CAO SC 2-2
INFORMATION FOR PERSONAL SERVICE OF SMALL CLAIMS ACTION

INCLUDE ALL INFORMATION YOU HAVE AVAILABLE 		Case No. 			
										
DEFENDANT

Name 							Home Phone 					

Spouse's name 											

Present address											
Street Address 				City	       State	Zip

Defendant's employer											
    				Name of business 			Address			Phone

Spouse's employer 											
    				Name of business 			Address			Phone

	Automobile 												
			Year       	Make                           Model                          License number

Description of Defendant:

[       ]	[      ]	[             ]	[      ]	[        ]	[         ]	[          ]	[        ]   
Race   	Sex     	Birthdate	Age	Height	Weight	Married 	Single   

Directions must be drawn below if a street number is not available to assure personal service of the claim.  A route number or box number is not sufficient for personal service.

Plaintiff 								Date 				
Address 								Phone