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Request For Certified Mail (Small Claims) SCLA 010 - California

Request For Certified Mail (Small Claims) Form. This is a California form and can be used in Small Claims Los Angeles Local County .
 Fillable pdf Last Modified 2/10/2015
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NAME, ADDRESS, AND TELEPHONE NUMBER OF PARTY: RESERVED FOR CLERK'S FILE STAMP SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PLAINTIFF: DEFENDANT: REQUEST FOR CERTIFIED MAIL (SMALL CLAIMS) CASE NUMBER: I am the Plaintiff Defendant in the above entitled action and hereby request that my claim be served via certified mail addressed as follows: Party Name: Agent for Service (if applicable): Party or Agent for Service Address: City, State, and Zip Code: NOTE: The clerk will attempt to serve your claim by certified mail, return receipt requested, restricted delivery (to be signed by the addressee only) for a separate fee for each party served. THIS SERVICE IS NOT GUARANTEED TO BE RELIABLE. THERE IS NO REFUND IF THE PARTY IS NOT SERVED. THE COURT WILL NOT NOTIFY YOU AS TO WHETHER OR NOT THE CLAIM HAS BEEN SERVED. You may call the Small Claims Office, or visit the court's website at, to learn if the party has been served. Date: Print Name: Signature SCLA 010 (Rev. 1/15) LASC Approved 08-08 For Optional Use REQUEST FOR CERTIFIED MAIL (SMALL CLAIMS) Code Civ. Proc., ยง 116.340(a)(1) American LegalNet, Inc.
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