Garfield Heights Municipal Court • 5555 Turney Rd. Garfield Heights, Ohio 44125  (216) 475-4885

SMALL CLAIM COMPLAINT

PLAINTIFF(S)
DEFENDANT(S)
Name(s):
Address:
 
 
Home Phone:
Work Phone:
Name(s):
Address:
 
 
Home Phone:
Work Phone:

Is Defendant presently in United States Military?

YES
NO

In ALL  cases involving automobile damages, the OWNER of the car, NAME TITLE IS IN, MUST file against the DRIVER of the other vechile.

OWNER MUST BRING TITLE AND TWO (2) ESTIMATES.

Date of Incident:
Location:
Brief Explanation:

Amount Claimed: $ (NOT TO EXCEED $3,000 - DO NOT ADD COURT COST!)

STATE OF OHIO, COUNTY OF CUYAHOGA - AFFIDAVIT

(Print or Type Name) being first duly sworn, deposes and says that the facts stated and allegations contained are true and that said cause is for the payment of money and the nature of Plaintiff´s demand is as stated above as he/she verily believes.

_________________________________________________________
PLAINTIFF
 
Sworn and subscribed before me this_________ day of ______________ 200__.
 
_________________________________________________________
Clerk  -  Deputy Clerk  -  Notary Public