— PUBLISHER'S LIST —CALIFORNIA JUDICIAL COUNCIL FORMS NEW AND REVISED (www.LawCA.com)

— PUBLISHER'S LIST —CALIFORNIA JUDICIAL COUNCIL FORMS NEW AND REVISED (www.LawCA.com)

Judicial Council Forms for January 1, 2005

Form Number
New or Rev
No of. Sides
Description

ADOPT-225* Rev. 2 sides Parent Of Indian Child Agrees To End Parental Rights

ADOPT-226* New 6 sides Notice Of Voluntary Adoption Proceedings For An Indian Child

CM-110* Rev. 4 sides Case Management Statement

CH-100* Rev. 4 sides Request For Orders To Stop Harassment (Civil Harassment)

CH-101/
DV-290* Rev. 2 sides Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking))

CH-101/
DV-290* S Rev. 2 sides Request And Order For Free Service Of Restraining Order (Domestic Violence) Spanish

CH-101/
DV-290* C Rev. 2 sides Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking)) Chinese

CH-110* Rev. 3 sides Answer To Request For Orders To Stop Harassment (Civil Harassment)

CH-120* Rev. 4 sides Notice Of Hearing And Temporary Restraining Order (CLETS) (Civil Harassment)

CH-125* Rev. 2 sides Reissue Temporary Restraining Order (Civil Harassment)

CH-130 Rev. 1 side Proof Of Personal Service (Civil Harassment)

CH-131 Rev. 1 side Proof Of Service By Mail (Civil Harassment)

CH-135 New 2 sides What Is "Proof Of Service"? (Civil Harassment)

CH-140* Rev. 3 sides Restraining Order After Hearing To Stop Harassment (CLETS) (Civil Harassment)

CH-145 Rev. 2 sides Proof of Firearms Turned In Or Sold (Civil Harassment)

CH-150 Rev. 2 sides Can A Civil Harassment Restraining Order Help Me? (Civil Harassment)

CH-151 New 2 sides How Can I Answer A Request For Orders To Stop Harassment? (Civil Harassment)

CR-110/JV-790 Rev. 2 sides Order For Restitution And Abstract Of Judgment

CR-118 New 1 side Information Regarding Income Deduction Order (Pen.Code, ง1202.42)

CR-119 New 2 sides Order For Income Deduction (Pen.Code, ง 1202.42)

CR-151 New 3 sides Petition For Certificate Of Identity Theft (Pen. Code, ง 530.6)

CR-180 New 2 sides Petition And Order For Expungement (Pen. Code, งง 17, 1203.4, 1203.4a)

DE-111* Rev. 4 sides Petition For Probate (Probate—Decedents Estates

DE-221* Rev. 2 sides Spousal Or Domestic Partner Property Petition (Probate—Decedents Estates)

DE-226* Rev. 1 side Spousal Or Domestic Partner Property Order (Probate—Decedents Estates)

DV-290/
CH-101* Rev. 2 sides Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking))

EA-100* Rev. 4 sides Petition For Protective Orders (Elder or Dependent Adult Abuse)

EA-110* Rev. 2 sides Response To Petition For Protective Orders (Elder or Dependent Adult Abuse)

EA-120* Rev. 4 sides Order To Show Cause And Temporary Restraining Order (Elder or Dependent Adult Abuse) (CLETS)

EA-130* Rev. 3 sides Restraining Order After Hearing (Elder or Dependent Adult Abuse)(CLETS)

EA-140 Rev. 1 side Proof of Personal Service (Elder or Dependent Adult Abuse)

EA-141 Rev. 1 side Proof of Service By Mail (Elder or Dependent Adult Abuse)

EA-145/
WV-145
(formerly CH-145/
EA-145/WV-145) Rev. 2 sides Proof Of Sale Or Turning In Of Firearms

EA-150 Rev. 3 sides Instructions On Petition For A Protective Order To PRevent Elder Or Dependent Adult Abuse

EJ-100 Rev. 1 side Acknowledgment Of Satisfaction Of Judgment

EJ-155 Rev. 2 sides Exemptions From The Enforcement Of Judgments

FL-100* Rev. 2 sides Petition—Marriage (Family Law)

