CLALLAM COUNTY DISTRICT COURT II APPLICATION FOR SMALL CLAIMS SUIT YOUR NAME: ________________________________________________________________________ Your address: ______________________________________________ Phone: __________________ Name of Person(s) who owes you: ____________________________________________________ Their address: ________________________________________________________________________ _____________________________________________________________ Phone: __________________ Amount owed to You: ________________________ Date Amount Due: ____________________ What is the money owed to you for? __________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ *************************************************************************************** If you are having the notice served, please give a physical location of the persons residence. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ American LegalNet, Inc. www.USCourtForms.com