Superior Court of California County of Santa Cruz
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1 Appendix B List of Local Forms Alphabetical List by Form Name FORM NAME ADDENDUM TO DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM ADOPTION AGREEMENT (ADULT OR MARRIED MINOR) ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE ET SEQ.; VEHICLE CODE 12500(a) ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM DEFERRED ENTRY OF JUDGMENT (PENAL CODE 1000 ET SEQ.) ALTERNATIVE DISPUTE RESOLUTION PACKAGE: STIPULATION AND TO ATTEND JUDICIAL MEDIATION OR PRIVATE ARBITRATION AMENDMENT TO COMPLAINT, NAME CORRECTION AUTHORIZING COST OF REPORTER'S TRANSCRIPT FORM NUMBER MANDATORY/ OPTIONAL REVISION DATE DEPARTMENT SUPCR 1105 Optional 11/18 Criminal SUPADOPT 101 Optional 1/19 Adoption SUPCR 1109 Optional 5/18 Criminal SUPCR 1108 Optional 11/18 Criminal SUPCV 1012 Mandatory 11/18 Civil SUPCV 436 Optional 11/18 Civil SUPCV 1021 Optional 11/18 Criminal 107
2 AUTHORIZING COST OF REPORTER'S TRANSCRIPT FOR APPEAL FOR PUBLICATION OF SUMMONS OR CITATION REGARDING LOST WRIT TO SERVE SUMMONS BY POSTING FOR UNLAWFUL DETAINER STIPULATION FOR TO CONTINUE MEDIA TION HEARING AND/OR CASE MANAGEMENT CONFERENCE STIPULATION FOR TO CONTINUE STATUS CONFERENCE STIPULATION FOR TO CONTINUE TRIAL APPLICATION FOR AUTHORIZATION TO ENTER JUDGMENT PRIOR TO ATTENDANCE AT CO- PARENTING CLASS AND APPLICATION FOR REDESIGNATION OF MISDEMEANOR ATTACHMENT 2 ND CONSERVATOR SUPCV 1022 Optional 11/18 Criminal SUPCV 1041 Optional 11/18 Civil SUPCV 1104 Optional 7/18 Civil SUPCV 1097 Optional 11/18 Civil SUPCV 1013A Mandatory 11/18 Civil SUPCV 1013B Mandatory 11/18 Family Law SUPCV 1013 Mandatory 11/18 Civil SUPCV 466 Optional 11/18 Family Law SUPCR 1113 Optional 11/18 Criminal SUPCR 1085 Mandatory 1/18 Probate 108
3 ATTACHMENT ADDITIONAL RELATIVES ATTACHMENT, DECLARATION IN SUPPORT OF GUARDIANSHIP CERTIFICATE OF ADOPTION CLERK'S JUDGMENT ON SISTER STATE JUDGMENT CONSENT OF SPOUSE TO ADOPTION (ADULT OR MARRIED MINOR) DECLARATION AND RE: MEDIATED AGREEMENT DEFAULT DECLARATION IN SUPPORT OF REQUEST TO INPECT AND/OR COPY JUVENILE COURT RECORDS WITHOUT A COURT DECLARATION OF DILIGENT SEARCH AND REQUEST TO DISPENSE WITH NOTICE DECLARATION OF ELIGIBILITY FOR REPRESENTATION IN DEPENDENCY COURT SUPCR 1085 Mandatory 1/18 Probate SUPCV 1077 Optional 11/18 Probate SUPADOPT 050 Optional 1/19 Adoption SUPCV 511 Optional 11/18 Civil SUPADOPT 102 Optional 1/19 Adoption SUPSC 024 Optional 11/18 Small Claims SUPJV 801 Optional 1/19 Juvenile SUPCV 1095 Optional 11/18 Probate SUPJV 800 Mandatory 7/18 Juvenile DECLARATION OF JUDGMENT DEBTOR AND REQUEST TO ENTER SATISFACTION OF JUDGMENT DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR S SUPSC 013 Mandatory 11/18 Small Claims SUPCV 420 Mandatory 11/18 Civil 109
