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 OF RIGHTS, WAIVER AND PLEA FORM DEFERRED ENTRY OF (PENAL CODE 1000 ET SEQ.) AMENDMENT TO COMPLAINT, NAME CORRECTION AUTHORIZING COST OF REPORTER'S TRANSCRIPT AUTHORIZING COST OF REPORTER'S TRANSCRIPT FOR APPEAL FOR PUBLICATION OF SUMMONS OR CITATION TO SERVE SUMMONS BY POSTING FOR UNLAWFUL DETAINER FORM NUMBER MANDATORY/ OPTIONAL REVISION DATE DEPARTMENT SUPCR 1105 Optional 7/13 Criminal SUPCR 1109 Optional 7/13 Criminal SUPCR 1108 Optional 7/13 Criminal SUPCV 436 Optional 10/07 Civil SUPCV 1021 Optional 10/07 Criminal SUPCV 1022 Optional 10/07 Criminal SUPCV 1041 Optional 7/13 Civil SUPCV 1097 Optional 7/15 Civil 105
STIPULATION FOR TO CONTINUE STATUS CONFERENCE STIPULATION FOR TO CONTINUE TRIAL STIPULATION FOR TO CONTINUE MEDIA TION HEARING AND/OR CASE MANAGEMENT CONFERENCE APPLICATION FOR AUTHORIZATION TO ENTER PRIOR TO ATTENDANCE AT CO- PARENTING CLASS AND APPLICATION FOR REDESIGNATION OF ATTACHMENT, DECLARATION IN SUPPORT OF CLERK'S ON SISTER STATE CONTACT PURSUANT TO PROBATE CODE DECLARATION AND RE: MEDIATED AGREEMENT DEFAULT DECLARATION OF DILIGENT SEARCH AND REQUEST TO DISPENSE WITH NOTICE SUPCV 1013B Mandatory 1/13 Family Law SUPCV 1013 Mandatory 9/08 Civil SUPCV 1013A Mandatory 2/08 Civil SUPCV 466 Optional 10/07 Family Law SUPCR 1113 Optional 7/15 Criminal SUPCV 1077 Optional 5/15 Probate SUPCV 511 Optional 10/07 Civil SUPCV 1085 Mandatory 6/10 Probate SUPSC 024 Optional 1/12 Small Claims SUPCV 1095 Optional 1/15 Probate 106
DECLARATION OF DEBTOR AND REQUEST TO ENTER SATISFACTION OF DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR S DEFENDAT FINANCIAL ELIGIBILITY STATEMENT FOR APPOINTMENT OF COUNSEL AND REIMBURSEMENT WAIVER AND PLEA FORM (VEHICLE CODE 23152) WAIVER, AND PLEA FORM (FIRST OFFENSE ONLY-VEHICLE CODE 23152) WAIVER, AND PLEA FORM (VEHICLE CODE 23153) EX PARTE TO SEAL AN UNLAWFUL DETAINER JUDGE'S TRANSCRIPT ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM MODIFICATION REQUEST FORM: CRIMINAL/MINOR VIOLATION/ TRAFFIC SUPSC 013 Mandatory 1/15 Small Claims SUPCV 420 Mandatory 12/12 Family Law SUPCR 1127 Mandatory 7/16 Criminal SUPCR 1104 Optional 10/17 Criminal SUPCR 1103 Optional 12/24 Criminal SUPCR 1106 Optional 7/13 Criminal SUPCV 1100 Optional 1/18 Civil SUPCV 1023 Optional 9/14 Criminal SUPCR 1107 Optional 7/15 Criminal SUPTMV 056 Optional 1/14 Traffic 107
