California Small Claims (SC-100) - Statement of Facts Attachment
SC-100, Item 3
Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court
| Case information | Entry |
|---|---|
| Superior Court of California, County of | [________________________________] |
| Plaintiff name(s) | [________________________________] |
| Defendant name(s) | [________________________________] |
| Case number, if assigned | [________________________________] |
3a. Why the defendant owes the plaintiff money
On or about [__/__/____], [describe what happened, what the defendant agreed to do or did, and the plaintiff's loss]:
[____________________________________________________________]
[____________________________________________________________]
The defendant owes the plaintiff money because [state the specific unpaid obligation or loss]:
[____________________________________________________________]
3b. When this happened
☐ On [__/__/____].
☐ Over a period beginning [__/__/____] and ending [__/__/____].
3c. How the amount was calculated
| Item and calculation | Amount |
|---|---|
| [Describe item, date, quantity or rate] | $[________] |
| [Describe item, date, quantity or rate] | $[________] |
| [Describe item, date, quantity or rate] | $[________] |
| Less payments or credits: [describe] | −$[________] |
| Total owed, excluding court costs and service fees | $[________] |
The total claimed on SC-100 item 3 is $[________].
About this template
- Last updated
- October 19, 2026
- Citations checked
- October 19, 2026
- Jurisdiction
- California
- Category
- Consumer Protection
Legal authority
- Judicial Council Form SC-100 (Plaintiff's Claim and ORDER to Go to Small Claims Court)
Consumer protection law gives buyers, borrowers, and renters rights against unfair, deceptive, or abusive business practices. Federal and state laws cover debt collection, credit reporting, product warranties, lemon cars, and more, and most of them have strict deadlines to preserve your rights. A well-drafted demand or complaint puts the business on notice, triggers their legal obligations, and often resolves the issue without a lawsuit.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 19, 2026.
Judicial Council Form SC-100, Item 3 (Rev. January 1, 2026) (checked October 19, 2026): "Check here if you need more space. Attach one sheet of paper or form MC-031 and write ‘SC-100, Item 3’ at the top."
Judicial Council Form SC-100 (checked October 19, 2026): "You must fill out: Plaintiff's Claim and Order to Go to Small Claims Court (form SC-100)"
Cal. Code Civ. Proc. § 706.050(a) (checked October 19, 2026): "Except as otherwise provided in this chapter, the maximum amount of disposable earnings of an individual judgment debtor for any workweek that is subject to levy under an earnings withholding order shall not exceed the lesser of the following."
Cal. Bus. & Prof. Code § 7160 (checked October 19, 2026): "may sue and recover from such contractor or solicitor a penalty of five hundred dollars ($500), plus reasonable attorney’s fees, in addition to any damages sustained by him by reason of such statements or representations made by the contractor or solicitor."
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