4 DEFENDAT FINANCIAL ELIGIBILITY STATEMENT FOR APPOINTMENT OF COUNSEL AND REIMBURSEMENT DUI ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE 23152) DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM (FIRST OFFENSE ONLY-VEHICLE CODE 23152) DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM (VEHICLE CODE 23153) EX PARTE TO SEAL AN UNLAWFUL DETAINER LANGUAGE ACCESS SERVICES COMPLAINT FORM LANGUAGE ACCESS SERVICES COMPLAINT FORM SPANISH JUDGE'S TRANSCRIPT MISDEMEANOR ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM MODIFICATION REQUEST FORM: CRIMINAL/MINOR VIOLATION/ TRAFFIC MOTION TO REDUCE FELONY TO A MISDEMEANOR SUPCR 1127 Mandatory 3/18 Criminal SUPCR 1104 Optional 5/18 Criminal SUPCR 1103 Optional 11/18 Criminal SUPCR 1106 Optional 11/18 Criminal SUPCV 1098 Optional 1/18 Civil SUPAD 200 Optional 7/18 Administration SUPAD 200-S Optional 7/18 Administration SUPCV 1023 Optional 11/18 Criminal SUPCR 1107 Optional 2/18 Criminal SUPTMV 056 Optional 11/18 Traffic SUPCR 1128 Optional 7/17 Criminal 110
5 MOTION TO TERMINATE PROBATION NOTICE OF PARKING APPEAL NOTICE OF RESIDENCE, LPS CONSERVATORSHIP OBJECTION TO VISITATION GUARDIANSHIPS AFTER HEARING (CIVIL) DETERMINING CLAIM OF EXEMPTION ENFORCEMENT OF JUDGMENT FOR RELEASE OF RENTS POSTED WITH COURT OF ADOPTION (ADULT OR MARRIED MINOR) ON PETITION OR APPLICATION REDUCING FELONY TO A MISDEMEANOR SEALING ARREST RECORDS TERMINATING PROBATION TO REMOVE ATTACHMENTS, SEAL, REDACT APPROVAL OF ADOPTION AGREEMENT (ADULT OR MARRIED MINOR) SUPCR 1123 Optional 5/18 Criminal SUPTMV 041 Mandatory 11/18 Traffic SUPCV 714 Mandatory 4/18 Probate SUPCV 1071 Optional 11/18 Probate SUPCV 1099 Optional 1/18 Civil SUPCV 429 Optional 11/18 Civil SUPCV 435 Optional 11/18 Civil SUPADOPT 103 Optional 1/19 Adoption SUPCR 1115 Optional 11/18 Criminal SUPCR 1129 Optional 7/17 Criminal SUPCR 1124 Optional 1/18 Criminal SUPCR 1122 Optional 5/18 Criminal SUPCV 1094 Mandatory 11/18 DCSS SUPADOPT 100 Optional 1/19 Adoption 111
6 AUTHORIZATION TO INSPECT ADOPTION AND BIRTH RECORDS AND TO OBTAIN COPIES REAPPOINTMENT OF CONSERVATOR AND NOTICE OF HEARING RESENTENCING VISITING, OTHER CONTACT, MODIFICATION OF VISITATION, GUARDIANSHIP PETITION TENDERING RESIGNATION OF GUARDIAN PETITION TO REMOVE GUARDIAN OR CONSERVATOR PETITION TO SEAL ARREST RECORDS PLEA FORM: TRAFFIC AND MINOR VIOLATION PLEADING OBJECTION TO GUARDIANSHIP, CONSERVATORSHIP PLEADING OBJECTION TO PETITION TO REMOVE, Guardian and Conservatorship PLEADING OBJECTION TO PETITION TO TERMINATE, Guardian and Conservatorship REFERAL TO COURT INVESTIGATOR - CONFIDENTAL SUPCV 1092 Mandatory 10/18 Adoption SUPCV 410 Optional 11/18 Probate SUPCR 1112 Optional 11/18 Criminal SUPCV 1074 Optional 11/18 Probate SUPCV 1075 Optional 11/18 Probate SUPCV 1076 Optional 11/18 Probate SUPCR 1125 Optional 6/18 Criminal SUPTMV 057 Optional 11/18 Traffic SUPCV 1070 Optional 11/18 Probate SUPCV 1072 Optional 11/18 Probate SUPCV 1073 Optional 11/18 Probate SUPCV 1085 Mandatory 1/18 Probate 112
