San Mateo — Local Forms

Source: https://sanmateo.courts.ca.gov/forms-filing/local-forms

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.

Related Links

Fee Schedule

Local Rules

Self-Prep & File

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 | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-7 | 08/2026 | Adoption | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-8 | 08/2026 | Adoption | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-9 | 08/2026 | Adoption | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-9a | 08/2026 | Adoption | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-10 | 08/2026 | Adoption | Please email SMSCAdoptions@sanmateocourt.org to obtain local forms for accessing adoption records. | Adopt-10a | 08/2026 | 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 | 01/2026 | 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 | 09/2026 | Civil | Newspaper Listings | PR-13 | 04/2026 | 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 | 07/2025 | Criminal | Criminal Change of Plea (Spanish) | CRC-6S | 07/2025 | 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 | 05/2026 | Criminal | Deed of Full Reconveyance | CR-103 | 05/2026 | 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 | 07/2025 | 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 | 05/2025 | 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: DA_Mental_Health_Unit@smcgov.org

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 | 05/2025 | Criminal | Mental Health Diversion Progress Report | MHDPR | 02/2026 | Criminal | Mental Health Diversion Provider Agreement | PAMHD | 12/2025 | 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 | 05/2026 | 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 | 05/2026 | Family Court Services | Acknowledgement Guidelines for Support Person (Spanish) | FCS-3a Spanish | 05/2026 | 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 | 05/2026 | Family Court Services | Separate Mediation and Support Person Policy | FCS-9a Spanish | 10/2018 | Family Court Services | Interpreter Instructions | FCS-10 | 05/2026 | Family Court Services | Instrucciónes Para Los Interpretes | FCS-10 Spanish | 05/2026 | Family Court Services | Interpreter Acknowledgment | FCS-11 | 05/2026

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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 | 01/2026 | 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 | 04/2026 | 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 | 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 | 05/2026 | Small Claims | Release of Exhibits | SC-6 | 01/2020 | Small Claims | Declaration and Motion for Order Amending Judgment | SC-21 | 05/2026 | 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 | 02/2026 | 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 | 01/2024

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