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Local Forms

This page contains a list of LOCAL downloadable forms. Click on the links below to go to the corresponding form category.

Adoption | ADR | Civil | Criminal | Collaborative Courts | Mental Health Diversion | Family Court Services | Family Law | Juvenile | Probate | Small Claims | Traffic

You can find Judicial Council forms at the California Courts Website.

Adoption

Division Name Form# Date Rev
Adoption Adult Adoption Petition Adopt-4 05/2016
Adoption Adult Adoption Agreement Adopt-5 09/2012
Adoption Adult Adoption Order Adopt-6 12/2016
Adoption Adoptee Request to Obtain Information from Adoption Filed (Family Code §9200) Adopt-7 04/2023
Adoption Interested Party Request to Obtain Information from Adoption Filed (Family Code §9200) Adopt-8 04/2023
Adoption Adoptee Request to Obtain Information from Original Birth Record (Health & Safety Code §102705) Adopt-9 04/2023
Adoption Adoptee Request to Obtain Information from Original Birth Record (Health & Safety Code §102705) - Attachment Adopt-9a 04/2023
Adoption Petition to Obtain Information From Original Birth Record-Interested Party Adopt-10 09/2012
Adoption Adult Adoption-Consent of Spouse Adopt-11 09/2012

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Alternative Dispute Resolution (ADR)

Division Name Form# Date Rev
ADR Ex Parte Motion and Stipulation to Extend Jurisdiction of Arbitrator (fillable) ADR-CSARB 09/2021
ADR Civil Stipulation and Order to ADR Form and Instructions ADR-CV-1 07/2021
ADR Probate Stipulation and Order to ADR Form and Instructions ADR-CV-2 09/2021
ADR Stipulation to Mediation in Lieu of Judicial Arbitration ADR-CV-3 02/2014
ADR Neutral Evaluation Guidelines ADR-CV-4 05/2019
ADR Court ADR Information Sheet ADR-CV-8 02/2014
ADR Statement of Nonagreement ADR-CV-11 06/2021
ADR Juvenile Dependency Mediation Evaluation Form ADR-JV-1 06/2018
ADR ADR Financial Aid Application ADR-9 06/2018
ADR ADR Program Panelist Application and Instructions ADR-10 05/2019

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Civil

Division Name Form# Date Rev
Civil Stipulation for Court Commissioner to Act as Temporary Judge for All Purposes AD-10 07/2024
Civil Amendment to Complaint CV-1 03/2004
Civil Memorandum that Civil Case is at Issue FL-5 04/2004
Civil Uncontested Calendar and Prove Up Hearing Request CV-P1 03/2025
Civil Newspaper Listings PR-13 01/2024
Civil Bench Warrant CV-39 10/2023
Civil Application and Declaration in Support of Request to Dispense with Notice to Minor's Parent (fillable) CV-66 03/2009
Civil Order Appointing Special Master CV-67 08/2010
Civil Appointment of Official Reporter Pro Tempore CV-68 11/2022
Civil Request for an Official Court Reporter for Civil Court Proceedings CV-69 11/2022

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Criminal

Division Name Form# Date Rev
Criminal Advice of Rights CR-1 10/2011
Criminal Advice of Rights (Spanish) CR-1 Sp 10/2011
Criminal Declaration to Obtain Services of Court Appointed Counsel CR-2a 09/2022
Criminal Declaration to Obtain Services of Court Appointed Counsel (Spanish) CR-2 Sp 09/2022
Criminal Waiver of Right to Counsel and Order Permitting Appearance in Propria Persona (Faretta Waiver) CR-25 07/2023
Criminal Waiver of Defendant's Personal Presence CR-31 06/2004
Criminal Declaration Concerning a Plea or Change of Plea to Guilty or Nolo Contendere: Finding and Order (Misdemeanor) CR-33 07/2024
Criminal Declaration Concerning a Plea or Change of Plea to Guilty or Nolo Contendere: Finding and Order (Misdemeanor) (Spanish) CR-33S 07/2024
Criminal Criminal Change of Plea CRC-6 07/2024
Criminal Criminal Change of Plea (Spanish) CRC-6S 07/2024
Criminal DUI Advisement of Rights, Waiver, and Plea Form (Vehicle Code §§ 23103, 23152 & 23153) CR-36 11/2015
Criminal DUI Advisement of Rights, Waiver, and Plea Form (Vehicle Code §§ 23103, 23152 & 23153) (Spanish) CR-36 Sp 11/2015
Criminal Waiver of Rights for Admission of Probation Violation CR-39 06/2012
Criminal Waiver of Rights for Admission of Probation Violation (Spanish) CR-39 Sp 06/2012
Criminal Application of Deft. for the Court to Declare Conviction Offense a Misdemeanor CR-40 06/2004
Criminal Addendum to Advisement, Waiver & Plea Form - Deft. Under 21 Years of Age CR-73 06/2004
Criminal Addendum to Advisement, Waiver & Plea Form - Deft. Under 21 Years of Age (Spanish) CR-73 Sp 06/2004
Criminal Proposition 36 Petition for Dismissal of Charges CR-75 07/2009
Criminal Proposition 36 Dismissal Order Pursuant to Penal Code Section 1210.1 CR-76 07/2009
Criminal Order Withdrawing Lien on Real Property Posted as Bail CR-102 10/2018
Criminal Deed of Full Reconveyance CR-103 10/2018
Criminal Request for Forensic Evaluation Fee Variance CR-168 05/2008
Criminal Order Appointing Doctor(s) for an Examination of the Defendant (Misdemeanor)  CR-169 05/2023
Criminal Prop 47 Prop-47 08/2015
Criminal Prop 64 Petition Prop 64 Petition 06/2017

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Criminal: Collaborative Courts

Division Name Form# Date Rev
Criminal Notification of Military/Veteran/Reserve/Active Status MIL-100 09/2023
Criminal Proposition 36 (2024) Referral Form P36 04/2025
Criminal Application for Admission into Veterans Treatment Court VTC-01 05/2012
Criminal Consent to Release of Information for Veterans Treatment Court VTC-02 05/2012
Criminal Veterans Treatment Court Rules VTC-03 05/2012
Criminal Initial Referral for Screening for Veterans Treatment Court (Probation Department form) VTC 04/2012

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Criminal: Mental Health Diversion

Instructions:

  • File the screening form with the date you are requesting for the "To Set" date along with the supporting documentation with the clerk’s office.
  • Serve the DA's office
  • When the clerk’s office accepts the form the eFile service provider will send the filed copy to the party’s email. The form will reflect the future date that has been set on the MHD calendar.
  • Future court dates will remain as set until vacated by the Mental Health Judge or another Judicial Officer upon finding good cause.
Division Name Form# Date Rev
Criminal Mental Health Diversion Participation Agreement AGMHD 04/2025
Criminal Mental Health Diversion Screening Form MHD 04/2025
Criminal Mental Health Diversion Progress Report MHDPR 06/2024
Criminal Mental Health Diversion Provider Agreement PAMHD 04/2025
Criminal Authorization to Release Health Records and Information RLMHD 04/2025

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Family Court Services

Division Name Form# Date Rev
Family Court Services Client Comment Form FCS-1 09/2019
Family Court Services Authorization for Release of Records & Protected Health Information FCS-2 05/2013
Family Court Services Acknowledgement Guidelines for Support Person FCS-3 10/2018
Family Court Services Acknowledgement Guidelines for Support Person FCS-3a Spanish 10/2018
Family Court Services Information Sheet Mediation & Evaluation FCS-4 03/2017
Family Court Services Spanish Information Sheet Mediation & Evaluation FCS-4a Spanish 08/2017
Family Court Services Guardianship Information Sheet FCS-8 01/2018
Family Court Services Spanish Guardianship Information Form FCS-8a Spanish 01/2018
Family Court Services Separate Mediation and Support Person Policy FCS-9 10/2018
Family Court Services Separate Mediation and Support Person Policy FCS-9a Spanish 10/2018
Family Court Services Interpreter Instructions FCS-10 10/2018
Family Court Services Instrucciónes Para Los Interpretes FCS-10 Spanish 10/2018
Family Court Services Interpreter Acknowledgment FCS-11 10/2018

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Family Law

Division Name Form# Date Rev
Family Law Stipulation for Court Commissioner to Act as Temporary Judge for All Purposes AD-10 02/2023
Family Law Stipulation and Order RE Continuance FL-1 09/2018
Family Law Notice of ADR Options FL-2 01/2019
Family Law Status Conference Statement FL-3 01/2009
Family Law Status Conference & Trial Setting Order FL-4 09/2013
Family Law Stipulation and Order FL-6 04/2004
Family Law Uncontested Calendar Request PR-CV-FL-7 03/2004
Family Law Declaration Re Notice of Ex-parte Appl. for Orders FL-8 01/2019
Family Law List of Proposed Exhibits FL-CV-09a 10/2013
Family Law Objections to Exhibits of Pet-Resp FL-9 04/2004
Family Law Notice of Motions in Limine FL-10 04/2004
Family Law List of Witnesses FL-11 04/2004
Family Law Mandatory Short Cause Trial Statement FL-12 01/2016
Family Law Stipulation and Order to Defer Setting of Status Conference FL-13 07/2008
Family Law Request to Set Status Conference FL-14 07/2008
Family Law Declaration for Assignment to the Northern Department - Domestic Violence Action FL-17 01/2019
Family Law Stipulation for Appointment or Removal of Mediator FL-18 03/2021

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Juvenile

Division Name Form# Date Rev
Juvenile Notice of Responsibility for Reimbursement for Court Appointed Counsel in Dependency Proceedings JV-11 09/2021
Juvenile Alviso De Responsabilidad De Reembolso Por Abogado Nombrado Por La Corte En Actuaciones De Dependencia De Menores JV-11 Spanish 09/2011
Juvenile Declaration of Financial Condition Made Under Penalty of Perjury to Obtain the Services of Court Appointed Counsel /
Declaración Financiera Realizada Bajo Pena De Perjurio Para Obtener Los Servicios De Un Abogrado Designado Por La Corte
JV-12 (English/Spanish) 03/2023
Juvenile Waiver Form with Advisements, Stipulations, Declarations, Findings & Orders JV-13 03/2023

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Probate

Division Name Form# Date Rev
Probate Conservatee's Information and List of Relatives PR-1 08/2009
Probate Conservatee's Information and List of Relatives (Word, fillable) PR-1 08/2009
Probate List of Conservatee's Relatives/Friends (Attachment to PR-1) PR-1A 08/2009
Probate Notification to Court of Addresses for Guardianship PR-2 01/2023
Probate Caregiver Authorization Affidavit PR-4 03/2004
Probate Request for Appointment of California Probate Referee PR-5 03/2004
Probate Uncontested Calendar Request PR-CV-FL-7 03/2004
Probate Affidavit to comply with CA Probate Code §§ 13100-13115 PR-8 07/2020
Probate Declaration RE: Notice of Exparte Application for Orders PR-9 09/2008
Probate Newspaper Listings PR-13 01/2024
Probate Guardianship Declaration Confidential PR-18 03/2019
Probate Confidential Status Report PR-19 02/2013
Probate Filing of Guardianship Petition PR-20 01/2008
Probate Confidential General Plan PR-22 09/2011
Probate Notice to Court of Death PR-23 08/2008
Probate Declaration in Support of Waiver of Accountings PR-24 03/2008
Probate Instructions for Lodging Original Financial Statements Prob.C. 2620 C PR-26 06/2010
Probate Receipt for Lodged Original Financial Statements PR-27 01/2008

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Small Claims

Division Name Form# Date Rev
Small Claims Declaration Re Satisfaction of Judgment SC-3 05/2020
Small Claims Release of Exhibits SC-6 01/2020
Small Claims Declaration and Motion for Order Amending Judgment SC-21 05/2020
Small Claims Request for Dismissal (fillable) SC-24 05/2020
Small Claims Declaration Re. Lost Copy SC-31 05/2020
Small Claims Bench Warrant SC-32 10/2023

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Traffic

Division Name Form# Date Rev
Traffic Why is My Bail or Fine So Much? TR-07 04/2022
Traffic Advice of Rights - Traffic Violations (Notice) TR-21 07/2010
Traffic English/Spanish Advice of Rights - Traffic Violations (Notice) TR-21 Eng/Span 07/2010
Traffic Chinese Advice of Rights TR-21b 07/2010
Traffic Waiver of Rights for Entry of Plea of Guilty or Nolo 14601.1(a) VC TR-22 07/2004
Traffic Spanish Waiver of Rights for Entry of Plea of Guilty or Nolo 14601.1(A) VC TR-22a SPA 07/2004
Traffic Waiver of Rights for Informal Hearing 40901 TR-23 07/2004
Traffic Spanish Waiver of Rights for Informal Hearing 40901 TR-23a SPA 07/2004
Traffic Waiver of Rights for Entry of Plea of Guilty or Nolo Contendere CR-TR-33 06/2004
Traffic Spanish Waiver of Rights for Entry of Plea of Guilty CR-TR-33a SPA 06/2004
Traffic Advisement and Acknowledgment of Rights; Entry of Guilty or No Contest Plea; Request for Reduction of Fine TR-34 05/2020
Traffic Waiver of Arraignment on Traffic Citation TR-43 03/2019
Traffic Instructions to Defendant (Trial by Written Declaration) TR-200 01/1999
Traffic Request for Trial by Written Declaration TR-205 01/1999
Traffic TBWD Officer Declaration TR-235 01/2000
Traffic Agreement to Pay and Forfeit Bail in Installments TR-300 (Northern Branch) 11/2010

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