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FL-172: FL 172 Form | CA Small Claims
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FL-172
General
Fillable PDF
FL 172 Form
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1
general
County
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
Mailing
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
Branch
Plaintiff
Petitioner
Defendant
Respondent
Party
Other
Department
Assignment
Nullity
Parentage
$
Other
Dissolution
Department
Other
Date
B
Attach
check box 05
A
B
C
D
E
F
G
check box 06
Case Number
C
D
E
B
F
check box 09
A
B
Date
A
B
A
C
B
check box 12
fill text 12
fill text 13
2
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
3
legal
Separation
4
judicial
Officer
5
a
A
A
A
A
Casenumber
Termination
Personal
Publication
Notice
Substituted
Other
A
Date
Petitioner
Respondent
Name
6
c
C
C
C
C
C
C
C
Casenumber
Date
Petitioner
Respondent
7
name
Name
Name
Name
Name
Name
8
dob
Dob
Dob
Dob
Dob
Dob
9
age
Age
Age
Age
Age
Age
10
gender
Gender
Gender
Gender
Gender
Gender
11
g
Casenumber
12
b
Casenumber
Status
Petitioner
Respondent
13
d
Casenumber
Petitioner
Respondent
Other
Ordered
Report
D
14
e
Casenumber
15
f
Casenumber
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