Which of these best describes your situation_radio_select
*
Tenant/Landlord Dispute
Personal Injury
Stolen Property
Damaged Property
Debt Collection
Auto Repair
Poor Construction
Product Defect
Broken Verbal Promise
Broken Contract
Attorney/Client Fee
Public Entity
Is this a ongoing issue_radio_select
*
Yes
No
Start Date
Date of Incident
*
statute of limitations_radio_select
*
Exceeded
Active
Terms and condition
*
I agree
Are you suing as a business_radio_select
*
Yes, I’m filing this claim a business.
No, I’m filing this claim as an individual.
Please Enter Name of Authorized Agent
Choose your Business Type_radio_select
*
Sole Proprietor DBA
Corp, Inc, Ltd, LLC, or LP
General Partnership
Small claims - Business Name Registered with the County
*
Business Address (not a P.O. Box)
*
The Business is a_radio_select
*
an_individual
a_corp
a_llc
a_partner
Other
Fictitious Business (Specify)
County Where the Fictitious Business Name is Filed:
*
Fictitious Business Name Statement Number:
*
Expiration Date of Statement:
*
Which courthouse your claim needs to be filed with_radio_select
*
1
2
3
4
Other
Specify the other Courte house
Courthouse- city
*
Courthouse- logic location
*
Courthouse- zip code
*
Courthouse- state
*
Courthouse- Court Branch Name
*
Courthouse- Court Address
*
Courthouse- county
*
Full Name or Business Name of Plaintiff
*
Small Claims - Plaintiffs Phone Number (text)
*
Small Claims - Plaintiffs Email address
*
Small Claims - Plaintiffs Street address
*
Small Claims - Plaintiffs City
*
Small Claims - Plaintiffs State
*
Small Claims - Plaintiffs zip code
*
mailing address is same as street address for plaintiff
true
null
Small Claims - Plaintiff Mailing address
Small Claims - Plaintiff Mailing City
Small Claims - Plaintiff Mailing State
Small Claims - Plaintiff Mailing Zip code
Are there multiple plaintiffs Radio Select
*
Yes
No
Number of Plaintiffs radio select
1
2
3
4
5
Additional Plaintiffs 1 Full Name or Business Name
*
Additional Plaintiffs 1 Phone Number (text)
*
Additional Plaintiffs 1 Email Address
*
Additional Plaintiff 1 Street Address
*
Additional Plaintiff 1 City
*
Additional Plaintiff 1 State
*
Additional Plaintiff 1 Zip code
*
Plaintiffs 1 same address for mailing address
true
null
Plaintiffs 1 Mailing address
Plaintiffs 1 Mailing city
Plaintiffs 1 Mailing State
Plaintiffs 1 Mailing zipcode
Additional Plaintiffs 2 Full Name or Business Name
Additional Plaintiffs 2 Email Address
Additional Plaintiffs 2 Phone Number
Additional Plaintiff 2 Street Address
Additional Plaintiff 2 City
Additional Plaintiff 2 State
Additional Plaintiff 2 Zip Code
Plaintiffs 2 same address for mailing address
true
null
Plaintiffs 2 Mailing address
Plaintiffs 2 Mailing city
Plaintiffs 2 Mailing State
Plaintiffs 2 Mailing zipcode
Additional Plaintiffs 3 Full Name or Business Name
Additional Plaintiffs 3 Email Address
Additional Plaintiffs 3 Phone Number
Additional Plaintiff 3 Street Address
Additional Plaintiff 3 City
Additional Plaintiff 3 State
Additional Plaintiff 3 Zip Code
Plaintiffs 3 same address for mailing address
true
null
Plaintiffs 3 Mailing address
Plaintiffs 3 Mailing city
Plaintiffs 3 Mailing State
Plaintiffs 3 Mailing zipcode
Additional Plaintiffs 4 Full Name or Business Name
Additional Plaintiffs 4 Email Address
Additional Plaintiffs 4 Phone Number
Additional Plaintiff 4 Street Address
Additional Plaintiff 4 City
Additional Plaintiff 4 State
Additional Plaintiff 4 Zip Code
Plaintiffs 4 same address for mailing address
true
null
Plaintiffs 4 Mailing address
Plaintiffs 4 Mailing city
Plaintiffs 4 Mailing State
Plaintiffs 4 Mailing zipcode
Additional Plaintiffs 5 Full Name or Business Name
Additional Plaintiffs 5 Email Address
Additional Plaintiffs 5 Phone Number
Additional Plaintiff 5 Street Address
Additional Plaintiff 5 City
Additional Plaintiff 5 State
Additional Plaintiff 5 Zip Code
Plaintiffs 5 same address for mailing address
true
null
Plaintiffs 5 Mailing address
Plaintiffs 5 Mailing city
Plaintiffs 5 Mailing State
Plaintiffs 5 Mailing zipcode
Is the Defendant a Corporation, LLC, or public entity radio select
*
Yes
No
Full Name or Business Name of Defendant
*
Small Claims - Defendant Phone Number (Text)
*
Small Claims - Defendant Street Address
*
Small Claims - Defendant City
*
Small Claims - Defendant State
*
Small Claims - Defendant Zip code
*
Defendant Mailing Address same as Street Address
true
null
Small Claims - Defendant Mailing Address
Small Claims - Defendant Mailing City
Small Claims - Defendant Mailing State
Small Claims - Defendant Mailing Zip Code
Defendant - Name of Registered Agent for Service:
Defendant - Agent's Job Title (if known):
Defendant - Registered Agent Address
Defendant - Registered Agent City
Defendant - Registered Agent State
Defendant - Registered Agent Zip-Code
Defendant Is the Defendant on active military duty?