MOTION TO REDUCE FELONY TO A MOTION TO TERMINATE PROBATION NOTICE OF PARKING APPEAL NOTICE OF RESIDENCE, CONSERVATORSH IP/ S AFTER HEARING (CIVIL) DETERMINING CLAIM OF EXEMPTION ENFORCEMENT OF FOR RELEASE OF RENTS POSTED WITH COURT ON PETITION OR APPLICATION REDUCING FELONY TO A SEALING AND DESTROYING ARREST RECORD TERMINATING PROBATION TO REMOVE ATTACHMENTS, SEAL, REDACT AUTHORIZATION TO INSPECT ADOPTION AND BIRTH RECORDS AND TO OBTAIN COPIES SUPCR 1128 Optional 7/17 Criminal SUPCR 1123 Optional 1/16 Criminal SUPTMV 041 Mandatory 2/16 Traffic SUPCV 714 Mandatory 2/08 Probate SUPCV 1071 Optional 7/08 Probate SUPCV 1101 Optional 1/18 Civil SUPCV 429 Optional 10/07 Civil SUPCV 435 Optional 10/07 Civil SUPCR 1115 Optional 1/15 Criminal SUPCR 1129 Optional 7/17 Criminal SUPCR 1124 Optional 1/16 Criminal SUPCR 1122 Optional 1/16 Criminal SUPCV 1094 Mandatory 1/13 DCSS SUPCV 1092 Mandatory 5/15 Adoption 108
REAPPOINTMENT OF CONSERVATOR AND NOTICE OF HEARING RESENTENCING VISITING, OTHER CONTACT, MODIFICATION OF, PETITION TENDERING RESIGNATION OF GUARDIAN PETITION TO REMOVE GUARDIAN OR CONSERVATOR PETITION TO SEAL AND DESTROY ARREST RECORD PLEA FORM: TRAFFIC AND MINOR VIOLATION PLEADING, CONSERVATIORS HIP PLEADING PETITION TO REMOVE, Guardian and Conservatorship PLEADING PETITION TO TERMINATE, Guardian and Conservatorship FOR DEFAULT HEARING FOR TELEPHONE APPEARANCE FOR TELEPHONE APPEARANCE SUPCV 410 Optional 10/05 Probate SUPCR 1112 Optional 7/15 Criminal SUPCV 1074 Optional 1/09 Probate SUPCV 1075 Optional 8/12 Probate SUPCV 1076 Optional 1/09 Probate SUPCR 1125 Optional 1/16 Criminal SUPTMV 057 Optional 10/15 Traffic SUPCV 1070 Optional 1/09 Probate SUPCV 1072 Optional 1/09 Probate SUPCV 1073 Optional 1/09 Probate SUPCV 1099 Optional 1/17 Family Law SUPCV 1093 Mandatory 1/13 Family Law SUPSC 026 Optional 2/17 Small Claims 109
TO AMEND NAME AFTER 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 SEEK WORK REPORT SMALL CLAIMS FILING SMALL CLAIMS MEDIATION PROGRAM STATUS CONFERENCE STATEMENT - FAMILY LAW (CIVIL) TO ATTEND JUDICIAL MEDIATION OR PRIVATE ARBITRATION TO CHILD CUSTODY RECOMMENDING COUNSELING STIPULATION TO VACATE AND THEREON SUPSC 008 Optional 9/10 Small Claims SUPCR 013 Optional 12/16 Criminal SUPCR 1126 Optional 1/16 Criminal SUPCV 1042 Optional 10/07 Family Law SUPCV 981 Optional 12/16 Admin SUPCR 1114 Optional 12/14 Criminal SUPCV 1098 Optional 1/16 Family Law SUPCV 1098 Page Two Optional 1/16 Family Law SUPSC 001 Optional 7/15 Small Claims SUPSC 005 Optional 6/10 Small Claims SUPCV 1034 Mandatory 1/13 Family Law SUPCV 1088 Optional 9/13 Family Law SUPCV 1102 Optional 1/18 Civil SUPCV 1012 Mandatory 9/14 Civil SUPCV 967 Optional 2/12 Family Law SUPSC 025 Optional 1/12 Small Claims 110
