L-1091LocalFillable

Certified Mail Statement

Orange County Superior Court · Locally Approved Forms

Verified current as of September 10, 2026

Used in small claims cases by the plaintiff (or a defendant with a claim) to request that the court clerk attempt to serve the claim by certified mail, after being informed of the risks and rules of this service method.

This form has fillable fields — you can complete it directly in the viewer on the right.
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