*
Yes
No
Are there multiple defendants radio select
*
Yes
No
Number of Defendants radio select
*
1
2
3
4
5
Is the Defendant 1 a Corporation, LLC, or public entity
*
Yes
No
Additional Defendants 1 Full Name or Business Name
*
Additional Defendants 1 Phone Number
Additional Defendants 1 Street Address
*
Additional Defendants 1 City
*
Additional Defendants 1 State
*
Additional Defendants 1 Zip code
*
defendant 1 mailing address same as street address
*
true
null
defendant 1 mailing address
defendant 1 mailing city
defendant 1 mailing state
defendant 1 mailing zipcode
defendant 1 military duty?
*
Yes
No
Defendant 1 Registered Agent Name
Defendant 1 Registered Agent title
Defendant 1 Registered Agent Address
Defendant 1 Registered Agent city
Defendant 1 Registered Agent State
Defendant 1 Registered Agent zipcode
Is the Defendant 2 a Corporation, LLC, or public entity
Yes
No
Additional Defendants 2 Full Name or Business Name
Additional Defendants 2 Phone Number
Additional Defendants 2 Street Address
Additional Defendants 2 City
Additional Defendants 2 State
Additional Defendants 2 Zip code
defendant 2 mailing address same as street address
true
null
defendant 2 mailing address
defendant 2 mailing city
defendant 2 mailing state
defendant 2 mailing zipcode
defendant 2 military duty?
Yes
No
Defendant 2 Registered Agent Name
Defendant 2 Registered Agent title
Defendant 2 Registered Agent Address
Defendant 2 Registered Agent city
Defendant 2 Registered Agent State
Defendant 2 Registered Agent zipcode
Is the Defendant 3 a Corporation, LLC, or public entity
Yes
No
Additional Defendants 3 Full Name or Business Name
Additional Defendants 3 Phone Number
Additional Defendants 3 Street Address
Additional Defendants 3 City
Additional Defendants 3 State
Additional Defendants 3 Zip code
defendant 3 mailing address same as street address
true
null
defendant 3 mailing address
defendant 3 mailing city
defendant 3 mailing state
defendant 3 mailing zipcode
defendant 3 military duty?
Yes
No
Defendant 3 Registered Agent Name
Defendant 3 Registered Agent title
Defendant 3 Registered Agent Address
Defendant 3 Registered Agent city
Defendant 3 Registered Agent State
Defendant 3 Registered Agent zipcode
Is the Defendant 4 a Corporation, LLC, or public entity
Yes
No
Additional Defendants 4 Full Name or Business Name
Additional Defendants 4 Phone Number
Additional Defendants 4 Street Address
Additional Defendants 4 City
Additional Defendants 4 State
Additional Defendants 4 Zip code
defendant 4 mailing address same as street address
true
null
defendant 4 mailing address
defendant 4 mailing city
defendant 4 mailing state
defendant 4 mailing zipcode
defendant 4 military duty?
Yes
No
Defendant 4 Registered Agent Name
Defendant 4 Registered Agent title
Defendant 4 Registered Agent Address
Defendant 4 Registered Agent city
Defendant 4 Registered Agent State
Defendant 4 Registered Agent zipcode
Is the Defendant 5 a Corporation, LLC, or public entity
Yes
No
Additional Defendants 5 Full Name or Business Name
Additional Defendants 5 Phone Number
Additional Defendants 5 Street Address
Additional Defendants 5 City
Additional Defendants 5 State
Additional Defendants 5 Zip code
defendant 5 mailing address same as street address
true
null
defendant 5 mailing address
defendant 5 mailing city
defendant 5 mailing zipcode
defendant 5 mailing state
defendant 5 military duty?
Yes
No
Defendant 5 Registered Agent Name
Defendant 5 Registered Agent title
Defendant 5 Registered Agent Address
Defendant 5 Registered Agent city
Defendant 5 Registered Agent State
Defendant 5 Registered Agent zipcode
Amount You Are Suing For
*
$
Reason for the Claim
*
How Was the Amount Calculated? (Breakdown of Costs, Damages, or Losses):
*
Did You Ask the Defendant to Pay Before Filing This Case radio select
*
Yes
No
Explain why You didn't Ask the Defendant to Pay
Have you filed more than 12 small claims cases in the past 12 months radio select
*
Yes
No
Have you already filed more than two cases for more than $2,500 in this calendar year radio select
*
Yes
No
What did the arbitrator decide select
*
1
2
Amount attorney or client must pay the other party
$
Date the Notice of Award was mailed
*
What are you asking the judge to do select
*
1
2
3
4
Correct the award due to select
1
2
3
Vacate (cancel) the award because select
1
2
3
4
5
6
If you selected to correct or vacate the award, please provide an explanation
Did you (or your attorney) attend the arbitration hearing select
*
Yes
No
please explain why you didn't attended the arbitration hearing
Have you attached a copy of the Arbitration Agreement and the Notice of Award Select
Yes
No
please explain why you haven't attached a copy of the Arbitration Agreement and the Notice of Award
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