7 FOR DEFAULT HEARING FOR TELEPHONE APPEARANCE FOR TELEPHONE APPEARANCE TO AMEND NAME AFTER JUDGMENT TO CALENDAR ATTORNEY USE ONLY REQUEST FOR COURT PROCEEDING TO BE TRANSCRIBED REQUEST FOR ELECTRONIC AUDIO CD OF COURT PROCEEDING REQUEST FOR HEARING ON PROTECTIVE MODIFICATION REQUEST FOR TRIAL - FAMILY LAW RESEARCH AND COPY REQUEST FORM RESPONSE TO PETITION OR APPLICATION SEEK WORK AND REPORT SMALL CLAIMS FILING SMALL CLAIMS MEDIATION PROGRAM STATUS CONFERENCE STATEMENT - FAMILY LAW SUPCV 1103 Optional 1/18 Family Law SUPCV 1093 Mandatory 11/18 Family Law SUPSC 026 Optional 11/18 Small Claims SUPSC 008 Optional 11/18 Small Claims SUPCR 0205 Mandatory 1/18 Criminal SUPAD 347 Mandatory 2/18 Administration SUPAD 001 Optional 2/18 Criminal SUPCR 1126 Optional 1/16 Criminal SUPCV 1042 Optional 11/18 Family Law SUPCV 981 Optional 2/18 Admin SUPCR 1114 Optional 12/14 Criminal SUPCV 1102 Optional 1/18 Family Law SUPSC 001 Optional 11/18 Small Claims SUPSC 005 Optional 11/18 Small Claims SUPCV 1034 Mandatory 11/18 Family Law 113
8 STIPULATION AND STIPULATION AND (CIVIL) STIPULATION AND TO CHILD CUSTODY RECOMMENDING COUNSELING STIPULATION TO VACATE JUDGMENT AND THEREON TERMINATION OF PARENTAL RIGHTS-JUVENILE VISITATION ATTACHMENT A, GUARDIANSHIP VISITATION GUARDIANSHIP WAIVER OF ARRAIGNMENT WAIVER OF OFFICIAL REPORTER IN FELONY PROCEEDINGS WHY IS YOUR BAIL FINE SO MUCH? SUPCV 1088 Optional 11/18 Family Law SUPCV 1100 Optional 1/18 Civil SUPCV 967 Optional 8/18 Family Law SUPSC 025 Optional 11/18 Small Claims SUPCV 1031 Optional 11/18 Juvenile SUPCV 1079 Optional 11/18 Probate SUPCV 1078 Optional 11/18 Probate SUPTMV 060 Optional 11/18 Traffic SUPCR 1116 Optional 8/18 Criminal SUPTMV 051 Optional 7/13 Traffic 114
9 Numerical List by Form Number FORM NAME REQUEST FOR ELECTRONIC AUDIO CD OF COURT PROCEEDING LANGUAGE ACCESS SERVICES COMPLAINT FORM LANGUAGE ACCESS SERVICES COMPLAINT FORM SPANISH REQUEST FOR COURT PROCEEDING TO BE TRANSCRIBED FORM NUMBER MANDATORY/ OPTIONAL REVISION DATE DEPARTMENT SUPAD 001 Optional 2/18 Criminal SUPAD 200 Optional 7/18 Administration SUPAD 200-S Optional 7/18 Administration SUPAD 347 Mandatory 2/18 Administration CERTIFICATE OF ADOPTION SUPADOPT 050 Optional 1/19 Adoption APPROVAL OF ADOPTION AGREEMENT (ADULT OR MARRIED MINOR) ADOPTION AGREEMENT (ADULT OR MARRIED MINOR) CONSENT OF SPOUSE TO ADOPTION (ADULT OR MARRIED MINOR) OF ADOPTION (ADULT OR MARRIED MINOR) TO CALENDAR ATTORNEY USE ONLY SUPADOPT 100 Optional 1/19 Adoption SUPADOPT 101 Optional 1/19 Adoption SUPADOPT 102 Optional 1/19 Adoption SUPADOPT 103 Optional 1/19 Adoption SUPCR 0205 Mandatory 1/18 Criminal 115
10 DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM (FIRST OFFENSE ONLY- VEHICLE CODE 23152) DUI ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE 23152) ADDENDUM TO DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM DUI ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM (VEHICLE CODE 23153) MISDEMEANOR ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM DEFERRED ENTRY OF JUDGMENT (PENAL CODE 1000 ET SEQ.) ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE ET SEQ.; VEHICLE CODE 12500(a) RESENTENCING APPLICATION FOR REDESIGNATION OF MISDEMEANOR RESPONSE TO PETITION OR APPLICATION ON PETITION OR APPLICATION WAIVER OF OFFICIAL REPORTER IN FELONY PROCEEDINGS SUPCR 1103 Optional 11/18 Criminal SUPCR 1104 Optional 5/18 Criminal SUPCR 1105 Optional 11/18 Criminal SUPCR 1106 Optional 11/18 Criminal SUPCR 1107 Optional 2/18 Criminal SUPCR 1108 Optional 11/18 Criminal SUPCR 1109 Optional 5/18 Criminal SUPCR 1112 Optional 11/18 Criminal SUPCR 1113 Optional 11/18 Criminal SUPCR 1114 Optional 12/14 Criminal SUPCR 1115 Optional 11/18 Criminal SUPCR 1116 Optional 8/18 Criminal 116