FL-103* New 2 sides Petition—Domestic Partnership (Family Law)

FL-110* Rev. 2 sides Summons (Family Law)

FL-110 S Rev. 2 sides Summons (Family Law) - Spanish

FL-115 Rev. 2 sides Proof Of Service Of Summons (Family Law—Uniform Parentage—Custody and Support)

FL-117 Rev. 1 side Notice And Acknowledgment Of Receipt (Family Law)

FL-120* Rev. 2 sides Response—Marriage (Family Law)

FL-123* New 2 sides Response—Domestic Partnership (Family Law)

FL-142 Rev. 4 sides Schedule Of Assets And Debts (Family Law)

FL-145 Rev. 2 sides Form Interrogatories (Family Law)

FL-150* Rev. 4 sides Income And Expense Declaration

FL-160* Rev. 2 sides Property Declaration (Family Law)

FL-165* Rev. 2 sides Request To Enter Default (Family Law—Uniform Parentage)

FL-170* Rev. 2 sides Declaration For Default Or Uncontested Dissolution or Legal Separation (Family Law)

FL-180* Rev. 2 sides Judgment (Family Law)

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

FL-191* Rev. 4 sides Child Support Case Registry Form

FL-191 S Rev. 4 sides Child Support Case Registry Form - Spanish

FL-310* Rev. 2 sides Application For Order And Supporting Declaration

FL-311 Rev. 2 sides Child Custody And Visitation Application Attachment

FL-316 New 1 side Ex Parte Application And Order To Seal Financial Forms (Family Law)

FL-325* New 1 side Declaration Of Court-Connected Child Custody Evaluator Regarding Qualifications

FL-326* Rev. 1 side Declaration Of Private Child Custody Evaluator Regarding Qualifications

FL-341 Rev. 2 sides Child Custody And Visitation Order Attachment

FL-341(B)* Rev. 2 sides Child Abduction PRevention Order Attachment

FL-341(C) Rev. 1 side Children's Holiday Schedule Attachment

FL-341(D) Rev. 2 sides Additional Provisions—Physical Custody Attachment

FL-341(E) Rev. 1 side Joint Legal Custody Attachment

FL-343 Rev. 2 sides Spousal, Partner, Or Family Support Order Attachment (Family Law)

FL-344* Rev. 1 side Property Order Attachment To Findings And Order After Hearing (Family Law)

FL-345 Rev. 2 sides Property Order Attachment To Judgment (Family Law)

FL-435* Rev. 2 sides Earnings Assignment Order For Spousal Or Partner Support (Family Law)

FL-450* Rev. 3 sides Request For Hearing Regarding Earnings Assignment (Family Law— Governmental—UIFSA)

FL-620* Rev. 1 side Request To Enter Default Judgment (Governmental)

FL-630* Rev. 2 sides Judgment Regarding Parental Obligations (Governmental)

FL-632* Rev. 2 sides Notice Regarding Payment Of Support (Governmental)

FL-640* Rev. 3 sides Notice And Motion To Cancel (Set Aside) Support Order Based On Presumed Income (Governmental)

FL-692 Rev. 8 sides Minutes And Order Or Judgment (Governmental)

FL-692 S Rev. 8 sides Minutes And Order Or Judgment (Governmental) - Spanish

982(a)(6)* Rev. 2 sides Request For Entry Of Default (Application to Enter Default)

JV-130* New 1 side Parental Notification Of Indian Status (Juvenile Court)

JV-135* New 6 sides Notice Of Involuntary Child Custody Proceedings For An Indian Child (Juvenile Court)

JV-220* Rev. 6 sides Application And Order For Authorization To Administer Psychotropic Medication—Juvenile

JV-220A* Rev. 1 side Opposition To Application For Order For Authorization To Administer Psychotropic Medication—Juvenile

JV-365* Rev. 2 sides Termination Of Dependency Jurisdiction—Child Attaining Age Of Majority (Juvenile)

JV-790/CR-110 Rev. 2 sides Order For Restitution And Abstract Of Judgment

MC-005*
(formerly 2009) Rev. 1 side Facsimile Transmission Cover Sheet (Fax Filing)

