El Dorado — Request for Hearing on Order for Reimbursement

Source: https://www.eldorado.courts.ca.gov/system/files/request-hearing-order-reimbursement.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY TELEPHONE NO. FOR COURT USE ONLY

ATTORNEY FOR (NAME) SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF: CASE NUMBER

RESPONDENT/DEFENDANT:

REQUEST FOR HEARING ON

ORDER FOR REIMBURSEMENT OF COURT APPOINTED ATTORNEY FEES

Party’s Name: _______________________________________

Brief Explanation for Request: _________________________________________________________________________

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A confidential hearing on this request will be held as follows: a. Date: Time: Dept.

b. Address (if different than above):

• I understand and acknowledge that an updated Income and Expense Declaration (form FL-150), along with any supporting financial information MUST BE filed at least 5 days prior to the hearing date listed above.

• If the Court has not received an updated Income and Expense Declaration (form FL-150) at least 5 days prior to the hearing date, the Court may use its discretion to take the matter off calendar.

• The hearing date listed above will be a confidential hearing. A copy of this request does not need to be served on any other party.

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Signature of Attorney / Party in Pro Per Date

Request for Hearing Local Form F-104 Mandatory Use Form New 02/05/2016