Small Claims Department Form printable pdf download

IN THE CIRCUIT COURT OF OREGON FOR THE COUNTY OF LINN

SMALL CLAIMS DEPARTMENT

CASE NO: _________________________________

__________________________________________________________

DEFENDANT’S ANSWER

__________________________________________________________

Plaintiff,

vs.

At hearing, I will need an interpreter in the _______________________ language.

At hearing, I will need American’s with Disabilities Act accommodations.

__________________________________________________________

efendant.

Check ONLY ONE of the alternatives listed. Unless this completed form is returned to the Court within 14 days from date of service, the Plaintiff may

request a DEFAULT JUDGMENT.

***NOTICE: READ THE REVERSE SIDE FOR NECESSARY INSTRUCTIONS***

1.____

I hereby admit the claim of the Plaintiff, and

A.( )I have made full payment or arranged to make payment to the Plaintiff. The proof of payment is enclosed.

B.( )I have returned the demanded property to the Plaintiff. The proof of delivery is enclosed.

Enclose the Defendant’s fee (claim is $2500 or less, defendant’s fee = $53; claim exceeds $2500, defendant’s fee = $95).

NOTE: If you select option 2 or 3:

DO NOT MAIL CASH. In some circumstances, the fees may be deferred, see FEE DEFERRAL FORM information below.*

2.____

I deny the claim of the Plaintiff, and I demand a hearing in the Small Claims Department.

3.____

I demand a hearing in the Small Claims Department and I file a counterclaim against the Plaintiff as stated below. I declare this statement is true

to the best of my knowledge.

I, Defendant, claim that on or about _____________________, the above named Plaintiff owed me the sum of $___________________.

This is still owing for: ___________________________________________________________________________________________________

____________________________________________________________________________________________________________________

4.____

I hereby demand a jury trial. The amount of the claim exceeds $750. Enclosed is the Defendant’s fee of $158.00. (Note: You are required to

designate a mailing address to which notice can be mailed).

THIS FORM MUST BE SIGNED BY ALL DEFENDANTS RESPONDING OR EACH MAY COMPLETE THEIR OWN ANSWER.

DATE: __________________________

DEFENDANT'S SIGNATURE __________________________________________________________

**Email Notification Consent: By providing my email

MAILING ADDRESS: _________________________________________________________________

address I consent to receive notifications from the court

by email instead of or in addition to other methods. I

____________________________________________________ PHONE _______________________

understand that if my email changes or if I choose to

withdraw consent, I must notify the court in writing.

Email address** ______________________________________________________________________

DEFENDANT'S SIGNATURE __________________________________________________________

MAILING ADDRESS: _________________________________________________________________

____________________________________________________ PHONE _______________________

Email address** ______________________________________________________________________



*FEE DEFERRAL FORM: If you are financially unable to pay the fees, you may request a deferral of filing fees. A form is available at the Circuit Court Clerk’s Office or online

(see reverse page). In order to have the claim legally answered within 14 days, your request for deferral must be approved by the Court and your answer or counterclaim

filed within 14 days.

Linn County provides mediation on small claims cases. The mediation orientation scheduled by the court requires mandatory attendance by all

parties, though actual participation in the mediation process is voluntary.

Rev 09/15