Placer — Local Forms

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

Local Forms

Local Downloadable Forms

Note: By law, in California all official court business must be conducted in English. Therefore, Official documents and forms must be filed in English. Any forms posted in another language (e.g. Spanish, Russian) are for reference only.

This page contains a list of all Local downloadable forms for the Placer County Superior Court.

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

RELATED LINKS

Hours and Holidays

Local Rules

Judicial Council Forms

| Division | Name | Form Number | Date | Translated Forms (For Reference ONLY) | Civil |

Expedited Jury Trial Information Sheet

| EJT-010-INFO | 1/2011 | | Civil | Notice Re Oral Argument | PL-AP001 | 8/2015 | Spanish

Russian

| Civil | Request for Continuance- Small Claims Appeal Hearing | PL-AP002 | 3/2024 | Spanish

Russian

| Civil | Proposed Statement on Appeal (Infraction) | PL-AP003 | 8/2015 | Spanish

Russian

| Civil | Request for Extension of Time | PL-AP004 | 8/2015 | | Civil | Addendum to Name Change Packet | PL-CV003 | 10/2018 | Spanish

Russian

| Civil | No Further EJT Order | PL-CV005 | 10/2018 | Spanish

Russian

| Civil | Civil Notice - Mediation of Cases on Civil Harassment Calendar | PL-CV006 | 1/2017 | Spanish

Russian

| Civil | ADR Information Sheet | PL-CV007 | 10/2018 | Spanish

Russian

| Civil | Civil Bench Warrant | PL-CV008 | 8/2021 | Spanish

Russian

| Civil | Sister State Judgment Pursuant to CCP 1710.25 | PL-CV009 | 10/2018 | | Civil | Satisfaction of Judgment by Clerk and Declaration | PL-CV010 | 10/2018 | Spanish

Russian

| Civil | Request for Live Scan Service (Instructions and DOJ Form Attached) | PL-CV011 | 12/2025 | Spanish

Russian

| Civil | Request to Appear in Person | PL-CV014 | 06/2021 | | Civil | Stipulation to Continue Informal Discovery Conference and Order Thereon | PL-CV020 | 7/2026 | | Courtwide | Records and Copy Request | PL-CW001 | 2/2023 | | Courtwide | Request for Third-Party Use of Court Facilities for a Civics Education Event | PL-CW003 | 04/2025 | | Courtwide | Request for Court Reporter | PL-CW007 | 1/2019 | | Courtwide | Application for Appointment as Counsel for Minor Children in Family Law Cases | PL-CW008 | 7/2019 | | Courtwide | Attachment to Notice of Remote Appearance | PL-CW010A | 03/2022 | | Courtwide | Request for Remote Appearance - Response | PL-CW011 | 06/2021 | | Courtwide | Request for Copy of Search Warrant | PL-CW012 | 07/2021 | | Courtwide | Court Interpreter Program Information Sheet | PL-CW013 | 12/2022 | | Courtwide | Certificate of Service - Firearms | PL-CW903F | 5/2022 | | Courtwide | Court Visitor Feedback Form | PL-CW905 | 5/2018 | | Courtwide | Notice of Court Reporter Fees | PL-CW909 | 06/2020 | | Courtwide | Publication List for Placer County | PL-CW912 | 01/2024 | | Courtwide | List of Resources for Veterans | PL-CW014i | 01/2024 | | Courtwide |

Mental Health Resources List

| PL-CW015i | 1/2024 | | Courtwide |

Request for Copy of Audio Recording of Court Proceedings

| PL-CW016 | 4/2025 | | Criminal | Criminal Defendant's Motion | PL-CR003 | 11/2020 | Spanish

Russian

| Criminal | Criminal Defendant's Motion Instructions | PL-CR003i | 03/2014 | Spanish

Russian

| Criminal | Prop 47 Petition | PL-CR004 | 11/2014 | | Criminal | Prop 47 FAQ | PL-CR004i | 10/2019 | Spanish

Russian

| Criminal | Prop. 64 Petition | PL-CR006 | 12/2016 | Criminal | Prop. 64 FAQs | PL-CR006i | 10/2019 | Spanish

Russian

| Criminal | Prop. 64 Response | PL-CR007 | 11/2016 | | Criminal | Notice of Filing | PL-CR009 | 12/2018 | Spanish

Russian

| Criminal | Petition for Cannabis Conviction Resentencing | PL-CR010 | 10/2019 | | Criminal | Request for Remote Appearance: Criminal | PL-CR012 | 07/2022 | | Criminal | Faretta Waiver | PL-CR014 | 06/2020 | | Criminal | Request for Remote Appearance - Victim | PL-CR015 | 06/2021 | | Criminal | AB 2147 Petition (Fire Camp) | PL-CR016 | 01/2021 | | Criminal | Boykin Tahl - Felony | PL-CR017 | 04/2025 | Spanish

Russian

| Criminal | Boykin Tahl - Misdemeanor | PL-CR018 | 07/2024 | Spanish

Russian

| Family | Judicial Council Adopted Supervised Visitation Packet | FL-324 | 1/2014 | | Family | Private CCRC Stipulation and Order | PL-FCS003 | 7/2023 | | Family | Declaration of Private Mediator or CCRC Regarding Qualifications | PL-FCS004 | 7/2017 | Spanish

