The Oregon Small Claim form is a legal document used to initiate a small claims case in Oregon's Circuit Court. This form allows individuals to seek compensation for amounts owed, typically under $10,000. Understanding how to complete this form correctly is essential for a smooth filing process and to ensure your claim is heard in court.
The Oregon Small Claim form serves as a vital tool for individuals seeking to resolve disputes involving relatively small amounts of money, typically without the need for extensive legal representation. This form is designed for use in the Small Claims Department of the Circuit Court of Oregon and outlines the necessary information for both the plaintiff and the defendant. It includes sections for the names, addresses, and contact details of both parties involved, ensuring that all relevant information is readily available. Additionally, the form requires the plaintiff to specify the amount owed, the reasons for the claim, and any associated fees and costs. A declaration of a bona fide effort to collect the debt prior to filing is also mandated, reflecting the importance of attempting resolution outside of court. Furthermore, the form contains critical instructions for the defendant, emphasizing the need for timely action within 14 days of receiving the notice. This includes options to pay the claim, demand a hearing, or request a jury trial if applicable. The form also addresses specific circumstances, such as those involving military service members, and provides a clear pathway for individuals to seek justice while minimizing legal complexities.
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR
COUNTY
Small Claims Department
)
Case No: ____________________
Plaintiff
(Inmate ID #, if applicable, _____________)
v.
SMALL CLAIM AND
) NOTICE OF SMALL CLAIM
Filing fee at ORS 46.570
Defendant
Interpreter needed: Spanish Russian
Defendant is a public body
other: _______________
PLAINTIFF (Additional on attached page)
Name
Street
City / State / Zip
Phone
County
DEFENDANT (Additional on attached page)
Name (enter Registered Agent, if necessary, on next page)
Street (do not use a P.O. Box)
I, Plaintiff, claim that on or about (date)
, the above-named defendants owed me the
sum of $_____________ because
, and this amount is still due.
I have paid (or will pay):
filing fees of $_____________
and service costs of $____________
Claim $______________
+Fees $______________
+Costs $______________
TOTAL $______________
Form 15.010.1a – SMALL CLAIM AND NOTICE OF SMALL CLAIM – UTCR 15.010(1)(a)
(Revised 8-1-14)
Case No.
DECLARATION OF BONA FIDE EFFORT
I, Plaintiff, have made a bona fide effort to collect this claim from the defendants before filing this claim
with the court clerk.
I hereby declare that the above statements are true to the best of my knowledge and belief, and that I understand they are made for use in court and I am subject to penalty for perjury.
Date
Plaintiff Signature
________________________________
Email address*
Plaintiff Name (print)
*Some courts communicate with parties by email. By providing my email address I consent to receive notifications from the court by email instead of or in addition to other methods. I understand that if my email changes or if I choose to withdraw consent, I must notify the court in writing.
DEFENDANT’S REGISTERED AGENT:
NOTICE TO DEFENDANT:
READ THESE PAPERS CAREFULLY!
Within 14 DAYS* after receiving this notice you MUST do ONE of the following things in
writing:
Pay the claim plus filing fees and service expenses paid by plaintiff (send payment directly to the plaintiff, not to the court) OR
Demand a hearing and pay the fee required (below) OR
Demand a jury trial and pay the fee required (below). This option is available only if amount claimed is more than $750.
If you fail to do one of the above within 14 DAYS* after you get this notice, the plaintiff may ask the court to enter a judgment against you. The judgment will be for the amount of the claim, plus filing fees and service costs paid by the plaintiff, plus a prevailing party fee. If you are not able to respond in time because you are in active military service of the United States, talk to a legal advisor about the Servicemembers Civil Relief Act.
COURT NAME / ADDRESS / PHONE #
>
Defendant’s Filing Fees (must be filled in by the PLAINTIFF):
(1)
To demand a hearing if the amount claimed is $2,500 or less
$ ______
(2)
To demand a hearing if the amount claimed is more than $2,500
(3)
To demand a jury trial (only if amount claimed is over $750)
If you have questions about filing procedures, go to www.courts.oregon.gov for information and instructions, or you may contact the court clerk. The clerk cannot give you legal advice about the claim.
*NOTE: If the plaintiff is an inmate (ORS 30.642) AND the defendant is a government agency or other public body (ORS 30.260), the defendant must respond within 30 days after receiving this Notice.
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