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Drafting a Statement of Claim. If you do want to bring a claim for damages, you need to complete 2 separate court forms: UCPR Form 2: Claim.​Step 1: Get ​​the form​. This is an overview of how to complete the SC50 Small Claims Statement of Claim form. Before we get started, notice the four areas on the form. A Statement of Claim is the form used to file a Small Claims case for monetary purposes only. INSTRUCTIONS TO PLAINTIFF: "By EFiling this form, which includes the military affidavit, you certify that the above information is true and. No. SC CLERK - WRITE CASE NUMBER. Form NumberForm NameCategoryAO 10AFinancial Disclosure Report RequestOther FormsAO 30Certified CopyOther FormsAO 35Certificate of Official Court ReporterCourt Reporter Forms The plaintiff must fill out the original claim form and the copy.