Small Claims Intake Small Claims Intake FormΔ First NameLast NameAre you the Plaintiff (claiming) or Defendant (being sued) Plaintiff (I am making a claim) Defendant (I have been sued)Type of Dispute– Select –Unpaid Invoice/DebtBreach of ContractProperty DamageSecurity DepositContractor DisputeProduct/Service DisputeVehicle DamagePersonal LoanOtherApproximate Amount of the Claim– Select –Under $5,000,$5,000–$15,000$15,001–$35,000$35,001–$50,000Who is the other party? Individual Business/Company BothName of the other party (if Known)Did you have a written contract? Yes No Verbal Agreement OnlyHave you sent a demand letter? Yes NoHas a claim already been filed in court? Yes NoIf yes, what is the court file number? Next court date (if applicable)Briefly describe the disputeI confirm this information is accurate yesSubmit Form