ចម្ល

ើយនៃបណ្
សម្បសម្រួល

តឹងតុលាការ

មលខមរៀងឯកសារមរឿងក្

ំដាក់បញ្

កុ
សម្រាប់ជូនជាពត៌រានតតប៉

លជាមួ យឯកសារតុលាការ។

ុណ្ណ ោះ។

តុលាការកាត់ក្
ំបណ្
សម័យម្បជុ

តីណៅរដ្ឋរា៉ សាជូណសត
តឹងតុលាការសម្មបសម្មរួល

ម�ើ្មោទ៖

សម្រាប់ជូនជាពត៌រានតតប៉

ុណ្ណ ោះ។

ចុងមោទ៖

ជា្ួ យ

	តុលាការមក រុងបូ ស្
	តុលាការមស រុក ផ្នែក ________
	តុលាការទតីលំមៅ ផ្នែក ________

រុ ៃ ផ្នែក ________

 
ខ
បណ្

ខ

ំ ជាចុងមោទនៃបណ្

តឹងតុលាការសម្បសម្រួលផ�លមាៃម្ម ោះខាងមលើ �តឹងថា ក្

ំមតរូវផតផ្លងមេញមលញ ៃិង ជាក់លាក់ៃូ វអង្គមេតុទា ំងឡាយណាផ�លបាៃផ្លងក្
ំមេ្ទទួល មេើយខ្

ំប�ិមសធ មេើយអង្គមេតុអ្

តឹងរបស់ម�ើ្មោទ ផ�លខ្

តីផ�លខ្

រុងមសចក្
ំៃតឹងមធ្

រុងចម្ល

ើយមៃោះ 
តីផ្លងការណ៍នៃ 
ើ �ូចខាងមមកា្៖

កំណត់សមា្គ ល់ជូៃចំមោោះចុងមោទ៖  

 
មបសិៃមបើអនែ កមេ្ទទួលបណ្
មេើយមតរូវការមេលម�ើ្្តីសងមបាក់ សូ ្បញ្ជា ក់�ូមោនែ ោះមៅខាងមលើ។

តឹងរបស់ម�ើ្មោទ 

 _____________________________

      េត្ថមលខារបស់ចុងមោទ

 
 

(ន្ងៃផខឆ្នែ

ំ)៖
________________
 

This document was developed under Grant No. 11-T-162 of the State Justice Institute. The form does not necessarily represent the official position or policies of the State Justice Institute.

This form is for reference only. Do not submit to the court.RkdasenHRKan'CaKMrUEtbu"eNÑaH. sUmkuMdak'CUneTAtulakar.Answer Small Claims  Khmer 08/2012 www.mass.gov/courts/formsតី
ចូ
្
ខ្
រុ
្
រុ
រុ
រុ
រុ


(Untitled)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

---

About This Form:

• Sourced from www.mass.gov (2023-03)
• Page(s): 1
• Fields(s): 4
• Average fields per page: 4
• Reading Level: Grade 28
• LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

---

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

---

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.