Russian

| Family | Non-Professional Visitation Monitor Declaration of Qualifications | PL-FCS005 | 8/2013 | | Family | Family Court Services Courtroom Worksheet | PL-FCS006 | 1/2018 | Spanish

Russian

| Family | Petition for Confidential Child Custody Mediation | PL-FCS007 | 1/2019 | Spanish

Russian

| Family | Petition for Private CCRC | PL-FCS008 | 7/2023 | | Family | Response to Petition for Private CCRC | PL-FCS009 | 7/2023 | | Family | Order for Private CCRC | PL-FCS010 | 7/2023 | | Family | Request for Default Setting | PL-FL001 | 10/2018 | Spanish

Russian

| Family | Declaration Notice to Opposing Party – ERH or OST | PL-FL004 | 1/2014 | Spanish

Russian

| Family | Continue/Drop Form | PL-FL005 | 03/2023 | | Family | Family Law Stipulation and Order Setting Trial Dates | PL-FL009 | 5/2020 | Spanish

Russian

| Family | Family Law Stipulation and Order | PL-FL012 | 7/2020 | Spanish

Russian

| Family | Notice of Hearing for Emergency Request or Order Shortening Time | PL-FL013 | 1/2019 | Spanish

Russian

| Family | Written Stipulation and Agreement | PL-FL015 | 7/2015 | Spanish

Russian

| Family | Child Custody Agreement and Court Order | PL-FL017 | 1/2018 | Spanish

Russian

| Family | Drop/Continue Family Centered Case Resolution Status Conference | PL-FL018 | 7/2020 | Spanish

Russian

| Family | Request for Additional Family Centered Case Resolution Status Conference | PL-FL019 | 8/2021 | | Family | Trial Evidentiary Hearing Info. Sheet | PL-FL020 | 03/2021 | Spanish

Russian

| Family | Request for Elisor Form | PL-FL021 | 11/2018 | Spanish

Russian

| Family | Request for Elisor Information Sheet | PL-FL021i | 11/2018 | Spanish

Russian

| Family | Mandatory Settlement Conference Information Sheet | PL-FL022 | 10/2019 | Spanish

Russian

| Family | Family Centered Case Resolution (FCCR) Information Sheet | PL-FL023 | 10/2019 | Spanish

Russian

| Family | Self-Help Settlement Services Appt. Request | PL-FL024T | 05/2020 | Spanish

Russian

| Family | Statement of Issues and Contentions | PL-FL025 | 7/2019 | Spanish

Russian

| Family | Divorce Case Flow Chart | PL-FL026 | 01/2024 | Spanish

Russian

| Family | Self-Help Settlement Services Information Sheet | PL-FL027T | 12/2024 | Spanish

Russian

| Family | Monthly Budget Form | PL-FL028 | 2/2020 | | Family | Info. for Parents Sharing Custody or Parenting Time of Children During the COVID-19 Pandemic | PL-FL030 | 04/2020 | | Family | Getting Evidence Ready for Your Restraining Order Hearing | PL-FL031 | 04/2021 | | Family | Request to Drop / Terminate Restraining Order & Declaration | PL-FL032 | 06/2021 | | Family | Statement of Issues and Contentions - Custody and Visitation | PL-FL033 | 12/2021 | | Family | Findings and Order - Non-Compliance to Relinquish Firearms | PL-FL034 | 03/2022 | | Family | How to Relinquish Firearms | PL-FL035 | 03/2022 | | Family | Petition for Joinder (Custody & Visitation) | PL-FL036 | 11/2022 | | Family | Request to Vacate Hearing(s) Upon Entry of Judgment | PL-FL037 | 04/2023 | | Family | Family Law Request for Trial Assignment Date | PL-FL038 | 01/2024 | | Family | Parentage (UPA) Flow Chart | PL-FL039 | 01/2024 | | Family | Declaration Regarding Due Diligence | PL-FL040 | 02/2024 | | Family | Qualified Domestic Relations Order (QRDO) Cover Sheet | PL-FL041 | 02/2025 | | Family | Self-Help Center Disclosure and Waivers | PL-SH901 | 03/2020 | | Family | Drug Testing Order | PL-FL900 | 09/2022 | | Family | Family Centered Case Resolution Conference Notice to Appear | PL-FL901 | 08/2024 | | Juvenile | Certificate of Competency | PL-JV002 | 4/2016 | | Juvenile | Prop. 64 Petition | PL-JV003 | 11/2016 | | Juvenile | Prop. 64 Response | PL-JV004 | 11/2016 | | Juvenile | Declaration for Access to Uniform Parentage ACT Papers and Records by Authorized Personnel | PL-JV005 | 10/2017 | | Juvenile | Juvenile Attachment to Notice of Remote Appearance | PL-JV006A | 03/2022 | | Juvenile | Request for Emergency Hearing and Temp. Orders | PL-JV007 | 01/2022 | | Juvenile | Opposition for Remote Appearance - Juvenile | PL-JV008 | 01/2022 | | Juvenile | Stipulation to Temporary Judge for All Purposes | PL-JV009 | 10/2023 | | Probate | Court Investigator Information Sheet | PL-PR001 | 10/2018 | Spanish

Russian

| Traffic | Can't Afford to Pay Fine | TR-320 | 1/2025 | | Traffic | Can't Afford to Pay Fine Order | TR-321 | 1/2025 |

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