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SC-221Optional

Response to Request to Make Payments (Small Claims)

California · Judicial Council of California · Effective July 1, 2013

This form is used to tell the judge and the other person in a small claims case whether or not you agree to a payment plan for money owed. It asks you to state if you agree to the payment plan suggested or if you want to suggest a different one.

The court describes it as: Tell the judge and other side if you don't want the other side to make payments on what they owe you in your Small Claims case.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Respond

Stage: Respond

This form is used in a small claims case when the person who won the case (the judgment creditor) is responding to a request from the other side about making payments on the money owed.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
This form is for either party involved in the small claims case to fill out. It is a response to a request made by the other side.
What does this form ask for?
It asks you to state if you agree to the payment plan suggested or if you want to suggest a different payment plan. It also asks for your signature and date.
Does this form involve a fee?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2013.

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