Small Claims Court Case Intake Form

Small Claims Court Case Intake Form — Form Fields

This legal template includes 11 fields. Collect case details from plaintiffs filing a small claims court dispute. Free to customize and use on ZenBuild.

• Plaintiff Full Name (text, required)
• Plaintiff Email (email, required)
• Plaintiff Phone Number (text, required)
• Defendant Full Name or Business Name (text, required)
• Defendant Last Known Address (text, required)
• Amount Being Claimed ($) (number, required)
• Nature of Dispute (dropdown selection, required) — options: Unpaid Debt, Property Damage, Contract Breach, Security Deposit, Faulty Goods/Services, Other
• Date of Incident or Dispute Origin (text, required)
• Summary of the Dispute (long text, required)
• Supporting Evidence (receipts, contracts, photos) (file upload, optional)
• Has a demand letter been sent to the defendant? (multiple choice, required) — options: Yes, No