EFS-006: EFS 006 Form | CA Small Claims

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Case Number Ft

Jud Ofcr Ft

Dept Ft

Atty Bar No

Name

Atty Firm

Street

City

State

Zip

Phone

Fax

Email

Atty For

Crt County

Crt Street

Crt Mailing Add

Crt City Zip

Crt Branch

Party

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Party Def Cb

Plaintiff Cb

Plaintiff Name Ft

Defendant Cb

Defendant Name Ft

Petitioner Cb

Petitioner Name Ft

Respondent Cb

Respondent Name Ft

Other Cb

Other Name Ft

T

Withdrawal Effective Date Dt

Other Specify Tf

T

Other Specify Tf

T

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sig_date

Sig Date

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sig_name

Sig Name

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Case Number

Party

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po_ps_ig_date

Po Ps Ig Date

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po_p_sig_name

Po P Sig Name