Fill and Sign the California Claim Claims Form

Clerk stamps date here when form is filed. Notice to the person being sued: • You are being sued by the person you are suing. • You must go to court on the trial date listed below. If you do not go to court, you may lose the case. • If you lose, the court can order that your wages, money, or property be taken to pay this claim. • Bring witnesses, receipts, and any evidence you need to prove your case. • Read this form and all pages attached, to understand the claim against Fill in court name and street address: you and to protect your rights. Superior Court of California, County of Aviso al demandado:       • La persona que ha demandado lo está demandando a usted.       • Tiene que presentarse a la corte en la fecha de su juicio indicada       a continuación. Si no se presenta, puede perder el caso.       Fill in case number and case name: • Si pierde el caso la corte puede ordenar que le quiten de su sueldo, dinero u Case Number: otros bienes para pagar este reclamo.       • Lleve testigos, recibos y cualquier otra prueba que necesite para probar Case Name: su caso.       • Lea este formulario y todas las páginas adjuntas, para entender la demanda en su contra y para proteger sus derechos. Order to Go to Court The people in 1 and 2 must go to court: (Clerk fills out section below.) Trial  Date Time Department Name and address of court if different from above Date 1.                         2.                         3.                         Date:       Clerk, by       , Deputy Instructions for the person suing: • Before you fill out this form, read Form SC-150, Information for the Plaintiff (Small Claims), to know your rights. Get SC-150 at any courthouse or county law library, or go to: www.courtinfo.ca.gov/forms • Fill out pages 2 and 3 of this form. Then make copies of all pages of this form. (Make 1 copy for each party named in this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk’s office and pay the filing fee. The clerk will write the date of your trial in the box above. • You must have someone at least 18—not you or anyone else listed in this case—give each Defendant a court- stamped copy of all 5 pages of this form and any pages this form tells you to attach. There are special rules for “serving,” or delivering, this form to public entities, associations, and some businesses. See Forms SC-104, SC- 104B, and SC-104C . • Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. Judicial Council of California, www.courtinfo.ca.gov SC-120, Page 1 of 3 Revised July 1, 2007, Mandatory Form -------- > Code of Civil Procedure, § 116.110 et seq. electronic form  2005-7 WWW.LawCA.com Law PublishersSC-120 Defendant’s Claim and ORDER to Go to Small Claims Court Defendant’s Claim and ORDER to Go to Small Claims Court (Small Claims) Case Number:       Defendant (list names):       1 The Plaintiff (the person, business, or public entity that sued first) is: Name:       Phone:(     )       Street address:       Street City State Zip Mailing address (if different):       Street City State Zip If more than one Plaintiff, list next Plaintiff here: Name:       Phone:(     )       Street address:       Street City State Zip Mailing address (if different):       Street City State Zip Check here if more than 2 Plaintiffs and attach Form SC-120A. Check here if any Plaintiff is on active military duty and write his or her name here :       2 The Defendant (the person, business, or public entity suing now) is: Name:       Phone:(     )       Street address:       Street City State Zip Mailing address (if different):       Street City State Zip If more than one Defendant, list next Defendant here: Name:       Phone:(     )       Street address:       Street City State Zip Mailing address (if different):       Street City State Zip Check here if more than 2 Defendants and attach Form SC-120A. Check here if either Defendant listed above is doing business under a fictitious name. If so, attach Form SC-103. 3 The Defendant claims the Plaintiff owes $       . (Explain below): a. Why does the Plaintiff owe the Defendant money?             b. When did this happen? (Date):       If no specific date, give the time period: Date started:       Through:       c. How did you calculate the money owed to you? (Do not include court costs or fees for service.)             Check here if you need more space. Attach one sheet of paper or Form MC-031 and write “SC-120, Item 3” at the top. Revised July 1, 2007 Defendant’s Claim and ORDER to Go to SC-120, Page 2 of 3 Small Claims Court -------- > (Small Claims) Case Number:       Defendant (list names):       4 You may ask the Plaintiff (in person, in writing, or by phone) to pay you before you sue. Have you done this? Yes No 5 Is your claim about an attorney-client fee dispute? Yes No If yes, and if you have had arbitration, fill out Form SC-101, attach it to this form, and check here: 6 Are you suing a public entity? Yes No If yes, you must file a written claim with the public entity first. A claim was filed on (date):       If the public entity denies your claim or does not answer within the time allowed by law, you can file this form. 7 Have you filed more than 12 other small claims within the last 12 months in California? Yes No If yes, the filing fee for this case will be higher. 8 I understand that by filing a claim in small claims court, I have no right to appeal this claim.  If I do not have enough money to pay for filing fees or service, I can ask the court to waive those fees.  I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in California during this calendar year.. . I declare, under penalty of perjury under California State law, that the information above is true and correct. Date:             Defendant types or prints name here Defendant signs here Date:             Second Defendant types or prints name here Second Defendant signs here Requests for Accommodations Assistive listening systems, computer-assisted, real-time captioning, or sign language interpreter services are available if you ask at least 5 days before the trial. Contact the clerk’s office for Form MC-410, Request for Accommodations by Persons With Disabilities and Order . (Civil Code, § 54.8.) ? Your county’s Small Claims Advisor can help for free. Need help? Or go to “County-Specific Court Information” at: www.lawca.com Revised July 1, 2007 Defendant’s Claim and ORDER to Go to SC-120, Page 3 of 3 Small Claims Court (Small Claims)