SC-105A, Page 1 of 1
Judicial Council of California, www.courts.ca.gov
New January 1, 2007, Optional Form
Code of Civil Procedure, §§ 116.130(h); California Rules of Court, rule 3.2107
Order on Request for Court Order
(Small Claims)
2
1
The court makes the following orders:
The court has received and considered (check all that apply):
Requests for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign
language interpreter services are available if you ask at least 5 days before the hearing. Contact the clerk’s office for
Request for Accommodations by Persons With Disabilities and Response (Form MC-410). Civil Code, § 54.8
This is a Court Order.
e.
d.
a.
b.
c.
A hearing on this request is scheduled as follows:
Request for Court Order and Answer, Form SC-105 (page 1)
filed on:
Answer on Request for Court Order and Answer, Form SC-105 (page 2)
filed on:
Other (specify):
The request is granted.
The request is denied.
You must go to court if you want to be heard.
Bring evidence to the hearing to support your request.
Other orders
(specify):
Explanation for decision (if any):
SC-105A
Order on Request for
Court Order (Small Claims)
Clerk stamps date here when form is filed.
Clerk fills in court name and street address:
Superior Court of California, County of
Clerk fills in case number and case name below:
Case Number:
Case Name:
Need help?
For free help, contact your county’s Small
Claims Advisor:
Or, go to “County-Specific Court Information” at:
www.courtinfo.ca.gov/selfhelp/smallclaims
?
I certify that I am not involved in this case and (check one):
This Order was mailed first class, postage paid, to all
parties at the addresses listed in and on the Request
for Court Order and Answer.
A Certificate of Mailing is attached.
On (date):
From (city):
, California
, Deputy
Clerk, by
21
(Judge or Judicial Officer)
— Clerk’s Certificate of Mailing —
Date:
f.
Hearing
Date
Date Time
Dept.
Name and address of court if different from above
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
