Civil Action 8/2015 Page 1
SHL
The Self Help Legal Information Network
(310) 675-3863 ** office (310) 675-3853 ** fax
www.legalinfonetwork.com
Civil Action Questionnaire
I am representing myself and providing the following information to
have my documents completed for commencing a civil action, answering
a civil complaint, submitting a general denial or filing a motion in pro
per. I understand if I have any questions, concerns or need legal advice I
may need to contact an attorney. I understand The Self-Help Legal
Information Network are not attorneys and cannot give legal advice or
be responsible for my claims. I understand that I am responsible for
filing and/or serving any necessary documents unless otherwise noted.
NOTE: We provide document preparation and legal research services.
You are responsible for correspondence to opposing counsel or parties,
setting court dates, responding to pleading in a timely manner and all
your court filings. If you are or become confused about any steps in this
process you may need to consult with an attorney for clarification and
then we can complete your documents.
_____________________________________________________ ___________________________
Name Date
____________________________________________________
Signature
click to sign
signature
click to edit
Civil Action 8/2015 Page 2
QUESTIONS FOR DOCUMENTS PREPARED ON PLEADING
PAPER
MOTIONS / ANSWERS TO COMPLAINTS/ GENERAL
DENIALS OR CIVIL ACTIONS
1.) What document(s) would you like to have completed?
Motion / Answer to Complaint / Civil Complaint / General Denial
2.) If Motion what type?
Motions to set aside Default & Default Judgment
Motion to Quash service of Summons
Motion to stay . . . Other ___________________________________________
3.) If Civil Complaint, what is/are your Cause(s) of action? Please list
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
4. ______________________________________________________________________
5. ______________________________________________________________________
6. ______________________________________________________________________
4.) Name the Plaintiff(s)?__________________________________________________
_______________________________________________________________________
5.) Name the Defendant(s)? _________________________________________________
________________________________________________________________________
6.) Please state the Plaintiff(s) phone # and full address? (______) _______- __________
address _________________________________________________________________
________________________________________________________________________
please list all other plaintiff(s) on an attached sheet.
7.) Please state the Defendant(s) phone # and full address? (______) ______-_________
________________________________________________________________________
Civil Action 8/2015 Page 3
________________________________________________________________________
8.) Is other party represented by an attorney? Yes No If so please provide a
copy of the documents with their information.
9.) Case # ________________________________
Name of person completing this form _________________________________________
Please briefly explain the nature of your problem – (then you can discuss in detail in
person)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How much are you suing for?________________________________________________
please attach additional sheets as necessary.
PLEASE NOTE: This questionnaire is meant for litigants who are representing
themselves -we cannot - give you legal advice, coach you, go with you to court or tell
you your rights we canprepare your legal forms or documents for you under your
direction and perform legal research.
You are responsible for your court filing, communication to opposing counsel or the
other party, and all contact with court. We are Legal Document Assistants to assist you
with your document preparation needs.
If you have legal concerns or questions you may need the assistance of an attorney.
We will need a complete copy of your case if it is active.
Please review the attached sheets of causes of action, affirmative defenses or motions.