San Francisco — Request for Refund of Jury Fee Deposits

Source: https://sf.courts.ca.gov/system/files/sfacc-002-request-jury-fee-deposit-refund.pdf

Superior Court of California COUNTY OF SAN FRANCISCO

400 McAllister Street, San Francisco, CA 94102 Phone: 415-551-4000 | Website: https://sfsuperiorcourt.org

REQUEST FOR JURY FEE DEPOSIT REFUND

Within 20 business days from the date on which the jury is waived or the action is settled, dismissed, or a continuance thereof granted, a requesting party may submit a written request for refund of the posted jury fee deposit amount of $150.00 provided said deposit was made after January 1, 1999 and prior to June 27, 2012.

Name: ______________________________________________________________________________ Address: ____________________________________________________________________________ Refund amount requested: _____________________________________ ________________________ Date of request: _____________________________________________________________________ Date of posting jury fee deposit*: _ *Only jury fee deposits made after January 1, 1999 and prior to June 27, 2012 are refundable Transaction/Fee Tag Number(s): _ Case Number/Title:

Attach supporting documentation confirming California Code of Civil Procedure Sect. 631.3(a) compliance as failure to provide documentation will result in a denial of the refund: ☐ Jury was waived (declaration required) ☐ Notice of Settlement filed ☐ Dismissal filed ☐ Case set for Order to Show Cause for CRC 3.1385 compliance ☐ Case continued in trial department; no jury summoned (declaration required)

The amount claimed is justly due and this claim has been presented and received by the Accounting Department originally receiving said money within the time prescribed by law. I DECLARE UNDER PENALTY OF PERJURY THAT THE INFORMATION STATED ABOVE IN THIS FORM IS TRUE AND CORRECT.

EXECUTED ON AT , CALIFORNIA. Signature of Claimant

FOR COURT USE ONLY

Refund request approved/denied on the basis of:

Amount to be Refunded:

Date: Division Manager/Senior Fiscal Technician Authorization

Attention: Accounting | 400 McAllister Street, Room 205, San Francisco, CA 94102 | ARevenue@sftc.org | Fax 415-551-5701

SFACC-002 Rev. Feb-18-2020