Form SC-112A at a glance
What it is: Form SC-112A, Proof of Service by Mail, can be used to show the court that documents were served by mail.
Who signs: The server signs at Server signs here and types or prints the server's name at Type or print server's name.
The server signs a separate form SC-112A for each document served and gives it back to you, and you file these papers with the small claims court clerk.
The server (the person who will do the mailing) must not be a party (plaintiff or defendant) in the case, must be 18 or older and must live or work in the county where the mailing takes place.
The server may be a friend, relative, co-worker, or other helpful person.
What to bring and attach to Form SC-112A
Give the server the partially completed form SC-112A and one copy of the document to be served for each party to be served.
Ask the server to fill out the remainder of the form SC-112A and mail each party to be served an unsigned copy of the completed form SC-112A and the document to be served (checked in item 2).
Ask the server to sign a separate form SC-112A for each document served and give it back to you.
A filled-in Form SC-112A example: a friend mails a small claims form
How to fill out Form SC-112A, box by box
Server's information
Prepare form SC-112A by filling in the case number, the document to be served, in item 2, and the names and addresses of the parties to be served, in item 3. Prepare a separate form SC-112A for each document to be served.
1 Server's information: fill in Name, Phone, Street or mailing address, City, State and Zip Code.
Check here if you are a registered process server, and write County where registered and Registration #.
Form or document served
2 Form or document served: a. Form SC-105, Request for Court Order and Answer, b. Form SC-109, Authorization to Appear, c. Form SC-114, Request to Amend Claim Before Hearing, d. Form SC-133, Judgment Debtor's Statement of Assets, e. Form SC-150, Request to Postpone Trial, f. Form SC-221, Response to Request to Make Payments.
For g, Other document allowed to be served by mail, write the document at (specify). Check here if there is not enough space to list the document served. List the document on a separate page, and write “SC-112A, Item 2” at the top.
Server's declaration
3 Server's declaration: “a. I am 18 or older. I am not a party to this small claims case. I live or work in the county where I did the mailing described below.”
“b. I placed copies of the document checked in 2 and an unsigned copy of this page in a sealed envelope, addressed as follows:” Name of party served, Mailing address on the envelope.
Check here if there is not enough space to list all parties served. List their names and addresses on a separate page, and write “SC-112A, Item 3” at the top.
c. On (date of mailing), I placed each envelope in the mail, with postage paid, at (city and state of mailing).
The server signs and dates the declaration
The server fills in Date and declares under penalty of perjury under the laws of the State of California that the information is true and correct.
Common questions about Form SC-112A
Where do I file it?
File these papers with the small claims court clerk: the original of each document served, with the signed, original Proof of Service by Mail attached.
When is this form not the right one?
Do not use form SC-112A to prove service of these forms: Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court, Form SC-120, Defendant's Claim and ORDER to Go to Small Claims Court. For information about serving these forms, see form SC-104, Proof of Service, and form SC-104B, What Is “Proof of Service”?
Where to get help with Form SC-112A
For free help, contact your county's small claims advisor. Or visit selfhelp.courts.ca.gov/small-claims-advisor.
Sources
[1] Form SC-112A (Rev. July 1, 2025), Proof of Service by Mail (Small Claims), Judicial Council of California (the Official source link on this page).
