Los Angeles Forms Lists

Source: https://www.lacourt.ca.gov/courtrules/CurrentCourtRulesPDF/ChapFormsListing.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS CIVIL FORMS Sorted by Form Name

Revised Optional/

Form ID Form Name Fillable Date Mandatory

LACIV057 Affidavit for Order for Appearance and Examination of a Third Person 8/1/2018 YES Optional LACIV198 Affidavit of Identity and Order 8/1/2018 YES Optional REM017 Affidavit of Lost or Destroyed Exhibits 7/5/2016 YES Optional LACIV271 Alternative Dispute Resolution (ADR) Information Package 1/1/2020 YES Mandatory LACIV105 Amendment to Complaint (Fictitious/Incorrect Name) 8/1/2018 YES Optional SMCL014 Application and Order for Transfer (Small Claims) 9/1/2019 YES Optional REM009 Application and Order for Viewing and/or Reproduction of Trial Court Exhibits 7/5/2016 YES Optional LACIV106 Application and Order Regarding Lost Writ 1/1/2007 YES Optional LACIV107 Application and Order to Serve Summons by Posting for Unlawful Detainer 1/10/2003 YES Optional LACIV054 Application and Order to Vacate Stay of Execution & to Issue Writ 8/1/2018 YES Optional

LACIV037 Application and Order to Withdraw Exhibits 8/1/2018 YES Optional

LACIV096 Application for Issuance of Writ of Possession or Sale 8/1/2007 YES Optional LACIV108 Application for Publication 8/1/2018 YES Optional LACIV109 Civil Case Cover Sheet Addendum and Statement of Location 12/7/2018 YES Mandatory

LACIV040 Clerk's Certificate of Entry of Satisfaction of Judgment 9/1/2013 YES Optional

LACIV131 Commission 9/1/2013 YES Optional LACIV211 Complex Civil Case Questionnaire 9/1/2012 YES Optional Compliance with General Order for Limited Jurisdiction Unlawful Detainer [Eviction] Jury LACIV244 4/1/2018 YES Optional Trial Readiness __Joint __Proposed LACIV099 Declaration and Order RE: Advance Jury Fees 11/3/2014 YES Optional SMCL003 Declaration of Judgment Debtor Regarding Satisfaction of Judgment (Small Claims) 9/1/2019 YES Optional LACIV143 Declaration Of Mailing 11/3/2014 YES Optional LACIV222 Declaration Re: Waived Court Fees And Costs 11/3/2014 YES Optional LACIV119 Default Judgment - Unlawful Detainer 10/1/2003 YES Optional LACIV137 Exhibit List 8/1/2018 YES Optional LACIV216 Exhibit List - Trial 8/1/2018 YES Optional LACIV266 Fax Filing Coversheet ‐ ODR 6/1/2018 YES Optional REM041 How to Submit an Application to View and/or Copy Exhibits 7/5/2016 NO Optional LACIV094 Informal Discovery Conference 4/1/2011 YES Optional LACIV239 Informal Discovery Conference Form For Personal Injury Courts 10/1/2019 YES Optional Instructions for Applications And Orders For Publication Civil, Probate And Family Law LACIV221 8/1/2018 NO Optional Cases Stanley Mosk Courthouse LACIV038 Instructions for Completing Answer - Unlawful Detainer 9/1/2003 NO Optional LACIV217 Joint Witness List - Exemplar 8/1/2018 YES Optional SMCL012 Judgment After Trial De Novo on Appeal (Small Claims) 9/1/2019 YES Optional

LACIV199 Judgment on Special Verdict 8/1/2018 YES Optional

LACIV129 Jury Instruction - Special Instruction (Blank) 8/1/2018 YES Optional

LACIV164 Jury Instruction (Blank) 1/1/2007 YES Optional LACIV218 Long Cause Trial Package Guidelines 11/3/2014 NO Optional LACIV268 Long Cause Trial Transfer Request 7/1/2018 YES Mandatory

Motion/Opposition/Stipulation to Transfer Complicated Personal Injury Case to

LACIV238 - AV 4/4/2016 YES Optional Independent Calendar Court and Order (Antelope Valley) Motion/Opposition/Stipulation to Transfer Complicated Personal Injury Case to LACIV238 - CTRL 5/1/2018 YES Optional Independent Calendar Court and Order (Central)

LACIV226 Name Change Criminal History Assessment 10/1/2018 YES Mandatory

LACIV232 Notice of Appeal - Administrative Hearing 9/1/2013 YES Optional

Revised 7/1/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS CIVIL FORMS Sorted by Form Name

LACIV005 Notice of Appeal - Parking 9/1/2013 YES Optional LACIV132 Notice of Case Management Conference 7/1/2013 YES Optional LACIV123 Notice of Entry of Judgment / Dismissal / Other Orders 8/1/2018 YES Optional REM019 Notice of Intent to Dispose of Exhibits (Civil) 3/1/2016 YES Optional

LACIV240 Notice of Order to Show Cause (Unlawful Detainer) 5/1/2013 NO Optional

LACIV237 Order Appointing Court Approved Reporter as Official Reporter Pro Tempore 1/1/2016 YES Mandatory LACIV145 Order For Publication 8/1/2018 YES Optional SMCL008 Order Staying or Recalling Writ of Execution (Small Claims) 9/1/2019 YES Optional LACIV015 Peremptory Challenge To Judicial Officer (C.C.P., § 170.6) 11/3/2014 YES Optional LACIV273 Petition To Have Voter Registration Information Declared Confidential 6/1/2019 YES Mandatory LACIV234 Proof of Service - Notice of Appeal - Administrative Hearing 9/1/2013 YES Optional Proposed Order And Stipulation To Continue Trial, FSC [And Related Motion/Discovery LACIV242 - CTRL 10/1/2019 YES Optional Dates] Personal Injury Court Only (Central) Proposed Order And Stipulation To Continue Trial, FSC [And Related Motion/Discovery LACIV242 - AV 2/1/2016 YES Optional Dates] Personal Injury Court Only (North District)