TERMINATION OF PARENTAL RIGHTS-JUVENILE ATTACHMENT A, WAIVER OF ARRAIGNMENT WAIVER OF OFFICIAL REPORTER IN FELONY PROCEEDINGS WHY IS YOUR BAIL FINE SO MUCH? SUPCV 1031 Optional 2/08 Juvenile SUPCV 1079 Optional 8/12 Probate SUPCV 1078 Optional 1/09 Probate SUPTMV 060 Optional 11/15 Traffic SUPCR 1116 Optional 1/15 Criminal SUPTMV 051 Optional 7/13 Traffic Numerical List by Form Number FORM NAME REQUEST FOR ELECTRONIC AUDIO CD OF COURT PROCEEDING WAIVER, AND PLEA FORM (FIRST OFFENSE ONLY-VEHICLE CODE 23152) WAIVER AND PLEA FORM (VEHICLE CODE 23152) ADDENDUM TO WAIVER, AND PLEA FORM WAIVER, AND PLEA FORM (VEHICLE CODE 23153) ADVISEMENT OF RIGHTS, WAIVER, AND PLEA FORM FORM NUMBER MANDATORY/ OPTIONAL REVISION DATE DEPARTMENT SUPCR 013 Optional 12/16 Criminal SUPCR 1103 Optional 12/14 Criminal SUPCR 1104 Optional 10/17 Criminal SUPCR 1105 Optional 7/13 Criminal SUPCR 1106 Optional 7/13 Criminal SUPCR 1107 Optional 7/15 Criminal 111
ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM DEFERRED ENTRY OF (PENAL CODE 1000 ET SEQ.) ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE 14601 ET SEQ.; VEHICLE CODE 12500(a) RESENTENCING APPLICATION FOR REDESIGNATION OF RESPONSE TO PETITION OR APPLICATION ON PETITION OR APPLICATION WAIVER OF OFFICIAL REPORTER IN FELONY PROCEEDINGS TERMINATING PROBATION MOTION TO TERMINATE PROBATION SEALING AND DESTROYING ARREST RECORD PETITION TO SEAL AND DESTROY ARREST RECORD REQUEST FOR HEARING ON PROTECTIVE MODIFICATION DEFENDAT FINANCIAL ELIGIBILITY STATEMENT FOR APPOINTMENT OF COUNSEL AND REIMBURSEMENT MOTION TO REDUCE FELONY TO SUPCR 1108 Optional 7/13 Criminal SUPCR 1109 Optional 7/13 Criminal SUPCR 1112 Optional 7/15 Criminal SUPCR 1113 Optional 7/15 Criminal SUPCR 1114 Optional 12/14 Criminal SUPCR 1115 Optional 1/15 Criminal SUPCR 1116 Optional 1/15 Criminal SUPCR 1122 Optional 1/16 Criminal SUPCR 1123 Optional 1/16 Criminal SUPCR 1124 Optional 1/16 Criminal SUPCR 1125 Optional 1/16 Criminal SUPCR 1126 Optional 1/16 Criminal SUPCR 1127 Mandatory 7/16 Criminal SUPCR 1128 Optional 7/17 Criminal 112
REDUCING FELONY TO A REAPPOINTMENT OF CONSERVATOR AND NOTICE OF HEARING DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR S DETERMINING CLAIM OF EXEMPTION ENFORCEMENT OF FOR RELEASE OF RENTS POSTED WITH COURT AMENDMENT TO COMPLAINT, NAME CORRECTION APPLICATION FOR AUTHORIZATION TO ENTER PRIOR TO ATTENDANCE AT CO- PARENTING CLASS AND CLERK'S ON SISTER STATE NOTICE OF RESIDENCE, CONSERVATORSH IP/ TO CHILD CUSTODY RECOMMENDING COUNSELING RESEARCH AND COPY REQUEST FORM TO ATTEND JUDICIAL MEDIATION OR ARBTRATION SUPCR 1129 Optional 7/17 Criminal SUPCV 0410 Optional 10/05 Probate SUPCV 0420 Mandatory 12/12 Family Law SUPCV 0429 Optional 10/07 Civil SUPCV 0435 Optional 10/07 Civil SUPCV 0436 Optional 10/07 Civil SUPCV 0466 Optional 10/07 Family Law SUPCV 0511 Optional 10/07 Civil SUPCV 0714 Mandatory 2/08 Probate SUPCV 0967 Optional 2/12 Family Law SUPCV 0981 Optional 12/16 Admin SUPCV 1012 Mandatory 9/14 Civil 113