MC-070 New 1 side Juror's Motion To Set Aside Sanctions And Order

MC-280 New 1 side Order For Commitment (Sexually Violent Predator)

MC-281 New 1 side Order For Extended Commitment (Sexually Violent Predator)

MC-350* Rev. 8 sides Petition To Approve Compromise Of Disputed Claim or Pending Action Or Disposition Of Proceeds Of Judgment For Minor Or Adult Person With A Disability (Miscellaneous)

MC-351* Rev. 3 sides Order Approving Compromise Of Disputed Claim Or Pending Action Or Disposition Of Proceeds Of Judgment For Minor Or Adult Person With A Disability (Miscellaneous)

POS-015*
(formerly 982(a)(4) Rev. 1 side Notice And Acknowledgment Of Receipt – Civil

POS-020 New 2 sides Proof Of Personal Service –Civil (Proof of Service) / Information Sheet ForProof Of Personal Service—Civil

POS-020(D) New 1 side Attachment To Proof Of Personal Service – Civil (Documents Served) (Proof of Service)

POS-020(P) New 1 side Attachment To Proof Of Personal Service – Civil (Persons Served) (Proof of Service)

POS-030 New 2 sides Proof Of Service By First-Class Mail—Civil (Proof of Service) / Information Sheet For Proof Of Service By First-Class Mail – Civil

POS-030(D) New 1 side Attachment To Proof Of Service By First-Class Mail – Civil (Documents Service) (Proof of Service)

POS-030(P) New 1 side Attachment To Proof Of Service By First-Class Mail – Civil (Persons Served) (Proof of Service)

POS-040 New 3 sides Proof Of Service – Civil (Proof of Service) / Information Sheet For Proof Of Service – Civil

POS-040(D) New 1 side Attachment To Proof Of Service – Civil (Documents Served) (Proof of Service)

POS-040(P) New 1 side Attachment To Proof Of Service – Civil (Persons Service) (Proof of Service)

SC-100* Rev. 5 sides Plaintiff's Claim And ORDER To Go To Small Claims Court/Information For The Defendant (Small Claims)

SC-100A* New 1 side Other Plaintiffs Or Defendants (Small Claims)

SC-104 Rev. 2 sides Proof of Service (Small Claims)

SC-104A New 1 side Attachment To Form SC-104: Proof Of Mailing After Substituted Service (Small Claims)

UD-100
(formerly 982.1(90) Rev. 3 sides Complaint—Unlawful Detainer

UD-150* New 2 sides Request/Counter-Request To Set Case For Trial—Unlawful Detainer

WV-100* Rev. 4 sides Petition Of Employer For Injunction Prohibiting Violence Or Threats Of Violence Against Employee (Workplace Violence)

WV-120* Rev. 4 sides Order To Show Cause And Temporary Restraining Order (CLETS) (Workplace Violence)

WV-130 Rev. 1 side Proof of Personal Service (Workplace Violence)

WV-131 Rev. 1 side Proof Of Service By Mail Of Completed Response (Workplace Violence)

WV-132 Rev. 1 side Proof Of Service By Personal Delivery Of Completed Response (Workplace Violence)

WV-140* Rev. 3 sides Order After Hearing On Petition Of Employer For Injunction Prohibiting Violence Or Threats Of Violence Against Employee (CLETS) (Workplace Violence)

WV-145/
EA-145
(formerly CH-145/
EA-145/WV-145) Rev. 2 sides Proof Of Sale Or Turning In Of Firearms

WV-150* Rev. 12 sides Instructions For Petitions To Prohibit Workplace Violence

REVOKED IN 2005

982.1(90S) New 2 sides Complaint—Unlawful Detainer (Pilot Project—C.C.P

982.1(95S) New 2 sides Reply—Unlawful Detainer (Pilot Project—C.C.P

SC-160 New 1 side Additional Plaintiffs And Defendants (Small Claims)

* Adopted for Mandatory Use.