LACIV274 Proposed Order To Have Voter Registration Information Declared Confidential 6/1/2019 YES Mandatory

LACIV269 Request For Court Reporting Services By A Party With Fee Waiver 8/1/2018 No Optional

Request For Enforcement of Order for Restitution / Judgment Pursuant to Penal Code LACIV202 1/9/2007 YES Optional Section 1214 Request For Enforcement Of Summary Judgment Pursuant To Penal Code Section LACIV212 11/3/2014 YES Optional 1306 Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - LACIV100 9/1/2013 YES Optional Business And Professions Code Section 12015.3 Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - By The LACIV196 9/1/2013 YES Optional State Bar Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment – Labor LACIV215 9/1/2013 YES Optional Code Section 5806 And Issuance Of A Writ Of Execution And/Or Other Enforcement Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - Public LACIV087 9/1/2013 YES Optional Resources Code Section 45014(C) Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - Vehicle LACIV185 9/1/2013 YES Optional Code Section 40220 40267 Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - LACIV184 9/1/2013 YES Optional Welfare And Institutions Code Section 903 LACIV150 Request for Refund 3/2/2015 YES Optional LACIV270 Settlement Conference Program Intake Form 3/1/2019 YES Optional LACIV036 Stipulation - Discovery Resolution 4/1/2011 YES Optional LACIV229 Stipulation - Early Organizational Meeting 4/1/2011 YES Optional LACIV050 Stipulation and Order RE: Release of Civil Exhibits 8/1/2018 YES Optional LACIV236 Stipulation and Order to Use Certified Shorthand Reporter 1/1/2016 YES Mandatory LACIV075 Stipulation and Orders - Motion in Limine 4/1/2011 YES Optional LACIV220 Stipulation For Civil Judgment 8/1/2018 YES Optional LACIV163 Stipulation Re: Jury (Civil Trials) 1/1/2007 YES Optional LACIV243 Trial Transfer Order 9/1/2019 YES Optional LACIV243 - LTD Trial Transfer Order - Limited Civil 9/1/2019 YES Optional LACIV243 - UD Trial Transfer Order - Unlawful Detainer 9/1/2019 YES Optional

LACIV136 Unlawful Detainer Stipulation and Judgment 1/1/2007 YES Optional

LACIV230 Voluntary Efficient Litigation Stipulation (VELS) - Cover Sheet 4/1/2011 NO Optional LACIV101 Writ of Execution - Attachment 20 9/1/2013 YES Optional

Revised 7/1/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS CIVIL FORMS Sorted by Form Number

Revised Optional/

Form ID Form Name Fillable Date Mandatory

LACIV005 Notice of Appeal - Parking 9/1/2013 YES Optional LACIV015 Peremptory Challenge To Judicial Officer (C.C.P., § 170.6) 11/3/2014 YES Optional LACIV036 Stipulation - Discovery Resolution 4/1/2011 YES Optional LACIV037 Application and Order to Withdraw Exhibits 8/1/2018 YES Optional LACIV038 Instructions for Completing Answer - Unlawful Detainer 9/1/2003 NO Optional LACIV040 Clerk's Certificate of Entry of Satisfaction of Judgment 9/1/2013 YES Optional LACIV050 Stipulation and Order RE: Release of Civil Exhibits 8/1/2018 YES Optional LACIV054 Application and Order to Vacate Stay of Execution & to Issue Writ 8/1/2018 YES Optional LACIV057 Affidavit for Order for Appearance and Examination of a Third Person 8/1/2018 YES Optional LACIV075 Stipulation and Orders - Motion in Limine 4/1/2011 YES Optional Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - Public LACIV087 9/1/2013 YES Optional Resources Code Section 45014(C) LACIV094 Informal Discovery Conference 4/1/2011 YES Optional LACIV096 Application for Issuance of Writ of Possession or Sale 8/1/2007 YES Optional LACIV099 Declaration and Order RE: Advance Jury Fees 11/3/2014 YES Optional Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - LACIV100 9/1/2013 YES Optional Business And Professions Code Section 12015.3 LACIV101 Writ of Execution - Attachment 20 9/1/2013 YES Optional LACIV105 Amendment to Complaint (Fictitious/Incorrect Name) 8/1/2018 YES Optional

LACIV106 Application and Order Regarding Lost Writ 1/1/2007 YES Optional

LACIV107 Application and Order to Serve Summons by Posting for Unlawful Detainer 1/10/2003 YES Optional LACIV108 Application for Publication 8/1/2018 YES Optional LACIV109 Civil Case Cover Sheet Addendum and Statement of Location 12/7/2018 YES Mandatory LACIV119 Default Judgment - Unlawful Detainer 10/1/2003 YES Optional LACIV123 Notice of Entry of Judgment / Dismissal / Other Orders 8/1/2018 YES Optional LACIV129 Jury Instruction - Special Instruction (Blank) 8/1/2018 YES Optional LACIV131 Commission 9/1/2013 YES Optional LACIV132 Notice of Case Management Conference 7/1/2013 YES Optional LACIV136 Unlawful Detainer Stipulation and Judgment 1/1/2007 YES Optional LACIV137 Exhibit List 8/1/2018 YES Optional LACIV143 Declaration Of Mailing 11/3/2014 YES Optional

