How to use the "Small Claims Information Form"

To get started, please fill-out all of the following questions regarding your case. 

You'll notice an * asterisk next to all questions that must be answered in order to properly complete your claim. You must be completely accurate when stating the proper legal name for both you (or your company) and the name (or company name) of the defendant (s). There is room on this form for up to three defendants. Should you have more than three defendant's, simply fill-out two forms and E-mail them both.  

Once you have completed this form and clicked the "submit" button, a page will appear that informs you on what will happen next! 

BE SURE TO SEND YOUR CHECK TO OUR OFFICE IMMEDIATELY AFTER THE SUBMISSION OF YOUR FORM.

Customer Information
1.*Name or Company Name
2.*You are suing as an: Other
3.*Address:

 4.*Phone Number:
5.*Fax Number:
6.*E-mail Address:

7.*Name & Title of your Court Representative:
Defendant #1
(It is vital that the defendant vesting is completely accurate)
8.*Name
9. Defendant is a: Individual Corporation Partnership  Other:

10.*Address
(this is the physical address where defendant will be served)

 *Address is a: Residence Business
11. Phone number:
If Defendant is a corporation or partnership, who is/are the Agent's, Officers, Partners:

NOTICE: IF ONLY ONE DEFENDANT, SKIP TO NUMBER # 13
Defendant #2
(It is vital that the defendant vesting is completely accurate)
*Name
Defendant #2 is a: Individual Corporation Partnership Other:

*Address
(this is the physical address where defendant will be served)

 *Address is a: Residence Business

Phone Number:
If Defendant is a corporation or partnership, who is/are the Agent's, Officers, Partners:
Defendant #3
(It is vital that the defendant vesting is completely accurate)
*Name
Defendant #3 is a: Individual Corporation Partnership Other:
*Address
(this is the physical address where defendant will be served)

*Address is a: Residence Business
Phone Number:
12. If Defendant is a corporation or partnership, who is/are the Agent's, Officers, Partners:
13. What is the location of the obligation/contract or location of the accident:
14. *Date debt became due (month/day/year):
15.*$Amount of the claim (do not exceed $5,000):

16.*Briefly describe your claim (in no more than 3 sentences): 
17. *Have you filed more than 12 small claims cases in the last year?: Yes No
18. *Have you attempted to collect this debt and defendant refuses to pay?:
Yes No
19. Do you prefer a morning or afternoon court date?:

20. Comments:
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