11 TERMINATING PROBATION MOTION TO TERMINATE PROBATION SEALING ARREST RECORDS PETITION TO SEAL ARREST RECORDS REQUEST FOR HEARING ON PROTECTIVE MODIFICATION DEFENDAT FINANCIAL ELIGIBILITY STATEMENT FOR APPOINTMENT OF COUNSEL AND REIMBURSEMENT MOTION TO REDUCE FELONY TO MISDEMEANOR REDUCING FELONY TO A MISDEMEANOR REAPPOINTMENT OF CONSERVATOR AND NOTICE OF HEARING DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR S DETERMINING CLAIM OF EXEMPTION ENFORCEMENT OF JUDGMENT FOR RELEASE OF RENTS POSTED WITH COURT AMENDMENT TO COMPLAINT, NAME CORRECTION SUPCR 1122 Optional 5/18 Criminal SUPCR 1123 Optional 5/18 Criminal SUPCR 1124 Optional 1/18 Criminal SUPCR 1125 Optional 6/18 Criminal SUPCR 1126 Optional 1/16 Criminal SUPCR 1127 Mandatory 3/18 Criminal SUPCR 1128 Optional 7/17 Criminal SUPCR 1129 Optional 7/17 Criminal SUPCV 0410 Optional 11/18 Probate SUPCV 0420 Mandatory 11/18 Civil SUPCV 0429 Optional 11/18 Civil SUPCV 0435 Optional 11/18 Civil SUPCV 0436 Optional 11/18 Civil 117
12 APPLICATION FOR AUTHORIZATION TO ENTER JUDGMENT PRIOR TO ATTENDANCE AT CO-PARENTING CLASS AND CLERK'S JUDGMENT ON SISTER STATE JUDGMENT NOTICE OF RESIDENCE, LPS CONSERVATORSHIP STIPULATION AND TO CHILD CUSTODY RECOMMENDING COUNSELING RESEARCH AND COPY REQUEST FORM ALTERNATIVE DISPUTE RESOLUTION PACKAGE: STIPULATION AND TO ATTEND JUDICIAL MEDIATION OR PRIVATE ARBITRATION STIPULATION FOR TO CONTINUE TRIAL STIPULATION FOR TO CONTINUE MEDIA TION HEARING AND/OR CASE MANAGEMENT CONFERENCE STIPULATION FOR TO CONTINUE STATUS CONFERENCE AUTHORIZING COST OF REPORTER'S TRANSCRIPT SUPCV 0466 Optional 11/18 Family Law SUPCV 0511 Optional 11/18 Civil SUPCV 0714 Mandatory 4/18 Probate SUPCV 0967 Optional 8/18 Family Law SUPCV 0981 Optional 2/18 Admin SUPCV 1012 Mandatory 11/18 Civil SUPCV 1013 Mandatory 11/18 Civil SUPCV 1013A Mandatory 11/18 Civil SUPCV 1013B Mandatory 11/18 Family Law SUPCV 1021 Optional 11/18 Criminal 118
13 AUTHORIZING COST OF REPORTER'S TRANSCRIPT FOR APPEAL JUDGE'S TRANSCRIPT TERMINATION OF PARENTAL RIGHTS-JUVENILE STATUS CONFERENCE STATEMENT - FAMILY LAW FOR PUBLICATION OF SUMMONS OR CITATION REQUEST FOR TRIAL - FAMILY LAW PLEADING OBJECTION TO GUARDIANSHIP, CONSERVATIORS HIP OBJECTION TO VISITATION GUARDIANSHIPS PLEADING OBJECTION TO PETITION TO REMOVE, Guardian and Conservatorship PLEADING OBJECTION TO PETITION TO TERMINATE, Guardian and Conservatorship VISITING, OTHER CONTACT, MODIFICATION OF VISITATION, GUARDIANSHIP PETITION TENDERING RESIGNATION OF GUARDIAN SUPCV 1022 Optional 11/18 Criminal SUPCV 1023 Optional 11/18 Criminal SUPCV 1031 Optional 11/18 Juvenile SUPCV 1034 Mandatory 11/18 Family Law SUPCV 1041 Optional 11/18 Civil SUPCV 1042 Optional 11/18 Family Law SUPCV 1070 Optional 11/18 Probate SUPCV 1071 Optional 11/18 Probate SUPCV 1072 Optional 11/18 Probate SUPCV 1073 Optional 11/18 Probate SUPCV 1074 Optional 11/18 Probate SUPCV 1075 Optional 11/18 Probate 119