LACIV145 Order For Publication 8/1/2018 YES Optional

LACIV150 Request for Refund 3/2/2015 YES Optional LACIV163 Stipulation Re: Jury (Civil Trials) 1/1/2007 YES Optional LACIV164 Jury Instruction (Blank) 1/1/2007 YES Optional Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - LACIV184 9/1/2013 YES Optional Welfare And Institutions Code Section 903 Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - Vehicle LACIV185 9/1/2013 YES Optional Code Section 40220 40267 Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment - By The LACIV196 9/1/2013 YES Optional State Bar LACIV198 Affidavit of Identity and Order 8/1/2018 YES Optional LACIV199 Judgment on Special Verdict 8/1/2018 YES Optional

Request For Enforcement of Order for Restitution / Judgment Pursuant to Penal Code

LACIV202 1/9/2007 YES Optional Section 1214

LACIV211 Complex Civil Case Questionnaire 9/1/2012 YES Optional

Request For Enforcement Of Summary Judgment Pursuant To Penal Code Section

LACIV212 11/3/2014 YES Optional 1306

Revised 7/1/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS CIVIL FORMS Sorted by Form Number

Request For Entry Of Judgment, Judgment, And Notice Of Entry Of Judgment – Labor

LACIV215 9/1/2013 YES Optional Code Section 5806 And Issuance Of A Writ Of Execution And/Or Other Enforcement LACIV216 Exhibit List - Trial 8/1/2018 YES Optional LACIV217 Joint Witness List - Exemplar 8/1/2018 YES Optional LACIV218 Long Cause Trial Package Guidelines 11/3/2014 NO Optional LACIV220 Stipulation For Civil Judgment 8/1/2018 YES Optional Instructions for Applications And Orders For Publication Civil, Probate And Family Law LACIV221 8/1/2018 NO Optional Cases Stanley Mosk Courthouse LACIV222 Declaration Re: Waived Court Fees And Costs 11/3/2014 YES Optional LACIV226 Name Change Criminal History Assessment 10/1/2018 YES Mandatory LACIV229 Stipulation - Early Organizational Meeting 4/1/2011 YES Optional LACIV230 Voluntary Efficient Litigation Stipulation (VELS) - Cover Sheet 4/1/2011 NO Optional LACIV232 Notice of Appeal - Administrative Hearing 9/1/2013 YES Optional LACIV234 Proof of Service - Notice of Appeal - Administrative Hearing 9/1/2013 YES Optional

LACIV236 Stipulation and Order to Use Certified Shorthand Reporter 1/1/2016 YES Mandatory

LACIV237 Order Appointing Court Approved Reporter as Official Reporter Pro Tempore 1/1/2016 YES Mandatory

Motion/Opposition/Stipulation to Transfer Complicated Personal Injury Case to

LACIV238 - AV 4/4/2016 YES Optional Independent Calendar Court and Order (Antelope Valley) Motion/Opposition/Stipulation to Transfer Complicated Personal Injury Case to LACIV238 - CTRL 5/1/2018 YES Optional Independent Calendar Court and Order (Central)

LACIV239 Informal Discovery Conference Form For Personal Injury Courts 10/1/2019 YES Optional

LACIV240 Notice of Order to Show Cause (Unlawful Detainer) 5/1/2013 NO Optional

Proposed Order And Stipulation To Continue Trial, FSC [And Related Motion/Discovery

LACIV242 - AV 2/1/2016 YES Optional Dates] Personal Injury Court Only (North District) Proposed Order And Stipulation To Continue Trial, FSC [And Related Motion/Discovery LACIV242 - CTRL 10/1/2019 YES Optional Dates] Personal Injury Court Only (Central)

LACIV243 Trial Transfer Order 9/1/2019 YES Optional

LACIV243 - LTD Trial Transfer Order - Limited Civil 9/1/2019 YES Optional

LACIV243 - UD Trial Transfer Order - Unlawful Detainer 9/1/2019 YES Optional

Compliance with General Order for Limited Jurisdiction Unlawful Detainer [Eviction] Jury

LACIV244 4/1/2018 YES Optional Trial Readiness __Joint __Proposed LACIV266 Fax Filing Coversheet ‐ ODR 6/1/2018 YES Optional LACIV268 Long Cause Trial Transfer Request 7/1/2018 YES Mandatory LACIV269 Request For Court Reporting Services By A Party With Fee Waiver 8/1/2018 No Optional LACIV270 Settlement Conference Program Intake Form 3/1/2019 YES Optional LACIV271 Alternative Dispute Resolution (ADR) Information Package 1/1/2020 YES Mandatory LACIV273 Petition To Have Voter Registration Information Declared Confidential 6/1/2019 YES Mandatory LACIV274 Proposed Order To Have Voter Registration Information Declared Confidential 6/1/2019 YES Mandatory REM009 Application and Order for Viewing and/or Reproduction of Trial Court Exhibits 7/5/2016 YES Optional REM017 Affidavit of Lost or Destroyed Exhibits 7/5/2016 YES Optional REM019 Notice of Intent to Dispose of Exhibits (Civil) 3/1/2016 YES Optional REM041 How to Submit an Application to View and/or Copy Exhibits 7/5/2016 NO Optional SMCL003 Declaration of Judgment Debtor Regarding Satisfaction of Judgment (Small Claims) 9/1/2019 YES Optional

SMCL008 Order Staying or Recalling Writ of Execution (Small Claims) 9/1/2019 YES Optional

SMCL012 Judgment After Trial De Novo on Appeal (Small Claims) 9/1/2019 YES Optional SMCL014 Application and Order for Transfer (Small Claims) 9/1/2019 YES Optional

