To prevent others from viewing what you have entered on your form, please press the Clear This Form button at the end of this form when finished.
NAME, ADDRESS, AND TELEPHONE NUMBER OF PARTY: RESERVED FOR CLERK'S FILE STAMP
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF:
DEFENDANT: CASE NUMBER:
REQUEST FOR CERTIFIED MAIL (SMALL CLAIMS)
I am the Plaintiff Defendant in the above entitled action and hereby request that my claim be served via certified mail addressed as follows:
Party Name: Agent for Service (if applicable): Party or Agent for Service Address: City, State and Zip Code:
________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________
NOTE: The clerk will attempt to serve your claim by certified mail, return receipt requested, restricted delivery (to be signed by addressee only) for a separate fee for each party served. THIS SERVICE IS NOT GUARANTEED TO BE RELIABLE. THERE IS NO REFUND IF THE PARTY IS NOT SERVED. THE COURT WILL NOT NOTIFY YOU AS TO WHETHER OR NOT THE CLAIM HAS BEEN SERVED. You may call the Small Claims Office, or visit the court's website at www.lasuperiorcourt.org, to learn if the party has been served.
Date: ________________________
Name: ___________________________________
Print This Form
SCLA 010 (New) LASC Approved 08-08
_________________________________________ Signature Clear This Form
REQUEST FOR CERTIFIED MAIL (SMALL CLAIMS)
Code Civ. Proc., § 116.340(a)(1)
To protect your privacy, please press the Clear This Form button, when you have finished printing this form.