14 PETITION TO REMOVE GUARDIAN OR CONSERVATOR ATTACHMENT, DECLARATION IN SUPPORT OF GUARDIANSHIP VISITATION GUARDIANSHIP VISITATION ATTACHMENT A, GUARDIANSHIP REFERRAL TO COURT INVESTIGATOR ATTACHMENT 2 ND CONSERVATOR ATTACHMENT ADDITIONAL RELATIVES STIPULATION AND AUTHORIZATION TO INSPECT ADOPTION AND BIRTH RECORDS AND TO OBTAIN COPIES FOR TELEPHONE APPEARANCE TO REMOVE ATTACHMENTS, SEAL, DEDACT DECLARATION OF DILIGENT SEARCH AND REQUEST TO DISPENSE WITH NOTICE TO SERVE SUMMONS BY POSTING FOR UNLAWFUL DETAINER EX PARTE TO SEAL AN UNLAWFUL DETAINER SUPCV 1076 Optional 11/18 Probate SUPCV 1077 Optional 11/18 Probate SUPCV 1078 Optional 11/18 Probate SUPCV 1079 Optional 11/18 Probate SUPCV 1085 Mandatory 1/18 Probate SUPCR 1085 Mandatory 1/18 Probate SUPCR 1085 Mandatory 1/18 Probate SUPCV 1088 Optional 11/18 Family Law SUPCV 1092 Mandatory 10/18 Adoption SUPCV 1093 Mandatory 11/18 Family Law SUPCV 1094 Mandatory 11/18 DCSS SUPCV 1095 Optional 11/18 Probate SUPCV 1097 Optional 11/18 Civil SUPCV 1098 Optional 1/18 Civil 120
15 AFTER HEARING (CIVIL) STIPULATION AND (CIVIL) SEEK WORK AND REPORT FOR DEFAULT HEARING REGARDING LOST WRIT DECLARATION OF ELIGIBILITY FOR REPRESENTATION IN DEPENDENCY COURT DECLARATION IN SUPPORT OF REQUEST TO INSPECT AND/OR COPY JUVENILE COURT RECORDS WITHOUT A COURT SMALL CLAIMS FILING SMALL CLAIMS MEDIATION PROGRAM TO AMEND NAME AFTER JUDGMENT DECLARATION OF JUDGMENT DEBTOR AND REQUEST TO ENETR SATISFACTION OF JUDGMENT DECLARATION AND RE: MEDIATED AGREEMENT DEFAULT STIPULATION TO VACATE JUDGMENT AND THEREON FOR TEL. APPEARANCE SUPCV 1099 Optional 1/18 Civil SUPCV 1100 Optional 1/18 Civil SUPCV 1102 Optional 1/18 Family Law SUPCV 1103 Optional 1/18 Family Law SUPCV 1104 Optional 7/18 Civil SUPJV 800 Mandatory 7/18 Juvenile SUPJV 801 Optional 1/19 Juvenile SUPSC 001 Optional 11/18 Small Claims SUPSC 005 Optional 11/18 Small Claims SUPSC 008 Optional 11/18 Small Claims SUPSC 013 Mandatory 11/18 Small Claims SUPSC 024 Optional 11/18 Small Claims SUPSC 025 Optional 11/18 Small Claims SUPSC 026 Optional 11/18 Small Claims 121
16 NOTICE OF PARKING APPEAL WHY IS YOUR BAIL FINE SO MUCH? MODIFICATION REQUEST FORM: CRIMINAL/MINOR VIOLATION/ TRAFFIC PLEA FORM: TRAFFIC AND MINOR VIOLATION WAIVER OF ARRAIGNMENT SUPTMV 041 Mandatory 11/18 Traffic SUPTMV 051 Optional 7/13 Traffic SUPTMV 056 Optional 11/18 Traffic SUPTMV 057 Optional 11/18 Traffic SUPTMV 060 Optional 11/18 Traffic 122
Superior Court of California County of Santa Cruz
Appendix B List of Local Forms Alphabetical List by Form Name FORM NAME ADDENDUM TO WAIVER, AND PLEA FORM ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE 14601 ET SEQ.; VEHICLE CODE 12500(a) ADVISEMENT
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