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EM-130: EM 130 Form | CA Small Claims
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EM-130
General
Fillable PDF
EM 130 Form
Guided
One question at a time
Sections
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Full form
All fields at once
1
warning_g_iven
Warning G Iven
2
p1_caption
Atty Bar No
Name
Atty Firm
Street
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
City
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Phone
Fax
Email
Atty For
Crt County
Crt Street
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt Mailing Add
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt City Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt Branch
Party1 Ft
Case Number
3
date_field
Date Field
Date Field
Date Field
4
fill_text
fill text 1
Field 2
Field 3
Field 4
5
checkbox
Field 1
Field 2
6
pet_atty_name
Pet Atty Name
7
petitioners_atty
Petitioners Atty
8
petitioner
Petitioner
9
mother_atty_name
Mother Atty Name
10
mothers_atty
Mothers Atty
11
mother
Mother
12
father_atty_name
Father Atty Name
13
father_atty
Father Atty
14
father
Father
15
prob_ofcr_name
Prob Ofcr Name
16
prob_ofcr
Prob Ofcr
17
other_name_rel
Other Name Rel
18
other
Other
19
dist_atty_name
Dist Atty Name
20
dist_atty
Dist Atty
21
cty_counsel_name
Cty Counsel Name
22
cty_counsel
Cty Counsel
23
soc_worker_name
Soc Worker Name
24
soc_worker
Soc Worker
25
notice_g_iven
Notice G Iven
26
warning_mother
Warning Mother
27
warning_father
Warning Father
28
t
T
T
29
print_bt
Print Bt
30
save_bt
Save Bt
31
reset_bt
Reset Bt
Submit form