(CAPTION)
STATEMENT OF CLAIM
Plaintiff, ______________________, sues defendant, ______________________, and alleges: There is now due, owing, and unpaid from defendant to plaintiff $____________ with interest since .....(date)....., for the following items of labor and materials furnished to defendant at his/her request between .....(date)....., and .....(date).....:
(list time and materials, showing charges therefor and any credits)
WHEREFORE, plaintiff demands judgment for damages against defendant.
This is an official court form that provides a simple, fill-in-the-blank template for a lawsuit where a person or business is suing for payment for labor performed and materials that were provided. The plaintiff fills in the names, dates, amount owed, and an itemized list of the labor and materials to create their official "Statement of Claim."