Revised 7/1/2020

LASC CRIMINAL FORMS LIST ALPHABETICAL ORDER Form # Form Name (Description) Effective Date PRU 202 Addendum Re-Minor’s Loss of License 01/01 Optional CRIM 185 Advisement and Waiver of Right of Counsel 05/11 Optional (Faretta Waiver) PRU 106 Advisement of Rights, Waiver and Plea Form 01/01 Optional (Driving on a Suspended or Revoked License) PRU 1000 Advisement of Rights, Waiver and Plea Form 01/01 Optional (DEJ – PC 1000) PRU 1210 Advisement of Rights, Waiver and Plea Form 01/02 Optional (Prop. 36 PC 1210) PRU 555 AIDS Test Results Felony Advisement Form 02/04 Optional PACE 002 Appointment Order Professional Appointee Court Expense 05/04 Mandatory CRIM 085 Arresting Agency Probable Cause Log 01/02 Mandatory CRIM 121 Certification of Rehabilitation and Pardon Packet 05/05 Mandatory CRIM 016C Counsel’s Declaration (Death Penalty Case) 10/08 Mandatory CRIM 203 Criminal Court Records Index Search Request 08/10 Optional CRIM 023 Declaration of Ownership and Operation of Vehicles 08/01 Mandatory CRIM 196 Declaration Re-Ability to Pay Costs for Petition 10/11 Optional PRU 102 DUI Addendum 09/05 Optional PRU 100 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23152 -1ST DUI) PRU 101 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23152 – 2nd and subsequent DUI) PRU 103 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23153) CRIM 160 Exhibit Viewing Request 05/07 Mandatory CRIM 102 Felony Advisement of Rights,Waiver and Plea Form 01/04 Optional CRIM 137 Letter of Psychiatric Appointment 04/06 Optional PRU 200 Misdemeanor Advisement of Rights, Waiver and Plea 07/06 Optional Form CRIM 145 Own Recognizance Release Agreement 05/07 Optional CRIM 006 Owner’s Application for Delivery of Property In Custody 06/05 Mandatory of the Clerk of the Superior Court CRIM 064 Probable Cause Determination 01/09 Mandatory CRIM 202 Protective and Restraining Order Worksheet (Rule 8.34) 08/10 Mandatory CRIM 205 Request to Deviate from Bail Schedule 01/11 Mandatory CRIM 093 Stipulation for Appointment of Court Commissioner 03/02 Mandatory

No Form Numbers: Capital Case Checklist and Guidelines for Counsel Mandatory Capital Case Log of Attorney Appearances Mandatory Exhibit List in Capital Cases Mandatory

Note: The capital case forms listed above are contained in Appendix 8 of the Los Angeles Superior Court Local Rules

08/26/11 WCR

LASC CRIMINAL FORMS LIST NUMERICAL ORDER Form # Form Name (Description) Effective Date CRIM 006 Owner’s Application for Delivery of Property In Custody 06/05 Mandatory of the Clerk of the Superior Court CRIM 016C Counsel’s Declaration (Death Penalty Case) 10/08 Mandatory CRIM 023 Declaration of Ownership and Operation of Vehicles 08/01 Mandatory CRIM 064 Probable Cause Determination 01/09 Mandatory CRIM 085 Arresting Agency Probable Cause Log 01/02 Mandatory CRIM 093 Stipulation for Appointment of Court Commissioner 03/02 Mandatory CRIM 102 Felony Advisement of Rights,Waiver and Plea Form 01/04 Optional CRIM 121 Certification of Rehabilitation and Pardon Packet 05/05 Mandatory CRIM 137 Letter of Psychiatric Appointment 04/06 Optional CRIM 145 Own Recognizance Release Agreement 05/07 Optional CRIM 160 Exhibit Viewing Request 05/07 Mandatory CRIM 185 Advisement and Waiver of Right of Counsel 05/11 Optional (Faretta Waiver) CRIM 196 Declaration Re-Ability to Pay Costs for Petition 10/11 Optional CRIM 202 Protective and Restraining Order Worksheet (Rule 8.34) 08/10 Mandatory CRIM 203 Criminal Court Records Index Search Request 08/10 Optional CRIM 205 Request to Deviate from Bail Schedule 01/11 Mandatory PACE 002 Appointment Order Professional Appointee Court Expense 05/04 Mandatory PRU 100 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23152 -1ST DUI) PRU 101 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23152 – 2nd and subsequent DUI) PRU 102 DUI Addendum 09/05 Optional PRU 103 DUI Advisement of Rights, Waiver and Plea Form 01/09 Optional (VC 23153) PRU 106 Advisement of Rights, Waiver and Plea Form 01/01 Optional (Driving on a Suspended or Revoked License) PRU 200 Misdemeanor Advisement of Rights, Waiver and Plea 07/06 Optional Form PRU 202 Addendum Re-Minor’s Loss of License 01/01 Optional PRU 555 AIDS Test Results Felony Advisement Form 02/04 Optional PRU 1000 Advisement of Rights, Waiver and Plea Form 01/01 Optional (DEJ – PC 1000) PRU 1210 Advisement of Rights, Waiver and Plea Form 01/02 Optional (Prop. 36 PC 1210)

No Form Numbers: Capital Case Checklist and Guidelines for Counsel Mandatory Capital Case Log of Attorney Appearances Mandatory Exhibit List in Capital Cases Mandatory

Note: The capital case forms listed above are contained in Appendix 8 of the Los Angeles Superior Court Local Rules

08/26/11 WCR

Sorted by Form Name DEPENDENCY FORMS (Public)

