Lassen — Local Forms

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

Local Forms

This page contains Local Forms specific to the Superior Court of California, County of Lassen. Filings with the Court often necessitate the use of state-wide Judicial Council forms, which are available on the California Court's website:

Judicial Council Forms or California Courts Self-Help Guide

Local Forms can be viewed and downloaded below. Forms can also be obtained at the filing window at the Hall of Justice.

Note: Law prohibits the clerks of Lassen Superior Court from giving legal advice and filling out forms or legal documents. If you are proceeding in pro per (representing yourself), you may have legal questions. Get assistance from the Self-Help Center

Local Forms

M/O Legend – M = Mandatory Local Form | O = Optional Local Form | I = Informational

Appellate

| Form # | Name | Date Rev | M/O | LSC-APL-100 | Appeal Facsimile Transmission Cover Sheet | 01/23 | M

Civil

| Form # | Name | Date Rev | M/O | LSC-CIV-025 | Delay Reduction Program Notice | 07/22 | M | LSC-CIV-050 | Name Change - Criminal History Assessment | 07/22 | M

Criminal

| Form # | Name | Date Rev | M/O | LSC-CRIM-025 | Plea in Absentia | 07/24 | M | LSC-CRIM-100 | Petition for Resentencing - Response and Order | 07/22 | M | LSC-CRIM-200 | Community Service Work Time Sheet & Instructions | 01/25 | M | LSC-CRIM-201 | Community Service / Volunteer Work Agencies | 01/25 | I | PRU-100 | DUI Advisement of Rights, Waiver, and Plea

(First Offense Only – Vehicle Code § 23152)

| 01/20 | M | PRU-101 | DUI Advisement of Rights, Waiver, and Plea

(Vehicle Code § 23152)

| 01/20 | M | PRU-102 | Addendum to DUI Advisement of Rights, Waiver, and Plea | 01/20 | O | PRU-103 | DUI Advisement of Rights, Waiver, and Plea

(Vehicle Code § 23153)

| 01/20 | O | PRU-106 | Advisement of Rights, Waiver, and Plea

(Vehicle Code § 14601 et seq.; Vehicle Code § 12500(a))

| 01/20 | O | PRU-200 | Misdemeanor Advisement of Rights, Waiver, and Plea | 01/20 | O | PRU-202 | Addendum to Advisement, Waiver, and Plea

Driver's License Suspension (Vehicle Code §§ 13201.5, 13202.5, 13202.6)

| 01/12 | M | PRU-1000 | Advisement of Rights, Waiver and Plea

Deferred Entry of Judgment (Penal Code § 1000 et seq.)

| 01/20 | M | PRU-1210 | Advisement of Rights, Waiver, and Plea for Felonies and/or Misdemeanors - Proposition 36

(Penal Code § 1210 et seq.)

| 01/12 | M

Family Law

| Form # | Name | Date Rev | M/O | LSC-FL-100 | Family Law Case Management: Status Conference Statement | 07/22 | M | LSC-FL-101 | Family Law Case Management: Settlement Conference Statement | 07/22 | M | LSC-FL-120 | Declaration of Notice Regarding Request for Ex-Parte Orders | 09/24 | M | LSC-FL-200 | Consent for Court Assignment (Family Law) | 07/24 | M

Jury

| Form # | Name | Date Rev | M/O | LSC-JUR-100 | Request for Permanent Medical Excuse from Jury Service | 04/22 | M | LSC-JUR-101 | Request for Excuse from Jury Service - Age | 04/22 | O | LSC-JUR-102 | Public Transit Reimbursement Request | 01/23 | M

Juvenile

| Form # | Name | Date Rev | M/O | LSC-JVDP-100 | Certification of Competency to Practice in Juvenile Dependency Court | 07/22 | M

Miscellaneous

| Form # | Name | Date Rev | M/O | LSC-MIS-025 | Request for CourtCall Telephonic Appearance | 01/23 | M | LSC-MIS-100 | Research and Copy Request Form | 07/23 | M | LSC-MIS-200 | Request for Appointment of Official Reporter Pro Tempore | 07/22 | M | LSC-MIS-300 | Stipulation for Court Commissioner to Act as Temporary Judge | 05/22 | M | LSC-MIS-400 | Request/Notification for Courtroom Audio/Visual Presentation Equipment | 08/26 | M

Traffic

| Form # | Name | Date Rev | M/O | LSC-TR-100 |

Request for Postponement of Traffic Court Trial

| 07/26 | M | LSC-TR-101 |

Objection to Postponement of Traffic Court Trial

An eDelivery version of this form is also available:

Objection to Postponement of Traffic Court Trial eDelivery

| 07/26 | M