Shasta — Publishers List 07/01/2026 (approved 10/24/2025 and 04/24/2026)

Source: https://courts.ca.gov/system/files/file/publishers_list_2026-07-01.pdf

PUBLISHERS LIST JUDICIAL COUNCIL FORMS New and revised [Effective on July 1, 2026]

Adoption

ADOPT-220* Rev. 2 sides Adoption of Indian Child

CARE

CARE-050-INFO Rev. 7 sides Information for Petitioners—About the CARE Act

CARE-060-INFO* Rev. 4 sides Information for Respondents—About the CARE Act

CARE-100* Rev. 5 sides Petition to Begin CARE Act Proceedings

CARE-101* Rev. 4 sides Mental Health Declaration—CARE Act Proceedings

CARE-102* Rev. 4 sides Petition to Begin Care Act Proceedings By Licensed Behavioral Health Professional Only

CARE-125 New 2 sides Court Referral to the CARE Act Court

CARE-126 New 1 side Ruling or Order on Court Referral to CARE Act Court

Case Management

CM-010* Rev. 3 sides Civil Case Cover Sheet

Criminal

CR-101 Rev. 8 sides Plea Form, With Explanations and Waiver of Rights—Felony (Criminal)

CR-187 Rev. 6 sides Motion to Vacate Conviction or Sentence

CR-188 Rev. 4 sides Order on Motion to Vacate Conviction or Sentence

Domestic Violence

DV-105* Rev. 6 sides Request for Child Custody and Visitation Orders

DV-300* Rev. 5 sides Request to Change or End Restraining Order

Emancipation of Minors

EM-115* Rev. 2 sides Emancipation of Minor Income and Expense Declaration

Enforcement of Judgment

EJ-130 Rev. 4 sides Writ of Execution

EJ-150 Rev. 2 sides Notice of Levy (Enforcement of Judgment)

EJ-200* New 2 sides Application for Reinstatement of Judgment Lien

EJ-202* New 1 side Response to Application for Reinstatement of Judgment Lien

EJ-205* New 2 sides Certificate of Reinstatement of Judgment Lien

• Adopted for Mandatory Use. Page 1 of 4

PUBLISHERS LIST JUDICIAL COUNCIL FORMS New and revised [Effective on July 1, 2026]

WG-010/EJ-175* Rev. 1 side Notice of Hearing on Claim of Exemption (Wage Garnishment—Enforcement of Judgment)

WG-015/EJ-135* Rev. 1 side Declaration of Address Verification (Wage Garnishment—Enforcement of Judgment)

WG-017/EJ-137* Rev. 1 side Application to Stay Levy or Garnishment (Wage Garnishment—Enforcement of Judgment)

Family Law

FL-341 Rev. 4 sides Child Custody and Visitation (Parenting Time) Order Attachment

FL-355 Rev. 2 sides Stipulation and Order for Custody and/or Visitation (Parenting Time)

FL-720* Rev. 2 sides Notice of Revocation of Joint Petition

Habeas Corpus

HC-001 Rev. 9 sides Petition for Writ of Habeas Corpus

Jury Selection

JURY-001 Rev. 8 sides Juror Questionnaire for Civil Cases

JURY-002 Rev. 15 sides Juror Questionnaire for Criminal Cases/Capital Case Supplement

Juvenile Law

JV-415 Rev. 4 sides Findings and Orders After Dispositional Hearing (Welf. & Inst. Code, § 361 et seq.)

JV-720 Rev. 3 sides Request for Relief Under the Racial Justice Act—Juvenile Adjudication

JV-720-INFO Rev. 2 sides The Racial Justice Act in Juvenile Court

Name Change

NC-015 New 2 sides Ex Parte Request to Make Records Confidential (Health & Saf. Code, § 103437)

NC-030 New 1 side Order to Make Records Confidential (Health & Saf. Code, § 103437)

NC-100* Rev. 1 side Petition for Change of Name

NC-100-INFO Rev. 2 sides Instructions for Filing a Petition for Change of Name

NC-110* Rev. 2 sides Name and Information About the Person Whose Name Is to Be Changed (Attachment to Petition for Change of Name)

NC-130* Rev. 1 side Decree Changing Name

NC-200* New 2 sides Petition for Change of Name to Conform to Gender Identity

• Adopted for Mandatory Use. Page 2 of 4

PUBLISHERS LIST JUDICIAL COUNCIL FORMS New and revised [Effective on July 1, 2026]

NC-200-INFO New 2 sides Instructions for Filing a Petition for Change of Name to Conform to Gender Identity

NC-210G* New 1 side Supplemental Attachment to Petition for Change of Name to Conform to Gender Identity (Declaration of Guardian)