Revised Optional/Form ID Form Title Fillable Date Mandatory

LACK021 Advisement Form (visit) 10/01/2004 NO Optional

LACK037 Advisement and Waiver of Right to Counsel 09/01/2011 NO Optional

LACK030 Advisement of Rights (366.26 WIC) 11/01/2006 NO Optional

LACIV015 Affidavit of Prejudice (CCP 170.6) 01/01/2007 NO Optional

LACK07 Application for Rehearing and Order 04/01/2002 NO Optional

LACIV203 Bench Warrant (Civil) 05/01/2006 NO Optional

LACK038 Client Complaint Form 09/01/2011 NO Optional

LADLQ015 Coordinated Health Services Referral and Order 05/01/2008 NO Optional

LACK013 Court Order (Blank) 10/01/2002 NO Optional

LACK017 Court Ordered Case Plan 02/01/2011 NO Optional

LACK039 Court Orders for Initiation of Educational Plan 09/01/2011 NO Optional

LAJUV007 Declaration in Support of Access to Juvenile Records (WIC 827) 04/01/2003 NO Optional LACK08 / Declaration Re: Notice of Ex Parte Request (No Notice Given) 04/01/2004 NO OptionalLAFAM018 LACK040 Juvenile Dependency Court Special Needs Fund Nomination Form (Rev.) 09/01/2011 NO Optional

LACK003 Juvenile Dependency WIC 317 Panel Attorney Declaration 04/01/2002 NO Optional

LACK041 Notification Request 09/01/2011 NO Optional

LACK014 Order Appointing Expert – 730 EC 10/01/2009 NO Optional

LACK042 Order for Juvenile Court Mental Health Unit Assessment 09/01/2011 NO Optional

LACK043 Orders Regarding Children with Special Needs 09/01/2011 NO Optional

LACK035 Parentage Questionnaire 07/01/2009 NO Optional SEE Petition and Order for Research 04/01/2003 NO OptionalLAJUV004 SEE Petition to Seal Juvenile Records Dependency (389 WIC) 05/01/2003 NO OptionalLADLQ003 LACK016 Protective Custody Warrant (WIC 340) 06/01/2003 NO Optional

LACK032 Relative Caretaker Information Sheet 05/01/2008 NO Optional

LACK010 Relative Information Sheet 06/01/2002 NO Optional

LACK010S Relative Information Sheet (Spanish) 09/01/2011 NO Optional

LACK044 Report of Child’s Injuries Pursuant to WIC 317(e) 09/01/2011 NO Optional

LACK045 Request for Copies (DCFS/County Counsel) 09/01/2011 NO Optional

LAJUV005 Request for Special Transcript and Order 11/01/2005 NO Optional

LACIV203 Return on Bench Warrant 01/01/2007 NO Optional SEE Stipulation for Temporary Judge 02/01/2011 NO OptionalLACIV207 LAADM022 Untitled* 08/01/2002 NO Optional

LACK024 Warrant of Arrest (WIC 339) 04/01/2010 NO Optional * This form is given to individuals who are requesting to see a Juvenile file at Archives.

Sorted by Form Number DEPENDENCY FORMS (Public)

Revised Optional/Form ID Form Title Fillable Date Mandatory

LAADM022 Untitled* 08/01/2002 NO Optional

LACIV015 Affidavit of Prejudice (CCP 170.6) 01/01/2007 NO Optional

LACIV203 Bench Warrant (Civil) 05/01/2006 NO Optional

LACIV203 Return on Bench Warrant 01/01/2007 NO Optional

LACK003 Juvenile Dependency WIC 317 Panel Attorney Declaration 04/01/2002 NO Optional

LACK010 Relative Information Sheet 06/01/2002 NO Optional

LACK010S Relative Information Sheet (Spanish) 09/01/2011 NO Optional

LACK013 Court Order (Blank) 10/01/2002 NO Optional

LACK014 Order Appointing Expert – 730 EC 10/01/2009 NO Optional

LACK016 Protective Custody Warrant (WIC 340) 06/01/2003 NO Optional

LACK017 Court Ordered Case Plan 02/01/2011 NO Optional

LACK021 Advisement Form (visit) 10/01/2004 NO Optional

LACK024 Warrant of Arrest (WIC 339) 04/01/2010 NO Optional

LACK030 Advisement of Rights (366.26 WIC) 11/01/2006 NO Optional

LACK032 Relative Caretaker Information Sheet 05/01/2008 NO Optional

LACK035 Parentage Questionnaire 07/01/2009 NO Optional

LACK037 Advisement and Waiver of Right to Counsel 09/01/2011 NO Optional

LACK038 Client Complaint Form 09/01/2011 NO Optional

LACK039 Court Orders for Initiation of Educational Plan 09/01/2011 NO Optional

LACK040 Juvenile Dependency Court Special Needs Fund Nomination Form (Rev.) 09/01/2011 NO Optional

LACK041 Notification Request 09/01/2011 NO Optional

LACK042 Order for Juvenile Court Mental Health Unit Assessment 09/01/2011 NO Optional

LACK043 Orders Regarding Children with Special Needs 09/01/2011 NO Optional

LACK044 Report of Child’s Injuries Pursuant to WIC 317(e) 09/01/2011 NO Optional

LACK045 Request for Copies (DCFS/County Counsel) 09/01/2011 NO Optional

LACK07 Application for Rehearing and Order 04/01/2002 NO Optional LACK08 / Declaration Re: Notice of Ex Parte Request (No Notice Given) 04/01/2004 NO OptionalLAFAM018 LADLQ015 Coordinated Health Services Referral and Order 05/01/2008 NO Optional

LAJUV005 Request for Special Transcript and Order 11/01/2005 NO Optional

LAJUV007 Declaration in Support of Access to Juvenile Records (WIC 827) 04/01/2003 NO Optional SEE Stipulation for Temporary Judge 02/01/2011 NO OptionalLACIV207 SEE Petition to Seal Juvenile Records Dependency (389 WIC) 05/01/2003 NO OptionalLADLQ003 SEE Petition and Order for Research 04/01/2003 NO OptionalLAJUV004 * This form is given to individuals who are requesting to see a Juvenile file at Archives.

