SMALL CLAIMS FORM INSTRUCTIONS - Welcome to the …

1 SMALL CLAIMS form INSTRUCTIONS CLAIMS may be filed for money following actions be filed in SMALL CLAIMS court:libel, slander, replevin, malicious prosecution, abuse of process; or as assigneeor agent except for recovery of taxes by a political subdivision; or actions forthe recover of punitive or exemplary you are filing a complaint you are the the date on the appropriate your information under additional more than three (3) attach a separate person or company you are suing is the all information for each the military status of each more than three (3) attach a separate your claim in clear, concise, nontechnical the dollar amount of your the interest rate and date of may personally deliver it to the Clerk of Court s Office.

2 (DO NOT SIGN IT IN ADVANCE) may mail it after having it notarized by a Notary Publicor other person authorized to administer or deliver your complaint with the required filing fee to:Office of: Eric J. RothgeryClerk of Elyria Municipal Court601 Broad StreetElyria, OH 44035 Filing fee: One defendant$ defendants$ hearing will be scheduled not sooner than fifteen (15) days nor more than forty-five(45) days from the date of filing of your complaint. You will be notified of your hearingdate. All SMALL CLAIMS hearings are held on the second floor of the Municipal Court locatedat 601 Broad Street, Elyria, Ohio the Cities of Elyria and North Ridgeville - Villages of Grafton and Lagrange - Townships of Carlisle, Columbia, Eaton,Elyria, Grafton and Lagrange ELYRIA MUNICIPAL COURT - SMALL CLAIMS INFORMATION AND COMPLAINT form Deliver or Mail to: Cl erk of Elyria Municipal Court Filing Fee: One Defendant $ Additional Defendants: ea Civil Division (Fee must accompany filing)601 Broad StreetElyria, OH 44035 Case Number: _____Date.

3 _____ (Assigned by the Clerk s Office)Identify any Defendants presently in the Military Service of the United StatesPlaintiff (1) AddressCity, State, Zip _Telephone No. Defendant (1)Address City, State, Zip Telephone No. _Military Service YesNoPlaintiff (2)AddressCity, State, Zip Telephone No. Defendant (2)Address _City, State, Zip Telephone No. Military Service YesNoPlaintiff (3)AddressCity, State, Zip Telephone (3)Address City, State, Zip Telephone No. Military Service YesNoCOMPLAINTS tate your claim in clear, concise, non-technical terms (use additional paper if needed)AMOUNT OF claim : $_____, with interest at the rate of _____% from _____ plus court costs.

4 (Cannot exceed $6, )The above complaint is true to the best of my knowledge and belief. _____ (Signature of plaintiff or plaintiff s attorney)Sworn to and subscribed before me this _____day of _____, 20_____. _____REV. 3/17(Clerk, Deputy Clerk, Notary Public, Attorney-at-Law)