Fill and Sign the Sc 112a Proof of Service by Mail Small Claims Form

Proof of Service by Mail (Sm all C laims ) SC-112A Case Number: Proof of Service by Mail This form is atta ched to the docume nt chec ked in d belo w. Se rver’s info rmatio n Name: Phone: Street or mailing address: Ci ty: St ate: Zip Code: Check here if you are a registered process se rver, a nd write: County where registered: Registration #: Form o r doc umen t se rv ed a. b. c. d. e. f. g. Form SC-105, Request for Cour t Order and Answe r Form SC-109, Authorization to Appear Form SC-114, Request to Amend Claim Before Hearing Form SC-133, Judgme nt Debtor’s Statement of Asse ts Form SC-150, Request to Postpone Trial Form SC-221, Response to Request to Make Payments Other do cument al lowed to be serv ed by mail (specify): Check here if there is not enough space below to list th e d ocumen t served. List t he document on a separate page, and writ e “S C-112A, Item 2” at the top. Se rver’s dec laratio n a. I am 18 or older. I am not a party to thi s small claims case. I li ve or wo rk i n the county where I did the mailing de scribed below. New July 1, 2010, Optiona l Form Cal. Rules of Cou rt, rule 3.2107 SC-1 12A I placed c opies of th e doc ument c hecked in d and an unsigned copy of this page in a seale d envelope, addressed as follows: b. Check here if there is not enough space below to list all parti es served. List their names and addresses on a separate page, and wri te “S C-112A, It em 3” at the top. Name of party served Mail ing address on the en velope On (date of mai ling) : , I placed each envelo pe in the ma il, with pos tage pa id, at (city and sta te of mail ing): c. I declare un der pe nalty of p erju ry un de r the laws of the State of California tha t the info rmation abov e is tru e and correct. e c d Date: Type or print s erve r’s nam e Ser ver signs her e Se e instructions on other side. Judicia l Cou ncil of Cali fornia Instructions for Proof of Service by Mail (Small Claims) New July 1, 2010 SC-112A Instructions for Form SC-112A, Proof of Service by Mail (This page is not part of the Proof of Service and does not need to be copied, served, or filed.) Form SC-112A can be used to show the court that these documents were served by mail: • Form SC-105, Request for Court Order and Answer • Form SC-109, Authorization to Appear • Form SC-114, Request to Amend Claim Before Hearing • Form SC-133, Judgment Debtor’s Statement of Assets • Form SC-150, Request to Postpone Trial • Form SC-221, Response to Request to Make Payments • Other documents that are allowed to be served by mail Form SC-112A cannot be used to prove service of these forms: • Form SC-100, Plaintiff’s Claim and ORDER to Go to Small Claims Court • Form SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court 4. File these papers with the small claims court clerk: • The original of each document served, with • The signed, original Proof of Service by Mail attached 3. Ask the server to: • Fill out the remainder of the Form SC-112A. • Mail each party to be served: - An unsigned copy of the competed Form SC-112A and - The document to be served (checked in Item d ). • Sign a separate Form SC-112A for each document served, and give it to back you. 2. Give the server: • The partially completed Form SC-112A • One copy of the document to be served for each party to be served *Prepare a separate Form SC-112A for each document to be served. 1. Prepare Form SC-112A by filling in: • The case number • The document to be served, in item d * • The names and addresses of the parties to be served, in item e The server (the person who will do the mailing): • Must not be a party (plaintiff or defendant) in the case • May be a friend, relative, co-worker, or other helpful person • Must be 18 or older • Must live or work in the county where the mailing takes place Follow these steps to use Form SC-112A: For information about serving these forms, see Form SC-104, Proof of Service, and Form SC-104B, What Is “Proof of Service”? Need help? For free help, contact your county’s small claims advisor: [local info here] Or go to “County-Specific Court Information” at www.courtinfo.ca.gov/selfhelp/smallclaims.