I served the person in a copy of the documents checked below:
SC-100, Plaintiff’s Claim and ORDER to Go to Small Claims Court
a.
b.
SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court
c.
Order for examination (This form must be personally served. Check the form that was served):
d.
Other (specify):
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• Give a copy of all the documents checked in to one of the following people:
a. A competent adult (at least 18) living with, and at the home of the person in , or
b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in , or
c. An adult (at least 18) who seems to be in charge where the person in usually receives mail
(but not a U.S. Post Office box), if there is no known physical address for the person in .
and mail a copy of the documents left with one of the adults in a, b, or c above to the person in .
SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(1)
AT-138/EJ-125, Application and Order for Appearance and Examination
(2)
Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for
examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court.
To serve a business, you must serve one of the following people:
• Any person authorized for service with the Secretary of State (corporation,
association, limited liability company [LLC], limited liability partnership
[LLP], limited partnership)
• Clerk (of a city or county)
• Chief officer or director (of a public agency)
To serve a public entity, you must first file a claim with that entity, then
serve one of the following people:
SC-104
Proof of Service
• Owner (for a sole proprietorship)
b. If you are serving a business or entity, write the name of the business
or entity, the person authorized for service, and that person’s job title:
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SC-104, Page 1 of 2
Judicial Council of California, www.courtinfo.ca.gov
Revised January 1, 2009, Optional Form
Code of Civil Procedure, §§ 116.340, 415.10, 415.20
Proof of Service
(Small Claims)
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Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Case Number:
Fill in case number, case name, hearing date,
day, time, and department below:
Instructions to Server:
Use this form to serve a person, a business, or a public entity. To learn more
about proof of service, read What Is "Proof of Service"?, Form SC-104B. To
learn more about how to serve a business or entity, read How to Serve a
Business or Public Entity, Form SC-104C.
• Any officer or general manager (corporation or association)
• Any person authorized for service by the business (corporation, association,
general partnership, limited partnership)
Case Name:
a. If you are serving a person, write the person’s name below:
THEN
• Complete and sign this form, and
• Give or mail your completed form to the person who asked you to serve these court papers, in time for
the form to be filed with the court at least 5 days before the hearing.
• Any person authorized for service by the entity
• Partner (for a partnership) or general partner (for a limited partnership)
Hearing Date:
Time:
Dept.:
You must be at least 18 years old and not be named in this case. Follow these steps:
• Give a copy of all the documents checked in to the person in , or
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Business or Agency Name
Person Authorized for Service Job Title
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seeing what you entered on
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end of the form when finished.