West Haverstraw, NY · Rockland County
Application for Small Claims
This application lets a plaintiff present a small claims case to West Haverstraw Justice Court by providing party details, a claim summary, and the amount sought.
What this form is
Use this application to provide information about a small claims case for West Haverstraw Justice Court. It asks for the plaintiff’s and defendant’s names, addresses, and phone numbers, a brief statement of the facts or claim, and the amount sought. It also asks whether a language interpreter is requested and includes a statement for the signer to confirm receipt of a small claims court guide.
Who needs it
A plaintiff seeking to present a small claims claim to West Haverstraw Justice Court needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; the plaintiff completes the signature and date fields on the form.
How to submit this form
- 1
Download the Application
Download the Application for Small Claims PDF.
- 2
Complete the Form
Print clearly and enter the plaintiff and defendant details, claim facts, amount sought, and interpreter request if applicable.
- 3
Review the Signature Fields
Complete the signature and date fields and the statement confirming receipt of the small claims court guide.
- 4
Submit to the Court
The form lists West Haverstraw Justice Court at 130 Samsondale Avenue; check the city website for current submission details.
Frequently asked questions
- What information does the Application for Small Claims request?
- It asks for the plaintiff’s and defendant’s names, addresses, and phone numbers, a brief statement of the claim, the amount sought, and whether an interpreter is requested.
- Do I need a notary for the Application for Small Claims?
- No. This application is signed without a notary; the plaintiff completes the signature and date fields on the form.
- How do I submit the Application for Small Claims?
- The form does not give submission instructions. Submit it to the department named on the form and check the city website for current contact details.
Need something notarized?
This Application for Small Claims doesn’t need a notary — but if you have another West Haverstraw form that does, a commissioned online notary can help.