If you have a case you'd like Judge Judy to hear - fill out this form and a representative from the show will contact you if additional information is required. All lines with an asterisk * must be filled out or we cannot accept your submission.

* First Name * Last Name * Street Address * City * State * Zip Code * Phone * E-mail   Sex   Male   Female * Birthdate * Marital Status * Occupation * Defendant's First Name * Defendant's Last Name * Defendant's Occupation * What is the relationship between you and the defendant? * How much are you suing for? (e.g. $1000) * When did the action that lead to the lawsuit occur? * Have you filed small claims/civil case in court?   Yes   No   If you answered "yes" to the above question, please answer the next three questions: * In what court?   What is the docket number of your case?   Is there a counter claim?   Yes   No * Please give us a short summary of your case/complaint:

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