Small Claims Form 3. 9 : Original Notice and Petition for Intervention In the Iowa District Court f or County Plaintiff(s) (Name) (Address) (Name) (Address) vs. Defendant(s) (Name) (Address) (Name) (Address) Original Notice and Petition for Intervention If you need assistance to participate in court due to a disability, call the disability coordinator (information at https://www.iowacourts.gov/for - the - public/ada/ ). Persons who are hearing or speech impaired may call Relay Iowa TTY (1 - 800 - 735 - 2942). Disability coordinators cannot provide legal advice. T o P laintiff ( s ) and D efendant(s ) : 1. I (We), , being interested in the subje ct matter of this case seek to intervene in the f ollowing manner: 2. This Petition for Intervention is based on (state briefly the basis for the demand) : Continued on next page Small Claims Form 3.9, page 1 of 3 * American LegalNet, Inc. www.FormsWorkFlow.com / s/ /s/ Filing Intervenor or Attorney Second Intervenor , if applicable L aw firm, or entity for which filing is made, if applicable L aw firm, or entity for which filing is made, if applicable Mailing a ddress Mailing a ddress Telephone n umber Telephone n umber Email a ddress Email a ddress Additional e mail a ddress, if applicable Additional e mail ad dress, if applicable Small Claims Form 3.9, page 2 of 3 * American LegalNet, Inc. www.FormsWorkFlow.com