Application For SmallClaim Rochester City Court - Judiciary of New York 2026

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  1. Click ‘Get Form’ to open the Application For Small Claim in the editor.
  2. Begin by entering your Index Number, Court Date, and Time at the top of the form. This information is crucial for processing your application.
  3. Select the type of claim you are filing by checking either 'Small Claim (Individual suing Individual or Company)'.
  4. Indicate your filing fee by checking the appropriate box: $15.00 for claims of $1,000 or less, or $20.00 for claims over $1,000.
  5. Fill in your name and address as the claimant. Ensure that you provide a valid street address and contact number.
  6. If applicable, enter details for a second claimant using the designated fields.
  7. Next, provide information about the defendant(s), including their names, addresses, and contact numbers.
  8. Complete the section regarding the date of loss or transaction and specify the amount claimed (maximum $5,000).
  9. In the provided space, detail your claim. Be clear and concise to ensure understanding.
  10. Finally, sign and date the form to affirm that all information is accurate and has not been previously presented to any court.

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