CIV-100 - Request for Entry of Default (Application to Enter Default)

Summary

Request for Entry of Default (Application to Enter Default)

Text

Form ID: CIV-100
Title: Request for Entry of Default (Application to Enter Default)
Effective Date: 2023-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CIV-100
Primary Download URL: https://www.courts.ca.gov/documents/civ100.pdf
Form Detail Page:
Request for Entry of Default (Application to Enter Default)
(CIV-100)
Asks the court to enter a "default" against the defendant or cross-defendant because they failed to file an Answer or other responsive document in the case. Can be used to ask for a default alone, or also a default judgment.
Get form CIV-100
Effective: January 1, 2023
PDF Text:
Form Adopted for Mandatory Use  
Judicial Council of California  
CIV-100 [Rev. January 1, 2023]
REQUEST FOR ENTRY OF DEFAULT 
(Application to Enter Default)
Code of Civil Procedure, §§ 585–587, 1169 
www.courts.ca.gov
CIV-100
FOR COURT USE ONLY
CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
CITY AND ZIP CODE:
MAILING ADDRESS:
BRANCH NAME:
Plaintiff/Petitioner:
Defendant/Respondent:
REQUEST FOR 
(Application)
Entry of Default Clerk's Judgment
Court Judgment
Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code, § 1788.50 et seq.); (see form CIV-105)
1. TO THE CLERK: On the complaint or cross-complaint filed 
a. on (date):
b. by (name):  
c. Enter default of defendant (names):
d. I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant
(names):
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under 
Code Civ. Proc., § 585(d).)
e. Enter clerk’s judgment
(1) for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section 
1174(c) does not apply. (Code Civ. Proc., § 1169.)
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The 
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section 
415.46.
(2) under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the 
reverse (item 5).)
(3) for default previously entered on (date):
2. Judgment to be entered. Amount Credits acknowledged Balance
a. Demand of complaint  . . . . . . . . . . . . . $ $ $
b. Statement of damages*
(1) Special   . . . . . . . . . . . . . . . . . . . . $ $ $
(2) General  . . . . . . . . . . . . . . . . . . . . $ $ $
c. Interest  . . . . . . . . . . . . . . . . . . . . . . . . $ $ $
d. Costs (see reverse) . . . . . . . . . . . . . . $ $ $
e. Attorney fees . . . . . . . . . . . . . . . . . . . $ $ $
f . TOTALS   . . . . . . . . . . . . . . . . . . . . . . $ $ $
g. Daily damages were demanded in complaint at the rate of:  $ per day beginning (date):
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
3. (Check if filed in an unlawful detainer case.) Legal document assistant or unlawful detainer assistant information is on the 
reverse (complete item 4).
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
FOR COURT 
USE ONLY
(1) Default entered as requested on (date):
(2) Default NOT entered as requested (state reason):
Clerk, by , Deputy Page 1 of 3

CIV-100 [Rev. January 1, 2023] REQUEST FOR ENTRY OF DEFAULT 
(Application to Enter Default)
CIV-100
Plaintiff/Petitioner:
Defendant/Respondent:
CASE NUMBER:
4. Legal document assistant or unlawful detainer assistant (Bus. & Prof. Code, § 6400 et seq.). A legal document assistant or      
unlawful detainer assistant did  did not  for compensation give advice or assistance with this form. If declarant has 
received any help or advice for pay from a legal document assistant or unlawful detainer assistant, state:
a. Assistant's name:
b. Street address, city, and zip code:
c. Telephone no.:
d. County of registration: 
e. Registration no.:
f. Expires on (date):
5. Declaration under Code Civ. Proc., § 585.5 (for entry of default under Code Civ. Proc., § 585(a)). This action
a. is is not on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq. (Unruh Act). 
b. is is not on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales 
and Finance Act).
c. is is not on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 395(b).
6.  Declaration of mailing (Code Civ. Proc., § 587). A copy of this Request for Entry of Default was
a. not mailed to the following defendants, whose addresses are unknown to plaintiff or plaintiff's attorney (names):
b. mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attorney of record or, if none, 
to each defendant's last known address as follows: 
(1) Mailed on (date): (2) To (specify names and addresses shown on the envelopes):
I declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 6 are true and correct.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF DECLARANT)
7. Memorandum of costs (required if money judgment requested). Costs and disbursements are as follows (Code Civ. Proc., 
 § 1033.5):
a. Clerk's filing fees     . . . . . . . . . . . . . . . . . . . . $
b. Process server's fees    . . . . . . . . . . . . . . . . . $
c. Other (specify): $
d. $
e. TOTAL   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
f. Costs and disbursements are waived.
g. I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief this memorandum of costs is  
correct and these costs were necessarily incurred in this case.
I declare under penalty of perjury under the laws of the State of California that the foregoing item 7 is true and correct.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF DECLARANT)
Page 2 of 3

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CIV-100 [Rev. January 1, 2023] REQUEST FOR ENTRY OF DEFAULT 
(Application to Enter Default)
CIV-100
CASE NUMBER:Plaintiff/Petitioner:
Defendant/Respondent:
8. Declaration of nonmilitary status (required for a judgment). 
No defendant/respondent named in item 1c is in the military service of the United States as defined by either the Servicemembers 
Civil Relief Act (see 50 U.S.C. § 3911(2)) or California Military and Veterans Code sections 400 and 402(f).
I know that no defendant/respondent named in item 1c is in the U.S. military service because (check all that apply):
a. the search results that I received from  say the defendant/respondent is not in the U.S. military 
service.
b. I am in regular communication with the defendant/respondent and know that they are not in the U.S. military service.
c. I recently contacted the defendant/respondent, and they told me that they are not in the U.S. military service.
d. I know that the defendant/respondent was discharged from U.S. military service on or about (date):
e. the defendant/respondent is not eligible to serve in the U.S. military because they are:
incarcerated a business entity
f. other (specify):
Note
U.S. military status can be checked online at https://scra.dmdc.osd.mil/.
If the defendant/respondent is in the military service, or their military status is unknown, the defendant/respondent 
is entitled to certain rights and protections under federal and state law before a default judgment can be entered.
For more information, see https://selfhelp.courts.ca.gov/military-defaults.
I declare under penalty of perjury under the laws of the State of California that the foregoing item 8 is true and correct.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE OF DECLARANT)
Page 3 of 3

Retrieval chunks

• #1

  Form ID: CIV-100 Title: Request for Entry of Default (Application to Enter Default) Effective Date: 2023-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CIV-100 Primary Download URL: https://www.courts.ca.gov/documents/civ100.pdf Form Detail Page: Request for Entry of Default (Appli…

• #2

  a. Demand of complaint . . . . . . . . . . . . . $ $ $ b. Statement of damages* (1) Special . . . . . . . . . . . . . . . . . . . . $ $ $ (2) General . . . . . . . . . . . . . . . . . . . . $ $ $ c. Interest . . . . . . . . . . . . . . . . . . . . . . . . $ $ $ d. Costs (see reverse) . . . . . . . . . . . . …

• #3

  b. mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attorney of record or, if none, to each defendant's last known address as follows: (1) Mailed on (date): (2) To (specify names and addresses shown on the envelopes): I declare under penalty of perjury under the laws of the St…

• #4

  incarcerated a business entity f. other (specify): Note U.S. military status can be checked online at https://scra.dmdc.osd.mil/. If the defendant/respondent is in the military service, or their military status is unknown, the defendant/respondent is entitled to certain rights and protections under federal and st…