ฉ 2005 LawCA.com

Judicial Council Forms for January 1, 2005
Form Number	New or Rev	No of. Sides	Description
ADOPT-225*	Rev.	2 sides	Parent Of Indian Child Agrees To End Parental Rights
ADOPT-226*	New	6 sides	Notice Of Voluntary Adoption Proceedings For An Indian Child
CM-110*	Rev.	4 sides	Case Management Statement
CH-100*	Rev.	4 sides	Request For Orders To Stop Harassment (Civil Harassment)
CH-101/ DV-290*	Rev.	2 sides	Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking))
CH-101/ DV-290* S	Rev.	2 sides	Request And Order For Free Service Of Restraining Order (Domestic Violence) Spanish
CH-101/ DV-290* C	Rev.	2 sides	Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking)) Chinese
CH-110*	Rev.	3 sides	Answer To Request For Orders To Stop Harassment (Civil Harassment)
CH-120*	Rev.	4 sides	Notice Of Hearing And Temporary Restraining Order (CLETS) (Civil Harassment)
CH-125*	Rev.	2 sides	Reissue Temporary Restraining Order (Civil Harassment)
CH-130	Rev.	1 side	Proof Of Personal Service (Civil Harassment)
CH-131	Rev.	1 side	Proof Of Service By Mail (Civil Harassment)
CH-135	New	2 sides	What Is "Proof Of Service"? (Civil Harassment)
CH-140*	Rev.	3 sides	Restraining Order After Hearing To Stop Harassment (CLETS) (Civil Harassment)
CH-145	Rev.	2 sides	Proof of Firearms Turned In Or Sold (Civil Harassment)
CH-150	Rev.	2 sides	Can A Civil Harassment Restraining Order Help Me? (Civil Harassment)
CH-151	New	2 sides	How Can I Answer A Request For Orders To Stop Harassment? (Civil Harassment)
CR-110/JV-790	Rev.	2 sides	Order For Restitution And Abstract Of Judgment
CR-118	New	1 side	Information Regarding Income Deduction Order (Pen.Code, ง1202.42)
CR-119	New	2 sides	Order For Income Deduction (Pen.Code, ง 1202.42)
CR-151	New	3 sides	Petition For Certificate Of Identity Theft (Pen. Code, ง 530.6)
CR-180	New	2 sides	Petition And Order For Expungement (Pen. Code, งง 17, 1203.4, 1203.4a)
DE-111*	Rev.	4 sides	Petition For Probate (Probate—Decedents Estates
DE-221*	Rev.	2 sides	Spousal Or Domestic Partner Property Petition (Probate—Decedents Estates)
DE-226*	Rev.	1 side	Spousal Or Domestic Partner Property Order (Probate—Decedents Estates)
DV-290/ CH-101*	Rev.	2 sides	Request And Order For Free Service Of Restraining Order (Domestic Violence or Civil Harassment (Sexual Assault or Stalking))
EA-100*	Rev.	4 sides	Petition For Protective Orders (Elder or Dependent Adult Abuse)
EA-110*	Rev.	2 sides	Response To Petition For Protective Orders (Elder or Dependent Adult Abuse)
EA-120*	Rev.	4 sides	Order To Show Cause And Temporary Restraining Order (Elder or Dependent Adult Abuse) (CLETS)
EA-130*	Rev.	3 sides	Restraining Order After Hearing (Elder or Dependent Adult Abuse)(CLETS)
EA-140	Rev.	1 side	Proof of Personal Service (Elder or Dependent Adult Abuse)
EA-141	Rev.	1 side	Proof of Service By Mail (Elder or Dependent Adult Abuse)
EA-145/ WV-145 (formerly CH-145/ EA-145/WV-145)	Rev.	2 sides	Proof Of Sale Or Turning In Of Firearms
EA-150	Rev.	3 sides	Instructions On Petition For A Protective Order To PRevent Elder Or Dependent Adult Abuse
EJ-100	Rev.	1 side	Acknowledgment Of Satisfaction Of Judgment
EJ-155	Rev.	2 sides	Exemptions From The Enforcement Of Judgments
FL-100*	Rev.	2 sides	Petition—Marriage (Family Law)
FL-103*	New	2 sides	Petition—Domestic Partnership (Family Law)
FL-110*	Rev.	2 sides	Summons (Family Law)