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS FAMILY LAW FORMS Sorted by Form Name

Revised Optional/ Form ID Form Name Fillable Date Mandatory FAM 182 Additional Contracts-Attachment B to Orde 8/1/19 Yes Mandatory FAM 177 Additional Contracts-Attachment E to Petition 8/1/19 Yes Mandatory FAM 179 Additional Facts-Attacment G to Petition 1/1/19 Yes Mandatory FAM 181 Additional Minors-Attachment A to Order 1/1/19 Yes Mandatory FAM 174 Additional Minors-Attachment B to Petition 1/1/19 Yes Mandatory FAM 027 Application for Issuance of Writ of Possession/Sale/Execution 10/1/18 Yes Mandatory FAM 110 Checklist for Family Centered Case Resolution Conference 1/1/19 Yes Optional Court Order for Family-Centered Case Resolution Conference (FCCRC) FAM 112 8/1/19 Yes Mandatory Dissolution/Legal Seperation/Nullity Cases Court Order for Family-Centered Case Resolution Conference (FCCRC)-Parentage FAM 183 8/1/19 Yes Mandatory Cases FAM 120 Court Order for Post-Judgment Requests for Orders 8/1/19 Yes Mandatory Court Order to Share Financial Information for Divorce, Legal Separation, or Nullity FAM 111 8/1/19 Yes Mandatory Cases FAM 018 Declaration of Ex Parte Notice (Temporary Restraining Order) 10/1/18 Yes Optional FAM 178 Declaration of Lender-Attachment F to Petition 1/1/19 Yes Mandatory Declaration Regarding Notice and/or Request for Waiver of Notice of Request for FAM 075 5/1/14 Yes Optional Emergency Orders(Ex Parte Orders) (Family Law - Non Domestic Violence) FAM 204 Dedicated Trial Court Longer Hearing/Trial Readiness Orders 9/1/20 Yes Optional FAM 071 Department 2 Family Code Section 217 Hearing/Trial Setting Orders 9/1/20 Yes Optional FAM 205 Department 2 Longer Cause Hearing/Trial Setting Orders 9/1/20 Yes Optional FAM 082 Dissolution Default Judgment Review Checklist 10/1/18 No Optional FAM 085 Dissolution Default Judgment With Agreement Review Checklist 1/1/19 Yes Optional FAM 086 Dissolution Stipulated Judgment Review Checklist 10/1/18 No Optional

FAM 012 Family Court Services Mediation Intake Form 7/1/20 Yes Mandatory

FAM 012 S Family Court Services Mediation Intake Form - Spanish 7/1/20 Yes Mandatory FAM 020 Family Law Case Cover Sheet - Certificate of Grounds For Assignment to District 10/1/18 Yes Mandatory FAM 104 Gestational Surrogacy Cover Sheet 10/1/18 Yes Mandatory FAM 070 Home Court Family Code Section 217 Hearing/Trial Setting Conference Orders 5/1/19 Yes Mandatory

FAM 193 Joint Petition for Summary Dissolution Forms Packet 1/1/20 No Mandatory

FAM 001 Judgment Reject Sheet 8/1/19 Yes Mandatory FAM 045 Long Cause Management Statement 10/1/18 Yes Optional FAM 009 Notice Of Rejection Of Application And Order For Publication - Family Law 10/1/18 Yes Mandatory FAM 198 Notice of Stipulation to Collaborative Law Case and Order 5/1/20 Yes Mandatory FAM 199 Notice of Termination of Collaborative Law Case and Order 5/1/20 Yes Mandatory

FAM 180 Order Approving Contracts of Minor 8/1/19 Yes Mandatory

FAM 016 Order for Reimbursement of Minor's Counsel Fees (Family Law) 10/1/18 Yes Mandatory FAM 201 Parentage (Gestational Surrogacy) Stipulated Judgment Review Checklist 2/1/20 No Optional FAM 063 Parentage Action Request to Inspect and Copy 1/1/18 Yes Optional FAM 087 Parentage Default Judgment Review Checklist 2/1/20 No Optional FAM 083 Parentage Default Judgment With Agreement Review Checklist 2/1/20 No Optional FAM 062 Parentage Judgment Reject Sheet (Family Law) 10/1/18 Yes Mandatory

FAM 175 Parental Quitclaim-Attachment C to Petition 1/1/19 Yes Mandatory

FAM 084 Paternity Stipulated Judgment Review Checklist 2/1/20 No Optional

FAM 194 Petition for Custody and Support of Minor Chidren Forms Packet 1/1/20 No Mandatory FAM 040 Petition for Dissolution, Legal Separation, Nullity (With Children) Forms Packet 1/1/20 No Mandatory FAM 041 Petition for Dissolution, Legal Separation, Nullity (Without Children) Forms Packet 1/1/20 No Mandatory FAM 196 Petition for Gun Violence Restraining Order Forms Packet 9/1/20 No Mandatory

FAM 197 Petition for Private Postsecondary School Violence Restraining Order Forms Packet 1/1/20 No Mandatory

FAM 079 Petition for Workplace Violence Restraining Order Forms Packet 1/1/20 No Mandatory

Revised 11/15/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS FAMILY LAW FORMS Sorted by Form Name

FAM 172 Petition to Approve Contract of Minor 8/1/19 Yes Mandatory

FAM 042 Petition to Determine Parental Relationship Forms Packet 1/1/20 No Mandatory

FAM 119 Post-Judgment Request for Order Case Management Statement 1/1/19 Yes Mandatory FAM 081 Quick Reference Dissolution Judgment Checklist 10/1/18 No Optional FAM 077 Request For Civil Harassment Restraining Orders Forms Packet 1/1/20 No Mandatory FAM 031 Request for Default Setting 10/1/18 Yes Mandatory