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 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, CONSERVATIORS HIP S SUPCV 1013 Mandatory 9/08 Civil SUPCV 1013A Mandatory 2/08 Civil SUPCV 1013B Mandatory 1/13 Family Law SUPCV 1021 Optional 10/07 Criminal SUPCV 1022 Optional 10/07 Criminal SUPCV 1023 Optional 9/14 Criminal SUPCV 1031 Optional 2/08 Juvenile SUPCV 1034 Mandatory 1/13 Family Law SUPCV 1041 Optional 7/13 Civil SUPCV 1042 Optional 10/07 Family Law SUPCV 1070 Optional 1/09 Probate SUPCV 1071 Optional 7/08 Probate 114
PLEADING PETITION TO REMOVE, Guardian and Conservatorship PLEADING PETITION TO TERMINATE, Guardian and Conservatorship VISITING, OTHER CONTACT, MODIFICATION OF, PETITION TENDERING RESIGNATION OF GUARDIAN PETITION TO REMOVE GUARDIAN OR CONSERVATOR ATTACHMENT, DECLARATION IN SUPPORT OF ATTACHMENT A, CONTACT PURSUANT TO PROBATE CODE AUTHORIZATION TO INSPECT ADOPTION AND BIRTH RECORDS AND TO OBTAIN COPIES FOR TELEPHONE APPEARANCE TO REMOVE ATTACHMENTS, SEAL, DEDACT SUPCV 1072 Optional 1/09 Probate SUPCV 1073 Optional 1/09 Probate SUPCV 1074 Optional 1/09 Probate SUPCV 1075 Optional 8/12 Probate SUPCV 1076 Optional 1/09 Probate SUPCV 1077 Optional 5/15 Probate SUPCV 1078 Optional 1/09 Probate SUPCV 1079 Optional 8/12 Probate SUPCV 1085 Mandatory 6/10 Probate SUPCV 1088 Optional 9/13 Family Law SUPCV 1092 Mandatory 5/15 Adoption SUPCV 1093 Mandatory 1/13 Family Law SUPCV 1094 Mandatory 1/13 DCSS 115
DECLARATION OF DILIGENT SEARCH AND REQUEST TO DISPENSE WITH NOTICE TO SERVE SUMMONS BY POSTING FOR UNLAWFUL DETAINER SEEK WORK SEEK WORK REPORT FOR DEFAULT HEARING EX PARTE TO SEAL AN UNLAWFUL DETAINER AFTER HEARING (CIVIL) (CIVIL) SMALL CLAIMS FILING SMALL CLAIMS MEDIATION PROGRAM TO AMEND NAME AFTER DECLARATION OF DEBTOR AND REQUEST TO ENETR SATISFACTION OF DECLARATION AND RE: MEDIATED AGREEMENT DEFAULT STIPULATION TO VACATE AND THEREON FOR TEL. APPEARANCE SUPCV 1095 Optional 1/15 Probate SUPCV 1097 Optional 7/15 Civil SUPCV 1098 Optional 1/16 Family Law SUPCV 1098 Page Two Optional 1/16 Family Law SUPCV 1099 Optional 1/17 Family Law SUPCV 1100 Optional 1/18 Civil SUPCV 1101 Optional 1/18 Civil SUPCV 1102 Optional 1/18 Civil SUPSC 001 Optional 7/15 Small Claims SUPSC 005 Optional 6/10 Small Claims SUPSC 008 Optional 9/10 Small Claims SUPSC 013 Mandatory 1/15 Small Claims SUPSC 024 Optional 1/12 Small Claims SUPSC 025 Optional 1/12 Small Claims SUPSC 026 Optional 2/17 Small Claims 116
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 2/16 Traffic SUPTMV 051 Optional 7/13 Traffic SUPTMV 056 Optional 1/14 Traffic SUPTMV 057 Optional 10/15 Traffic SUPTMV 060 Optional 11/15 Traffic 117