Counterclaim Template
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3INSTRUCTIONS FOR COMPLETING THE HENNEPIN COUNTY
CONCILIATION COURT COUNTERCLAIM FORM
The following information is required to process your Conciliation Court Counterclaim. If
required information is not provided, your counterclaim form and filing fee will be
returned to you.
1.
The caption stays the same as on the original claim. Enter plaintiff(s) name, street
address, city, state and zip code exactly as it appears on the original claim. One name
per box, even for married couples.
NOTE: If more than two plaintiffs use Additional Litigant Form that can be downloaded
from our website at
2.
Enter defendant(s) name, street address, city, state, zip code and telephone number with
area code exactly as it appears on the original claim form. One name per box, even for
married couples.
: Please verify that your address is correct. If more than three defendants use
NOTE
Additional
Litigant
Form
that
can
be
downloaded
from
our
website
at
3.
Enter the following information:
Amount owed ($15,000 maximum)
Filing Fee $70.00
Grand Total including filing fee
Date of Incident, event or transaction
Brief description – (please use a size 10 font or larger, and only use the space
provided on the text box. Keep claim form to one page)
4.
Sign the claim form and include your daytime phone number with area code. Signature
must be notarized.
Failure to include all of the above will result in your documents being returned to you without
being filed. Do not attach exhibits or other documents to the claim form. Please bring them
to court on the day of your hearing.
Mail or bring your counterclaim form and $70.00 filing fee payable to “Hennepin County
Conciliation Court” to:
Conciliation Court
th
350 South 5
Street
Room 306 – City Hall
Minneapolis MN 55415-0926
CCT202
District4
ENG
Rev 12/12
Page 1 of 3
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