FAM 033 Request for Domestic Violence Restraining Order (With Children) Forms Packet 1/1/20 No Mandatory

FAM 032 Request for Domestic Violence Restraining Order (Without Children) Forms Packet 1/1/20 No Mandatory

FAM 195 Request for Elder or Dependent Adult Abuse Restraining Order Forms Packet 1/1/20 No Mandatory

FAM 043 Request For Order - Custody/Visitation/Support Forms Packet 1/1/20 No Mandatory

FAM 014 Request for Trial Setting, Family Law 10/1/18 Yes Mandatory FCS 006 Stipulation and Order for Appointment and Payment of Court Evaluator 1/1/19 Yes Mandatory FAM 200 Stipulation and Order for Appointment of Privately Compensated Temporary Judge 5/1/20 Yes Mandatory

FAM 024 A Stipulation/Settlement Agreement - Part A 12/1/17 Yes Optional

FAM 024 B Stipulation/Settlement Agreement - Part B 12/1/17 Yes Optional FAM 024 C Stipulation/Settlement Agreement - Part C 12/1/17 Yes Optional FAM 073 Supplemental Information For Request For Restraining Order 3/1/13 Yes Optional FAM 080 Voluntary Settlement Conference Stipulation and Order 9/1/19 Yes Optional FAM 176 Waiver of Notice-Attachment D to Petition 1/1/19 Yes Mandatory

Revised 11/15/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS FAMILY LAW FORMS Sorted by Form Number

Revised Optional/

Form ID Form Name Fillable Date Mandatory FAM 001 Judgment Reject Sheet 8/1/19 Yes Mandatory FAM 009 Notice Of Rejection Of Application And Order For Publication - Family Law 10/1/18 Yes Mandatory FAM 012 Family Court Services Mediation Intake Form 7/1/20 Yes Mandatory FAM 012 S Family Court Services Mediation Intake Form - Spanish 7/1/20 Yes Mandatory FAM 014 Request for Trial Setting, Family Law 10/1/18 Yes Mandatory FAM 016 Order for Reimbursement of Minor's Counsel Fees (Family Law) 10/1/18 Yes Mandatory FAM 018 Declaration of Ex Parte Notice (Temporary Restraining Order) 10/1/18 Yes Optional

FAM 020 Family Law Case Cover Sheet - Certificate of Grounds For Assignment to District 10/1/18 Yes Mandatory

FAM 024 A Stipulation/Settlement Agreement - Part A 12/1/17 Yes Optional

FAM 024 B Stipulation/Settlement Agreement - Part B 12/1/17 Yes Optional

FAM 024 C Stipulation/Settlement Agreement - Part C 12/1/17 Yes Optional

FAM 027 Application for Issuance of Writ of Possession/Sale/Execution 10/1/18 Yes Mandatory FAM 031 Request for Default Setting 10/1/18 Yes Mandatory

FAM 032 Request for Domestic Violence Restraining Order (Without Children) Forms Packet 1/1/20 No Mandatory

FAM 033 Request for Domestic Violence Restraining Order (With Children) Forms Packet 1/1/20 No Mandatory FAM 040 Petition for Dissolution, Legal Separation, Nullity (With Children) Forms Packet 1/1/20 No Mandatory FAM 041 Petition for Dissolution, Legal Separation, Nullity (Without Children) Forms Packet 1/1/20 No Mandatory FAM 042 Petition to Determine Parental Relationship Forms Packet 1/1/20 No Mandatory FAM 043 Request For Order - Custody/Visitation/Support Forms Packet 1/1/20 No Mandatory FAM 045 Long Cause Management Statement 10/1/18 Yes Optional

FAM 062 Parentage Judgment Reject Sheet (Family Law) 10/1/18 Yes Mandatory

FAM 063 Parentage Action Request to Inspect and Copy 1/1/18 Yes Optional FAM 070 Home Court Family Code Section 217 Hearing/Trial Setting Conference Orders 5/1/19 Yes Mandatory FAM 071 Department 2 Family Code Section 217 Hearing/Trial Setting Orders 9/1/20 Yes Optional FAM 073 Supplemental Information For Request For Restraining Order 3/1/13 Yes Optional Declaration Regarding Notice and/or Request for Waiver of Notice of Request for FAM 075 5/1/14 Yes Optional Emergency Orders(Ex Parte Orders) (Family Law - Non Domestic Violence) FAM 077 Request For Civil Harassment Restraining Orders Forms Packet 1/1/20 No Mandatory FAM 079 Petition for Workplace Violence Restraining Order Forms Packet 1/1/20 No Mandatory FAM 080 Voluntary Settlement Conference Stipulation and Order 9/1/19 Yes Optional FAM 081 Quick Reference Dissolution Judgment Checklist 10/1/18 No Optional FAM 082 Dissolution Default Judgment Review Checklist 10/1/18 No Optional

FAM 083 Parentage Default Judgment With Agreement Review Checklist 2/1/20 No Optional

