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National Self Represented Litigants Project West

Affidavit (PCFR Form 17, PFA065a)

*** Explanation about what a Form 17 is/ why you’d need it

The first two pages of the Form 17 Affidavit has instructions on how to fill out the form, serve it and file it.

Page 1 of the actual form (the part you fill out) is the Court File of the form. This means that the court will take this copy.

On pages 2 to 4, you will copy and paste the information from page 1 (it asks the same questions, these are just copies of the same form). Page 2 is the copy you will give to the other party when you serve them. Page 3 is the copy you will give to the court when you file your Proof of Service. Page 4 is the copy you will keep.

More information on how to serve and file your forms at the registry is included in the pop-ups on the example court form below, just click the question mark buttons for help.

* This is a guide to help you fill out the Form 17 Affidavit. The actual Form 17 Affidavit, that can be filled out online or printed, can be found here.