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  • Consent for Release & Exchange of Confidential Health Information - Collaborative Court Programs

    CRM-254 (Rev: 11/21)
    View PDF
    … Department, and Judicial Council of California. The purpose and need for this release is to assist in evaluating and determining appropriate treatment, progress, and compliance…
  • Plea of Guilty / No Contest - Misdemeanor

    CRM-126 (Rev: 3/24)

    THE COURT REQUIRES THAT THIS FORM BE PRINTED ON GOLDENROD-COLORED PAPER

    View PDF
    … or fear to me or anyone closely related to me. 3. 4. I understand that a plea of No Contest is the same as a plea of Guilty for all purposes. 4. 5. I am sober and my judgment…
  • Plea of Guilty / No Contest - Misdemeanor Domestic Violence

    CRM-184 (Rev: 3/24)

    THE COURT REQUIRES THAT THIS FORM BE PRINTED ON LAVENDER-COLORED PAPER

    View PDF
    … Contest, personally and/or by my attorney, declare as follows: 1. I am sober, my judgment is not impaired, and I have not consumed any drug, alcohol or narcotic within the past 24…
  • Notice of Consent/Withdrawal of Consent to Receive Electronic Service

    ADM-431 (Rev: 5/24)
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    … NOTICE OF CONSENT/WITHDRAWAL OF CONSENT TO RECEIVE ELECTRONIC SERVICE CASE NUMBER This form is to be used by self-represented litigants in civil, family, and small claims actions…
  • Order Setting Aside Judgment of Dissolution of Marriage/Order for Dismissal (Parties Reconciled)

      D-050 (Rev: 08/08)
    View PDF
    … date on which the status of the marital relationship/domestic partnership would be terminated is not until ____________________, a date which has not yet occurred. Together, we…
  • Family Court Services (FCS) Data Sheet (Confidential)

      FCS-002 (Rev: 06/20)
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    … discussed at FCS EDUCATION Child Name of School Teacher/Counselor Grade 1. 2. 3. 4. COUNSELING Is Child(ren) Father Mother in Counseling? Yes No Counselor for Counselor for…
  • Family Support Division Information - Central

      FSD-005 (Rev: 03/24)
    View PDF
    … insurance, and parentage. FSD also hears support issues in family law cases in which DCSS is providing enforcement services. If DCSS has opened a case to establish parentage and/or…
  • Misdemeanor and Infraction Counter/Fax Arraignment Form

    CRM-141 (Rev: 05/24)
    View PDF
    … ARRAIGNMENT FORM CASE NUMBER Violation(s): Date of Offense: Appearance Date: IF CASE NUMBER IS UNKNOWN: Defendant’s Name: AKA: ________________________________ First Middle Last…
  • Citation for Adoption

    JUV-170 (Rev: 9/16)
    View PDF
    … why the court should not adjudge the adoption of the minor child, , by the petitioner, . It is alleged that the other birth parent has been awarded custody of the child by judicial…
  • Supplemental Family Resolution Conference Statement

    D-315 (New: 4/23)
    View PDF
    … JUDGE/DEPT SUPPLEMENTAL FAMILY RESOLUTION CONFERENCE STATEMENT CASE NUMBER This statement is to be completed and filed at least five court days before the second and subsequent…

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