SC-100A 1 Other Plaintiffs or Defendants Case Number: This form is attached to form SC-100, item 1 or 2. If more than two plaintiffs (person, business, or entity suing), list their information below: Other plaintiff's name: Street address: City: State: Zip: Zip: Yes No If yes, attach form SC-103. Phone: State: State: Zip: Zip: Mailing address (if different): City: State: Is this plaintiff doing business under a fictitious name? Other plaintiff's name: Street address: City: Mailing address (if different): City: Phone: Yes No If yes, attach form SC-103. Is this plaintiff doing business under a fictitious name? Check here if more than 4 plaintiffs and fill out and attach another form SC-100A. 2 If more than one defendant (person, business, or entity being sued), list their information below: Other defendant's name: Street address: Phone: City: State: Zip: Mailing address (if different): City: State: Zip: If this defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process: Name: Job title, if known: Address: City: State: Zip: Check here if your case is against more than two defendants, and fill out and attach another form SC-100A. Yes No Is your claim for more than $2,500? If yes, I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in California during this calendar year. 3 4 I understand that by filing a claim in small claims court, I have no right to appeal this claim. I declare under penalty of perjury under California state law that the information above and on any attachments to this form is true and correct. Date: Type or print your name Date: Type or print your name Judicial Council of California, www.courts.ca.gov Revised January 1, 2017, Mandatory Form Code of Civil Procedure, § 116.110 et seq. Sign your name Sign your name Other Plaintiffs or Defendants (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court) SC-100A, Page __ of __ American LegalNet, Inc. www.FormsWorkFlow.com