda Text
Field to enter any help or assistance you need regarding the form in Spanish.
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.
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.
Location Information
List the zip code of the place checked in 5 above (if you know) Text
Enter the zip code of the location you checked in section 5, if you know it.
Plaintiff Information
Plaintiff (list names) Text
List the names of all plaintiffs involved in this claim.
Name Text
Enter the full name of the plaintiff.
Phone Text
Enter the phone number of the plaintiff.
Plaintiff street address Text
Enter the street address of the plaintiff.
city Text
Enter the city where the plaintiff resides.
state Text
Enter the state where the plaintiff resides (2-letter abbreviation).
Max length: 2 characters
zip Text
Enter the ZIP code of the plaintiff's address.
Check here if either plaintiff listed above is doing business under a fictitious name and attach form SC-103 CheckBox
Check this box if either plaintiff listed above is doing business under a fictitious name and attach form SC-103.
Check here if any plaintiff is a “licensee” or “deferred deposit originator” (payday lender) under Financial Code sections 23000 et seq CheckBox
Check this box if any plaintiff is a 'licensee' or 'deferred deposit originator' (payday lender) under Financial Code sections 23000 et seq.
Plaintiff (list names) Text
List the names of all plaintiffs involved in the case.
Plaintiff (list names) Text
List the names of the plaintiffs.
Plaintiff's Information
mailing address if different street Text
Enter the plaintiff's mailing address if it is different from their street address.
city Text
Enter the city of the plaintiff's mailing address.
state Text
Enter the state abbreviation (2 letters) for the plaintiff's mailing address.
Max length: 2 characters
zip Text
Enter the ZIP code for the plaintiff's mailing address.
email address if available Text
Enter the plaintiff's email address if available.
name Text
Enter the full name of the plaintiff.
phone Text
Enter the plaintiff's phone number.
street address Text
Enter the street address of the plaintiff.
city Text
Enter the city of the plaintiff's street address.
state Text
Enter the state abbreviation (2 letters) for the plaintiff's street address.
Max length: 2 characters
zip Text
Enter the ZIP code for the plaintiff's street address.
mailing address if different street Text
Enter the plaintiff's mailing address if it is different from their street address.
city Text
Enter the city of the plaintiff's mailing address.
state Text
Enter the state abbreviation (2 letters) for the plaintiff's mailing address.
Max length: 2 characters
zip Text
Enter the ZIP code for the plaintiff's mailing address.
email address if available Text
Enter the plaintiff's email address if available.
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.
Signature Information
date Date
Enter the date.
Plaintiff types or prints name here Text
Type or print the name of the plaintiff here.
date Date
Enter the date.
Second plaintiff types or prints name here Text
Type or print the name of the second plaintiff here.
Trial Information
Trial date 1 Date
Enter the date of the first trial.
Trial time 1 Time
Enter the time of the first trial.
Trial department 1 Text
Enter the department number for the first trial.
Trial Court address 1, if different from above Text
Enter the address of the court for the first trial if it is different from the main court address.
Trial date 2 Date
Enter the date of the second trial.
Trial time 2 Time
Enter the time of the second trial.
Trial department 2 Text
Enter the department number for the second trial.
Trial Court address 2, if different from above Text
Enter the address of the court for the second trial if it is different from the main court address.
Trial date 3 Date
Enter the date of the third trial.
Trial time 3 Time
Enter the time of the third trial.
Trial department 3 Text
Enter the department number for the third trial.
Trial Court address 3 if different from above Text
Enter the address of the court for the third trial if it is different from the main court address.
Venue
(1) Where the defendant lives or does business. (2) Where the plaintiff’s property was damaged. (3) Where the plaintiff was injured. (4) Where a contract (written or spoken) was made, signed, performed, or broken by the defendant or where the defendant lived or did business when the defendant made the contract CheckBox
Check this box if the claim is related to where the defendant lives or does business, where the plaintiff’s property was damaged, where the plaintiff was injured, or where a contract was made, signed, performed, or broken.
Where the buyer or lessee signed the contract, lives now, or lived when the contract was made, if this claim, is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civil Procedure, section 395(b).) CheckBox
Check this box if the claim is about an offer or contract for personal, family, or household goods, services, or loans, and relates to where the buyer or lessee signed the contract, lives now, or lived when the contract was made.
Where the buyer signed the contract, lives now, or lived when the contract was made, if this claim is about a retail installment contract (like a credit card). (Civil Code, section 1812.10.) CheckBox
Check this box if the claim is about a retail installment contract (like a credit card) and relates to where the buyer signed the contract, lives now, or lived when the contract was made.
Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is permanently garaged, if this claim is about a vehicle finance sale. (Civil Code, section 2984.4.) CheckBox
Check this box if the claim is about a vehicle finance sale and relates to where the buyer signed the contract, lives now, lived when the contract was made, or where the vehicle is permanently garaged.
Other CheckBox
Check this box if the venue for the claim is based on another reason not listed.
specify Text
Specify the other reason for the venue if 'Other' is checked.
specify continued Text
Continue specifying the other reason for the venue if more space is needed.