Small Claims Intake Form

Use this small claims intake to get started. It takes about 10 minutes and gathers what is needed to prepare your complaint or answer.

Before You Start Your Small Claims Intake

Have the full legal name and address of the person or business involved.
Gather receipts, contracts, texts, photos and anything that supports the amount.
Do not enter Social Security numbers or full account numbers.

Your full legal name *

First

Last

Mailing address (street, city, state, ZIP) *

Phone number *

Email address *

Are you filing a claim or responding to one? *

Filing a claim
Responding to a claim against me

Full name of the other person or business *

Their address, if known

Amount claimed *

Which court? *

What happened? Please describe the dispute. *

When did it happen? *

Have you sent a written demand for payment? *

What evidence do you have?

Hearing date, if a case is already filed

Anything else I should know?

Acknowledgment *

I understand Yuri Notary is not an attorney, cannot give legal advice, and will prepare documents at my direction based on the information I provide. Nothing is filed or recorded until I review and sign my documents.

Yuri Notary is not an attorney and cannot give legal advice. Documents are prepared at your direction. Submitting this form does not create an attorney client relationship.