Court Default Judgment Request Form
Request a court default judgment by providing the case details, parties, service/default information, and the relief you are asking the court to grant.
Case Information
Court Name
*
Case Number
*
Case Title / Caption
*
Parties and Filing Details
Filer / Requestor Name
*
First Name
Middle Name
Last Name
Filer Role
*
Please Select
Plaintiff
Petitioner
Attorney/Representative
Other
Email Address for Filing Follow-up
*
example@example.com
Phone Number for Filing Follow-up
*
Please enter a valid phone number.
Format: (000) 000-0000.
Default and Relief Requested
Name of non-responding party
*
Date service was completed or default occurred
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Relief requested and supporting notes/documents summary
*
Submit Request
Should be Empty: