Madera — Authorization for Non-Attorney Court Document Preparer (MAD-CIV-019)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-civ-019-authorization-non-attorney-court-document-preparer-rev-09-25-2025.pdf

MAD-CIV-019 PARTY WITHOUT ATTORNEY (Name, and address): FOR COURT USE ONLY

TELEPHONE NO: E-MAIL ADDRESS (optional): IN PRO PER SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, California 93637 Civil Division PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

GUARDIANSHIP OF (Name):

AUTHORIZATION FOR NON-ATTORNEY CASE NUMBER:
COURT DOCUMENT PREPARER

I am the (specify): PPlaintiff/Petitioner Defendant/Respondent Claimant Other Party in the above-entitled action.

I hereby authorize ____________________________________________________________________________
Name of Document Preparer

____________________________________________________________________________
Street Address

____________________________________________________________________________
City, State and Zip code

____________________________________________________________________________
Telephone Number

__________________________________________________________________________
Email Address

to: act as a courier to submit court documents for processing on my behalf.

receive endorsed copies of court documents from the courthouse on my behalf.

be designated to have remote access to electronic records in the instant action pursuant to California
Rules of Court Rule 2.518. Remote access will be granted to the email address listed above.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: _____________________________

SIGN

__________________________________ ► (Type or Print Name) (Signature of Petitioner/Respondent/Claimant/Other Party)

Form Adopted for Optional Use AUTHORIZATION FOR NON-ATTORNEY Page 1 of 1 Madera Superior Court Local Form COURT DOCUMENT PREPARER MAD-CIV-019 [Rev. 09/25/2025]