FL-110 S	Rev.	2 sides	Summons (Family Law) - Spanish
FL-115	Rev.	2 sides	Proof Of Service Of Summons (Family Law—Uniform Parentage—Custody and Support)
FL-117	Rev.	1 side	Notice And Acknowledgment Of Receipt (Family Law)
FL-120*	Rev.	2 sides	Response—Marriage (Family Law)
FL-123*	New	2 sides	Response—Domestic Partnership (Family Law)
FL-142	Rev.	4 sides	Schedule Of Assets And Debts (Family Law)
FL-145	Rev.	2 sides	Form Interrogatories (Family Law)
FL-150*	Rev.	4 sides	Income And Expense Declaration
FL-160*	Rev.	2 sides	Property Declaration (Family Law)
FL-165*	Rev.	2 sides	Request To Enter Default (Family Law—Uniform Parentage)
FL-170*	Rev.	2 sides	Declaration For Default Or Uncontested Dissolution or Legal Separation (Family Law)
FL-180*	Rev.	2 sides	Judgment (Family Law)
FL-190*	Rev.	1 side	Notice Of Entry Of Judgment (Family Law—Uniform parentage—Custody and Support)
FL-191*	Rev.	4 sides	Child Support Case Registry Form
FL-191 S	Rev.	4 sides	Child Support Case Registry Form - Spanish
FL-310*	Rev.	2 sides	Application For Order And Supporting Declaration
FL-311	Rev.	2 sides	Child Custody And Visitation Application Attachment
FL-316	New	1 side	Ex Parte Application And Order To Seal Financial Forms (Family Law)
FL-325*	New	1 side	Declaration Of Court-Connected Child Custody Evaluator Regarding Qualifications
FL-326*	Rev.	1 side	Declaration Of Private Child Custody Evaluator Regarding Qualifications
FL-341	Rev.	2 sides	Child Custody And Visitation Order Attachment
FL-341(B)*	Rev.	2 sides	Child Abduction PRevention Order Attachment
FL-341(C)	Rev.	1 side	Children's Holiday Schedule Attachment
FL-341(D)	Rev.	2 sides	Additional Provisions—Physical Custody Attachment
FL-341(E)	Rev.	1 side	Joint Legal Custody Attachment
FL-343	Rev.	2 sides	Spousal, Partner, Or Family Support Order Attachment (Family Law)
FL-344*	Rev.	1 side	Property Order Attachment To Findings And Order After Hearing (Family Law)
FL-345	Rev.	2 sides	Property Order Attachment To Judgment (Family Law)
FL-435*	Rev.	2 sides	Earnings Assignment Order For Spousal Or Partner Support (Family Law)
FL-450*	Rev.	3 sides	Request For Hearing Regarding Earnings Assignment (Family Law— Governmental—UIFSA)
FL-620*	Rev.	1 side	Request To Enter Default Judgment (Governmental)
FL-630*	Rev.	2 sides	Judgment Regarding Parental Obligations (Governmental)
FL-632*	Rev.	2 sides	Notice Regarding Payment Of Support (Governmental)
FL-640*	Rev.	3 sides	Notice And Motion To Cancel (Set Aside) Support Order Based On Presumed Income (Governmental)
FL-692	Rev.	8 sides	Minutes And Order Or Judgment (Governmental)
FL-692 S	Rev.	8 sides	Minutes And Order Or Judgment (Governmental) - Spanish
982(a)(6)*	Rev.	2 sides	Request For Entry Of Default (Application to Enter Default)
JV-130*	New	1 side	Parental Notification Of Indian Status (Juvenile Court)
JV-135*	New	6 sides	Notice Of Involuntary Child Custody Proceedings For An Indian Child (Juvenile Court)
JV-220*	Rev.	6 sides	Application And Order For Authorization To Administer Psychotropic Medication—Juvenile
JV-220A*	Rev.	1 side	Opposition To Application For Order For Authorization To Administer Psychotropic Medication—Juvenile
JV-365*	Rev.	2 sides	Termination Of Dependency Jurisdiction—Child Attaining Age Of Majority (Juvenile)
JV-790/CR-110	Rev.	2 sides	Order For Restitution And Abstract Of Judgment
