This form contains 47 fields organized into 16 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Clerk's Certificate of Mailing
Certificate of Mailing is attached Checkbox
Check this box if a separate Certificate of Mailing document is attached to this form.
Request for Court Order and Answer mailed (first class, postage paid) Checkbox
Check this box if the clerk mailed the Request for Court Order and Answer by first-class mail, postage paid, to all parties at the addresses listed in item (2).
Clerk's Certificate of Mailing Date Date
Enter the date the clerk mailed the Request for Court Order and Answer to the parties.
Clerk's Mailing City Text
Enter the California city from which the clerk mailed the documents.
Deputy Clerk Name Text
Enter the name of the deputy clerk who is completing the Clerk’s Certificate of Mailing.
Court and Case Information
Court Name and Street Address Text
Enter the full name of the court and its street address where the case is filed.
Case Number Text
Enter the court-assigned case number for this small claims matter.
Case Name Text
Enter the case name as it appears on court records (for example, plaintiff v. defendant).
Court Name and Street Address Text
Enter the name of the court and its street address where this case is filed.
Case Number Text
Enter the court-assigned case number for this small claims case.
Case Name Text
Enter the case name as shown on court documents (for example, plaintiff name vs. defendant name).
Date and Printed Name
Date Date
Enter the date you are signing and submitting this request.
Printed Name Text
Type or print your full name as the person signing this form.
Declaration Date and Printed Name (Item 10)
Item 10 Declaration Date Date
Enter the date you are signing and making the declaration under penalty of perjury.
Item 10 Printed Name Text
Type or print your full name as the person making the declaration.
Disagreement Explanation (Item 8b)
Item 8b Disagreement Explanation Text
Provide an explanation of why you do not agree with the order requested in item 3. Fill only if 'Item 8b - I do not agree to the order requested in (3)' is 'Yes'.
Depends on: Item 8b - I do not agree to the order requested in (3)
Item 8b - Need more space (attach additional pages) Checkbox
Check this box if you need more space to explain why you do not agree with the order requested in item 8b and will attach form MC-031 or a plain sheet of paper labeled “SC-105, Item 8.”
First Notice Recipient (Row a)
First Notice Recipient (Row a) - Name Text
Enter the full name of the first person or entity to be notified (recipient listed in row a).
First Notice Recipient (Row a) - Address Text
Enter the complete mailing address for the first notice recipient listed in row a.
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
Mailing Date to Parties (Item 9)
Item 9 Mailing Date to Parties Date
Enter the date you mailed a copy of this form to everyone listed in items 1 and 2.
Notice To Additional Space Request
Check here if you need more space (Item 2) Checkbox
Check this box if you need additional space to list more names and addresses for the “Notice to” section (Item 2) on an attachment sheet.
Person Filing This Answer
Person Filing This Answer - Name Text
Enter the full name of the person who is filing this Answer.
Person Filing This Answer - Address Text
Enter the mailing address of the person who is filing this Answer.
A defendant in this case Checkbox
Check this box if the person filing this Answer is a defendant in the case.
A plaintiff in this case Checkbox
Check this box if the person filing this Answer is a plaintiff in the case.
Reason for Request (Item 4)
Item 4 - Reason for Request Text
Explain why you are asking the court to make this order and provide the facts supporting your request.
Item 4: Check here if you need more space Checkbox
Check this box if you need additional space to explain the reasons and facts for your request in Item 4 and will attach extra pages (e.g., form MC-031 or a plain sheet labeled “SC-105, Item 4”).
Request Response Selection (Item 8)
Item 8a - I agree to the order requested in (3) Checkbox
Check this box if you agree to the court order requested in item (3).
Item 8b - I do not agree to the order requested in (3) Checkbox
Check this box if you do not agree to the court order requested in item (3) and will explain why below.
Item 8c - I ask the court to have a hearing to decide this matter Checkbox
Check this box if you want the court to schedule a hearing to decide the request.
Requested Court Order (Item 3)
Item 3 - Requested Court Order Text
Describe the specific court order you are asking the court to make.
Item 3 - Check here if you need more space Checkbox
Check this box if you need additional space to describe the court order you are requesting in Item 3 and will attach form MC-031 or a separate sheet labeled “SC-105, Item 3.”
Requester Information and Party Type
Requester Name Text
Enter the full name of the person asking the court to make the order.
Requester Address Text
Enter the mailing address of the person asking the court to make the order.
A defendant in this case Checkbox
Check this box if the person asking the court to make an order is a defendant in this case.
A plaintiff in this case Checkbox
Check this box if the person asking the court to make an order is a plaintiff in this case.
Other (explain) Checkbox
Check this box if the person asking the court to make an order is neither a plaintiff nor a defendant, and provide an explanation.
Requester Party Type - Other Explanation Text
If you selected “Other,” describe the requester’s role or party type in the case. Fill only if 'Other (explain)' is 'Yes'.
Depends on: Other (explain)
Second Notice Recipient (Row b)
Row b Recipient Name Text
Enter the full name of the second person/entity to receive notice (row b).
Row b Recipient Address Text
Enter the complete mailing address for the second notice recipient (row b).
Service Method and Service Date
Mailed Checkbox
Check this box if you served a copy of this form by mail to everyone listed in item 2.
Delivered in person Checkbox
Check this box if you personally delivered a copy of this form to everyone listed in item 2.
Service Date Date
Enter the date you mailed or delivered in person a copy of this form to everyone listed in item 2. Fill only if 'Mailed', 'Delivered in person' is 'Yes' (any field).
Depends on: Mailed, Delivered in person