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Tells the other side the maximum amount of damages you are seeking in a personal injury or wrongful death case. (Personal Injury or Wrongful Death).This request for statement of damages for California is pursuant to Section 425. The documents complete this Proof of Service. Plaintiff cannot serve these papers.) 1. (4) Defendant must be served with a Statement of Damages. The complete name and street address of the defendant. The damages, or the amount of money or property the plaintiff is seeking. Following damage disclosure statement is true and correct for the following described motor vehicle: year, make,. VIN. (4) Defendant must be served with a Statement of Damages.