SC-112A Proof of Service by Mail below. Phone: State: Case Number: See instructions on other side. This form is attached to the document checked in Server's information Name: Street or mailing address: City: Check here if you are a registered process server, and write: County where registered: Form or document served a. Form SC-105, Request for Court Order and Answer b. Form SC-109, Authorization to Appear c. Form SC-114, Request to Amend Claim Before Hearing d. Form SC-133, Judgment Debtor's Statement of Assets e. Form SC-150, Request to Postpone Trial f. Form SC-221, Response to Request to Make Payments g. Other document allowed to be served by mail (specify): Check here if there is not enough space below to list the document served. List the document on a separate page, and write "SC-112A, Item 2" at the top. Zip Code: Registration #: Server's declaration a. I am 18 or older. I am not a party to this small claims case. I live or work in the county where I did the mailing described below. b. I placed copies of the document checked in addressed as follows: and an unsigned copy of this page in a sealed envelope, Check here if there is not enough space below to list all parties served. List their names and addresses on a separate page, and write "SC-112A, Item 3" at the top. Name of party served Mailing address on the envelope c. On (date of mailing): (city and state of mailing): , I placed each envelope in the mail, with postage paid, at I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print server's name Server signs here Judicial Council of California, www.courtinfo.ca.gov New July 1, 2010, Optional Form Cal. Rules of Court, rule 3.2107 Proof of Service by Mail (Small Claims) SC-112A American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Form SC-112A, Proof of Service by Mail (This page is not part of the Proof of Service and does not need to be copied, served, or filed.) Form SC-112A can be used to show the court that these documents were served by mail: · Form SC-105, Request for Court Order and Answer · Form SC-109, Authorization to Appear · Form SC-114, Request to Amend Claim Before Hearing · Form SC-133, Judgment Debtor's Statement of Assets · Form SC-150, Request to Postpone Trial · Form SC-221, Response to Request to Make Payments · Other documents that are allowed to be served by mail Form SC-112A cannot be used to prove service of these forms: · Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court · Form SC-120, Defendant's Claim and ORDER to Go to Small Claims Court For information about serving these forms, see Form SC-104, Proof of Service, and Form SC-104B, What Is "Proof of Service"? The server (the person who will do the mailing): · Must not be a party (plaintiff or defendant) in the case · May be a friend, relative, co-worker, or other helpful person · Must be 18 or older · Must live or work in the county where the mailing takes place Follow these steps to use Form SC-112A: 1. Prepare Form SC-112A by filling in: · The case number · The document to be served, in item * · The names and addresses of the parties to be served, in item *Prepare a separate Form SC-112A for each document to be served. 2. Give the server: · The partially completed Form SC-112A · One copy of the document to be served for each party to be served 3. Ask the server to: · Fill out the remainder of the Form SC-112A. · Mail each party to be served: - An unsigned copy of the competed Form SC-112A and - The document to be served (checked in Item ). · Sign a separate Form SC-112A for each document served, and give it to back you. 4. File these papers with the small claims court clerk: · The original of each document served, with · The signed, original Proof of Service by Mail attached Need help? For free help, contact your county's small claims advisor: [local info here] Or go to "County-Specific Court Information" at www.courtinfo.ca.gov/selfhelp/smallclaims. New July 1, 2010 Instructions for Proof of Service by Mail (Small Claims) SC-112A