UD-155: UD 155 Form | CA Small Claims

1

p1_caption

Court Info

Case Number

2

item

Name Field

State Bar No

Firm Name

Address

City Field

State Field

Zip Field

Email Field

Check Here

Name Field

State Bar No

Firm Name

Address Field

City

State

Zip

Email

Check Herecb

Address

Apt No

City

State

Zip

Stipand Order

C Jcb

Stipand Order

Stipulation Purpose

Stipcb

Stipulation Purpose

Other Field

Check Here

To Paycb

Decimal Field

Def Amtcb

Def Paidcb

Payment Plan

Cell

Defendant Agrees

Fix Opportunity

On Date

Hour Nos

Days

Dismiss Permanently

Order Request

Until Date

Waive Fees

Pyament Plan

Plaintiff

Days

Grace Period

No Other Adult

Moved Out

check box 11

Biz Days

Delivered Sum

Lawyer By

Def Del Sum

On Date

Delivery Terms

Eviction Writ

3

p2_caption

Case Number

4

p3_caption

Case Number

5

item6cont

6

p4_caption

Case Number

7

item8cnt

8

p5_caption

Case Number

9

item10cnt

10

p6_caption

Case Number

11

item11cnt

12

date_sign

P Date

P Sig Name

D Sig Name

Na Scb

13

p7_caption

Case Number

14

order

15

jud_date

Sig Date

16

mp_last

Warning

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