NC-221/NC- New 1 side Proof of Service of Order to Show Cause (Change of Name or Gender 321/NC-521* to Conform to Gender Identity)

NC-225* New 1 side Order to Show Cause—Change of Name to Conform to Gender Identity

NC-230* New 1 side Decree Changing Name (200 Series)

NC-230G* New 1 side Decree Changing Name of Minor (200 Series) (By Guardian)

NC-250/NC- New 1 side Notice of Hearing on Petition 350/NC-550

NC-300* Rev. 3 sides Petition for Recognition of Adult's Change of Gender and Sex Identifier, Name Change, and Issuance of New Certificates

NC-300-INFO Rev. 2 sides Instructions for Filing Petition for Recognition of Adult's Change of Gender and Sex Identifier, Name Change, and Issuance of New Certificates

NC-311* Rev. 1 side Birth Certificate for Child of Petitioner—Attachment

NC-312* Rev. 1 side Marriage License and Certificate—Attachment

NC-325* Rev. 1 side Order to Show Cause—Issuance of New Marriage License and Certificate

NC-330 Rev. 2 sides Order Recognizing Adult's Change of Gender and Sex Identifier, for Name Change, and for Issuance of New Certificates

NC-400* Rev. 1 side Confidential Cover Sheet—Name Change Proceeding Under Address Confidentiality Program (Safe at Home) (Change of Name)

NC-400-INFO Rev. 2 sides Information Sheet for Name Change Proceedings Under Address Confidentiality Program (Safe at Home)

NC-500* Rev. 3 sides Petition for Recognition of Minor's Change of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name

NC-500-INFO Rev. 3 sides Instructions for Filing Petition for Recognition of Minor's Change of Gender and Sex Identifier

NC-510G* Rev. 1 side Declaration of Guardian or Juvenile Attorney (Attachment to form NC- 500)

NC-520* Rev. 1 side Order To Show Cause—Recognition Of Minor's Change Of Gender And Issuance Of New Birth Certificate

NC-530* Rev. 2 sides Order Recognizing Minor's Change of Gender and Sex Identifier and for Issuance of New Birth Certificate

• Adopted for Mandatory Use. Page 3 of 4

PUBLISHERS LIST JUDICIAL COUNCIL FORMS New and revised [Effective on July 1, 2026]

Unlawful Detainer

UD-100 Rev. 4 sides Complaint—Unlawful Detainer

Wage Garnishment

WG-005* Rev. 2 sides Employer's Return (Wage Garnishment)

Workplace Violence Prevention

WV-120-INFO Rev. 2 sides How Can I Respond to a Petition for Workplace Violence Restraining Orders?

• Adopted for Mandatory Use. Page 4 of 4

PUBLISHERS LIST JUDICIAL COUNCIL FORMS New and revised [Effective on July 1, 2026]

Family Law

FL-190* Rev. 1 side Notice of Entry of Judgment (Family Law—Uniform Parentage—Custody and Support)

FL-211* Rev. 1 side Confidential Cover Sheet—Parentage Action Involving Assisted Reproduction

FL-250* Rev. 2 sides Judgment (Uniform Parentage—Custody and Support)

Surrogacy (Gestational Carrier Agreement)

SUR-050-INFO New 3 sides How to Ask for a Judgment—Gestational Carrier Agreement

SUR-100* New 4 sides Petition to Determine Parental Relationship (Gestational Carrier Agreement)

SUR-100(J)* New 5 sides Joint Petition to Determine Parental Relationship (Gestational Carrier Agreement)

SUR-110* New 2 sides Summons (Gestational Carrier Agreement)

SUR-113 New 1 side Notice of Lodging (Gestational Carrier Agreement)

SUR-115 New 2 sides Proof of Service of Summons (Gestational Carrier Agreement)

SUR-117 New 2 sides Notice and Acknowledgment of Receipt (Gestational Carrier Agreement)

SUR-120* New 3 sides Response to Petition to Determine Parental Relationship (Gestational Carrier Agreement)

SUR-165* New 2 sides Request to Enter Default (Gestational Carrier Agreement)

SUR-230* New 3 sides Declaration for Default or Uncontested Judgment (Gestational Carrier Agreement)

SUR-230(A) New 1 side Declaration and Conditional Waiver of Rights Under the Servicemembers Civil Relief Act (Gestational Carrier Agreement)

• Adopted for Mandatory Use. Page 1 of 1

PUBLISHERS LIST JUDICIAL COUNCIL FORMS Revoked [Effective on July 1, 2026]

NC-125 1 side Order to Show Cause—Change of Name to Conform to Gender Identity

NC-150 1 side Notice of Hearing on Petition

• Adopted for Mandatory Use. Page 1 of 1