FAM 084 Paternity Stipulated Judgment Review Checklist 2/1/20 No Optional FAM 085 Dissolution Default Judgment With Agreement Review Checklist 1/1/19 Yes Optional FAM 086 Dissolution Stipulated Judgment Review Checklist 10/1/18 No Optional FAM 087 Parentage Default Judgment Review Checklist 2/1/20 No Optional FAM 104 Gestational Surrogacy Cover Sheet 10/1/18 Yes Mandatory FAM 110 Checklist for Family Centered Case Resolution Conference 1/1/19 Yes Optional Court Order to Share Financial Information for Divorce, Legal Separation, or Nullity FAM 111 8/1/19 Yes Mandatory Cases Court Order for Family-Centered Case Resolution Conference (FCCRC) FAM 112 8/1/19 Yes Mandatory Dissolution/Legal Seperation/Nullity Cases FAM 119 Post-Judgment Request for Order Case Management Statement 1/1/19 Yes Mandatory FAM 120 Court Order for Post-Judgment Requests for Orders 8/1/19 Yes Mandatory FAM 172 Petition to Approve Contract of Minor 8/1/19 Yes Mandatory FAM 174 Additional Minors-Attachment B to Petition 1/1/19 Yes Mandatory

FAM 175 Parental Quitclaim-Attachment C to Petition 1/1/19 Yes Mandatory

FAM 176 Waiver of Notice-Attachment D to Petition 1/1/19 Yes Mandatory

Revised 11/15/2020

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PUBLIC ACCESS FAMILY LAW FORMS Sorted by Form Number

FAM 177 Additional Contracts-Attachment E to Petition 8/1/19 Yes Mandatory

FAM 178 Declaration of Lender-Attachment F to Petition 1/1/19 Yes Mandatory

FAM 179 Additional Facts-Attacment G to Petition 1/1/19 Yes Mandatory FAM 180 Order Approving Contracts of Minor 8/1/19 Yes Mandatory FAM 181 Additional Minors-Attachment A to Order 1/1/19 Yes Mandatory FAM 182 Additional Contracts-Attachment B to Orde 8/1/19 Yes Mandatory Court Order for Family-Centered Case Resolution Conference (FCCRC)-Parentage FAM 183 8/1/19 Yes Mandatory Cases FAM 193 Joint Petition for Summary Dissolution Forms Packet 1/1/20 No Mandatory

FAM 194 Petition for Custody and Support of Minor Chidren Forms Packet 1/1/20 No Mandatory

FAM 195 Request for Elder or Dependent Adult Abuse Restraining Order Forms Packet 1/1/20 No Mandatory

FAM 196 Petition for Gun Violence Restraining Order Forms Packet 9/1/20 No Mandatory FAM 197 Petition for Private Postsecondary School Violence Restraining Order Forms Packet 1/1/20 No Mandatory FAM 198 Notice of Stipulation to Collaborative Law Case and Order 5/1/20 Yes Mandatory

FAM 199 Notice of Termination of Collaborative Law Case and Order 5/1/20 Yes Mandatory

FAM 200 Stipulation and Order for Appointment of Privately Compensated Temporary Judge 5/1/20 Yes Mandatory FAM 201 Parentage (Gestational Surrogacy) Stipulated Judgment Review Checklist 2/1/20 No Optional FAM 204 Dedicated Trial Court Longer Hearing/Trial Readiness Orders 9/1/20 Yes Optional FAM 205 Department 2 Longer Cause Hearing/Trial Setting Orders 9/1/20 Yes Optional FCS 006 Stipulation and Order for Appointment and Payment of Court Evaluator 1/1/19 Yes Mandatory

Revised 11/15/2020

Probate Local Forms

Sorted by Form Name

FORM ID Form Name Revised Fillable Optional/ Date Mandatory PRO 001 Application and Order Appointing Probate Referee 01/01/02 Yes Mandatory PRO 009 Bid in Open Court on Sale of Real Property 05/22/03 Yes Mandatory PRO 023 Conservatorship Care Plan 07/01/08 Yes Mandatory PRO 018 Ex Parte Order for Release of the Remains of a 04/24/07 Yes Mandatory Decedent PRO 017 Ex Parte Petition for Release of the Remains of a 04/24/07 Yes Mandatory Decedent PRO 021 Financial Documents Cover Sheet 05/01/08 Yes Optional PRO 011 Notice of Deposit of Estate Planning Documents and 01/27/06 Yes Mandatory Acknowledgement PRO 012 Notice of Location of Joint Will 10/23/03 Yes Mandatory PRO 015 Notification of Death of Conservatee 08/08/06 No PRO 003 Notification to Court Address Conservatorship 01/01/08 Yes Mandatory Guardianship PRO 013 Order Terminating Proceedings 10/23/03 Yes Optional PRO 010 Probate Case Cover Sheet-Certificate of Grounds for 09/29/03 Yes Optional Assignment to District PRO 022 Request for Refund of Graduating Filing Fees 05/30/08 Yes Mandatory

Alpha Order 11/16/2011

Probate Local Forms

Sorted by Form ID

FORM ID Form Name Revised Fillable Optional/ Date Mandatory PRO 001 Application and Order Appointing Probate Referee 01/01/02 Mandatory PRO 003 Notification to Court Address Conservatorship 01/01/08 Mandatory Guardianship PRO 009 Bid in Open Court on Sale of Real Property 05/22/03 Mandatory PRO 010 Probate Case Cover Sheet-Certificate of Grounds for 09/29/03 Optional Assignment to District PRO 011 Notice of Deposit of Estate Planning Documents and 01/27/06 Mandatory Acknowledgement PRO 012 Notice of Location of Joint Will 10/23/03 Mandatory PRO 013 Order Terminating Proceedings 10/23/03 Optional PRO 015 Notification of Death of Conservatee 08/08/06 PRO 017 Ex Parte Petition for Release of the Remains of a 04/24/07 Mandatory Decedent PRO 018 Ex Parte Order for Release of the Remains of a 04/24/07 Mandatory Decedent PRO 021 Financial Documents Cover Sheet 05/01/08 Optional PRO 022 Request for Refund of Graduating Filing Fees 05/30/08 Mandatory PRO 023 Conservatorship Care Plan 07/01/08 Mandatory

Alpha Order 11/16/2011