MC-005* (formerly 2009)	Rev.	1 side	Facsimile Transmission Cover Sheet (Fax Filing)
MC-070	New	1 side	Juror's Motion To Set Aside Sanctions And Order
MC-280	New	1 side	Order For Commitment (Sexually Violent Predator)
MC-281	New	1 side	Order For Extended Commitment (Sexually Violent Predator)
MC-350*	Rev.	8 sides	Petition To Approve Compromise Of Disputed Claim or Pending Action Or Disposition Of Proceeds Of Judgment For Minor Or Adult Person With A Disability (Miscellaneous)
MC-351*	Rev.	3 sides	Order Approving Compromise Of Disputed Claim Or Pending Action Or Disposition Of Proceeds Of Judgment For Minor Or Adult Person With A Disability (Miscellaneous)
POS-015* (formerly 982(a)(4)	Rev.	1 side	Notice And Acknowledgment Of Receipt – Civil
POS-020	New	2 sides	Proof Of Personal Service –Civil (Proof of Service) / Information Sheet ForProof Of Personal Service—Civil
POS-020(D)	New	1 side	Attachment To Proof Of Personal Service – Civil (Documents Served) (Proof of Service)
POS-020(P)	New	1 side	Attachment To Proof Of Personal Service – Civil (Persons Served) (Proof of Service)
POS-030	New	2 sides	Proof Of Service By First-Class Mail—Civil (Proof of Service) / Information Sheet For Proof Of Service By First-Class Mail – Civil
POS-030(D)	New	1 side	Attachment To Proof Of Service By First-Class Mail – Civil (Documents Service) (Proof of Service)
POS-030(P)	New	1 side	Attachment To Proof Of Service By First-Class Mail – Civil (Persons Served) (Proof of Service)
POS-040	New	3 sides	Proof Of Service – Civil (Proof of Service) / Information Sheet For Proof Of Service – Civil
POS-040(D)	New	1 side	Attachment To Proof Of Service – Civil (Documents Served) (Proof of Service)
POS-040(P)	New	1 side	Attachment To Proof Of Service – Civil (Persons Service) (Proof of Service)
SC-100*	Rev.	5 sides	Plaintiff's Claim And ORDER To Go To Small Claims Court/Information For The Defendant (Small Claims)
SC-100A*	New	1 side	Other Plaintiffs Or Defendants (Small Claims)
SC-104	Rev.	2 sides	Proof of Service (Small Claims)
SC-104A	New	1 side	Attachment To Form SC-104: Proof Of Mailing After Substituted Service (Small Claims)
UD-100 (formerly 982.1(90)	Rev.	3 sides	Complaint—Unlawful Detainer
UD-150*	New	2 sides	Request/Counter-Request To Set Case For Trial—Unlawful Detainer
WV-100*	Rev.	4 sides	Petition Of Employer For Injunction Prohibiting Violence Or Threats Of Violence Against Employee (Workplace Violence)
WV-120*	Rev.	4 sides	Order To Show Cause And Temporary Restraining Order (CLETS) (Workplace Violence)
WV-130	Rev.	1 side	Proof of Personal Service (Workplace Violence)
WV-131	Rev.	1 side	Proof Of Service By Mail Of Completed Response (Workplace Violence)
WV-132	Rev.	1 side	Proof Of Service By Personal Delivery Of Completed Response (Workplace Violence)
WV-140*	Rev.	3 sides	Order After Hearing On Petition Of Employer For Injunction Prohibiting Violence Or Threats Of Violence Against Employee (CLETS) (Workplace Violence)
WV-145/ EA-145 (formerly CH-145/ EA-145/WV-145)	Rev.	2 sides	Proof Of Sale Or Turning In Of Firearms
WV-150*	Rev.	12 sides	Instructions For Petitions To Prohibit Workplace Violence


REVOKED IN 2005
982.1(90S)	New	2 sides	Complaint—Unlawful Detainer (Pilot Project—C.C.P
982.1(95S)	New	2 sides	Reply—Unlawful Detainer (Pilot Project—C.C.P
SC-160	New	1 side	Additional Plaintiffs And Defendants (Small Claims)
* Adopted for Mandatory Use.