ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):

DO NOT FILE WITH THE COURT

DISC-015

SUPERIOR COURT OF CALIFORNIA, COUNTY OF 

FAX NO. (Optional):

TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF:

DEFENDANT:

Requesting Party (name): 

Responding Party (name): 

REQUEST FOR STATEMENT OF WITNESSES AND EVIDENCE— 
                FOR LIMITED CIVIL CASES (UNDER $25,000)

CASE NUMBER:

Under Code of Civil Procedure section 96, you are requested to serve on the 
undersigned, within 20 days, a statement of:

1.   The names and street addresses of witnesses you intend to call at 
       trial (except for any individual who is a party to this action).

2.   A description of each document that you intend to offer at trial.
      Attach a copy of each document available to you.

3.   A description of each photograph and other physical evidence you  
      intend to offer at trial.

Witnesses and evidence that will be used only for impeachment need not be included.

You  Will  Not  Be  Permitted  To  Call  Any  Witness  Or  Introduce  Any  Evidence  Not 
Included In Your Statement in Response To This Request, Except As Otherwise 
Provided By Law.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PARTY OR ATTORNEY)

Form Adopted for Mandatory Use 
Judicial Council of California 
DISC-015 [Rev. January 1, 2007]

REQUEST FOR STATEMENT OF WITNESSES AND EVIDENCE— 
                FOR LIMITED CIVIL CASES (UNDER $25,000)

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Code of Civil Procedure, §§ 96, 97