xx,
`
`\
`
`SC-109
`
`AuthorizatiOn to Appear
`
`i
`This form is used to tell the court you are authorized to appear for a plaintiff
`.
`Cc-.1
`or defendantin a small claims case. You may also use this form to ask the
`Ségfli’;of 3a . ,.Lmsco
`court for permission to help a plaintiff or defendant who cannot properly
`speak for himself or herself. '
`'
`'
`NOV 2 7 2019
`_
`i: P
`You cannot appear for a defendant or plaintiffifyour onlyjob is to represent WCLERKLOFTH ”OUR-r
`
`.him or her in small claims court. If you are a lawyer, you can appear only as
`authorized by section 116. 530 of the Code of Civil Procedure.
`
`Deputy Clerk
`
`'
`
`.
`
`
`
`HSA-CCSF vs. TILLMAN, M.
`
`Fill out CD— @ on this page, then file it with the smallclaims clerk at or
`before the trial.
`.
`_
`'
`. @ List the name, address, and position of the person
`appearlng.
`'
`.
`‘
`'
`Name Jose h A- Quartell
`Address; 160 S. Van Ness Ave, $500, San Francisco, CA 94103
`Job title or relationship to the defendant or plaintiff you want to appear
`for: Collection Services Manager
`‘
`,
`.
`
`‘
`
`'
`
`(9
`
`Who are you appearing for?
`E] A defendant in this case (name):
`A plaintiff in this case (name): .HSA'CCSF
`
`‘
`
`'
`
`.
`
`.
`
`Fill in court name and street address:
`Superior Court of California, County of '
`SAN FRANCISCO
`'
`CIVIC CENTER COURTHOUSE
`400 McAllister Street, Room 103
`San Francisco, CA 94102-4512
`.
`,
`Fill in your case number and casename below:
`Case Number: _
`.
`CSM19-861222
`Case Name:
`
`@
`
`Tell us about the defendant or plaintiff you are appearing for.
`I am appearing for a (check one):
`_
`[j Corporation and I am an employee, officer, or director of that corporation.
`.
`El Partnership and I am an employee, officer, director, or partner of that partnership.
`3E] Other business (not a corporation, partnership, or sole proprietorship)~and I am an employee, officer, or director ‘
`of thatbusiness.‘ ’
`I Government agency or other public entity and I am an employee, officer, or director of that agency or entity.
`[:1 Sole proprietorship and I am an employee of that business". I am qualified to testify about business records
`made1n the regular course of business at or near the time ofthe event. The content of the business records1s the
`only1ssue in this case. (Evidence Code § 1271)
`'
`[:1 Plaintiff who was assigned to out-of-state active duty in 'the U. S. armed forces for more than 6 months
`after filing this claim. I am not being paid to appear. I have not appearedin small claims court for other people
`more than 4 times in this calendar year.
`'
`'
`El Defendant or plaintiff whois in a jail, a prison, or another detention facility new. I am not being paid to
`appear. I have not appeared1n small claims court for other people more than4 times in this calendar year.
`El Owner of rental property'in California who employs me as a property agent This claim15 about the rental
`property I manage.
`E] Association created to manage a common interest development and I am an agent, management company
`representative, or bookkeeper for that association.
`'
`El Husband or wife and my spouse and I are both listed on this claim and agree that either spouse can appear for
`the other.
`.
`El Other (explain):
`(4)I declare under penalty of perjury under California state law that the information above18 true
`
`Date. 11/27/2019
`'
`-
`. g! \
`'
`
`Joseph A. Quartell
`,
`-
`,
`.1
`‘
` Sign your na :
`Type or print your name
`
`Judicial Council of California, www.oourtinfo.ca.gov _
`Revised January 1, 2007, Optional Form
`Code of Civil Procedure, 5 116.540
`
`.
`
`Authorization to Appear
`_
`.
`1
`(Small Claims)
`
`_
`
`_
`
`SC-109, Page 1 Of 1
`
`