Forms by Number

Local downloadable court forms appear in the tabbed sections below.
Judicial Council forms can be found at the California Courts Web site.

Amador Superior Court local forms are provided in the PDF format and require the Adobe Acrobat Reader to be installed on your local computer. If you have problems opening any of the forms, an updated version can be downloaded from the   Adobe website. Forms indicated as fillable may be filled out online but cannot be saved with the changes.
Non-fillable versions of all forms are also available. Forms may be downloaded by right-clicking on the form number link and selecting the "Save Target As..." or "Save Link As..." option to download the PDF file directly to your hard drive.
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A common source for forms is:  I-CAN!™ Legal

PLEASE NOTE: Mandatory form indicates a "Mandatory" form.  Optional form indicates an "Optional" form.

Form Number Form Name Revised Mandatory Optional
Effective 08/04/2020
CIVIL FORMS
CIV-025 Stipulation to Mediator 04/2008
CIV-131 Stipulation to Allow Trial Judge
to Conduct Settlement Conference
06/2016  
CIV-132 Attachment to Stipulation to Allow
Trial Judge to Conduct Settlement Conference
06/2016   
CIV-133 Ex Parte Application for Stay of Execution of Judgment 03/2017  
CIV-134 Order on Ex Parte Application for
Stay of Execution in eviction cases
03/20/17  
CIV-135 Declaration re: Notice of Ex Parte Application
for Orders or Order Shortening Time
04/2017  
CIV-138 Civil Bench Warrant 09/2016   
CIV-139 Request for Discovery Conference 03/2018  
GV-100 Petition for Gun Violence Restraining Order
- Ask the judge for a restraining order and tell the judge why you need one.
01/01/23  
GV-109 Notice of Court Hearing
- Tells you when your court date is and whether the judge granted a restraining order in your case.
01/01/23  
GV-110 Temporary Gun Violence Restraining Order (CLETS-TGV)
- Tells you what restraining orders the court granted temporarily.
01/01/23  
CRIMINAL FORMS
CRIM-002 Waiver of Defendant’s Personal PresenceIM-002 05/2011    
CRIM-025 Request for Modification 02/2013  
CRIM-026P Proof of Service of Petition for Dismissal 06/2008
CRIM-032 Request for Recommendation for Restricted License 02/2007  
CRIM-070 Ex Parte Application to Place Matter on Calendar 06/2008  
CRIM-071 Order on Application to Place Matter on Calendar 05/2013  
CRIM-072 Ex Parte Application to Shorten Time for Filing and Service 06/2008
CRIM-073 Order on Ex Parte Application to Shorten Time
for Filing and Service
06/2008
CRIM-203 Plea in Absentia 02/2014  
CRIM-230 Defendant’s Financial Statement 03/2013  
CRIM-237 Application for Resentencing and Reduction 11/2017 Mandatory form  
CRIM-238 Response to Application for Resentencing and Reduction 11/2014
CRIM-240 Proof of Service on Resentencing 11/2014  
CRIM-243 Misdemeanor Advisement of Rights, Waiver & Plea Form- 06/2018  
CRIM-400 DUI Advisement of Rights, Waiver and Plea Form
– 1st offense VC 23152
01/2017  
CRIM-401 DUI Advisement of Rights,Waiver,Plea Form
-subsequent Offense-VC 23152
01/2017  
CRIM-402 Addendum to DUI Advisement of Rights,
Waiver, and Plea form
01/2017  
CRIM-403 DUI Advisement of Rights, Waiver and Plea Form
– VC 23153
01/2017    
CRIM-502 Info on Petition for Certificate of Rehabilitation and
Pardon
06/2019  
CRIM-502.1 Petition for Certificate of Rehabilitation and Pardon 06/2019  
CRIM-502.2 Notice of Petition for Certificate of Rehabilitation and Pardon 06/2019  
CRIM-502.3 Proof of Service on Petition for Certificate
of Rehabilitation and Pardon
06/2019  
CRIM-502.4 Certificate of Rehabilitation 06/2019
CRIM-502A AB 1950 Petition-Defendant 12/2020
CRIM-502B AB 1950 Petition-Probation 12/2020
CRIM-502C AB 1950 Response and Order 12/2020
CRIM-502D AB 1950 Reference 12/2020
FAMILY FORMS
DV-100 Request for Domestice Violence Restraining Order
- Ask the judge for a restraining order and tell the judge why you need one.
01/01/23  
DV-109 Notice of Court Hearing - Domestic Violence
- Tells you when your court date is and whether the judge granted a temporary restraining order in your case.
01/01/23  
DV-110 Temporary Restraining Order (CLETS—TRO)
- Tells you what restraining orders the court granted temporarily.
01/01/23  
FCA-200 Petition to Declare Minor Free From Parental Custody
and Control for Step Parent Adoption
03/2017  
FCA-201 Order on Petition To Declare Minor Free
From Parental Custody & Control of
Parent for Step Parent Adoption
03/2017  
FCA-202 Adoption Citation to Declare Minor Free From Parental
Custody and Control of Parent for Stepparent Adoption
03/2017  
FCA-203 Consent to Adoption by Parent In/Outside CA
giving custody to Wife or Other Parent
03/2017  
FCA-204 Ex Parte Application for Publication of Citation 03/2017  
FCA-205 Order on Ex Parte Application for Publication of Citation 03/2017
FCA-206 Declaration of Due Diligence in Support of Request
for an Order for Publication or Dispensing with Notice
03/2017
FCS-004 Declaration in Support of Ex Parte Application for Orders 08/2014  
FCS-031 Memorandum To Set Case For Trial 04/2012  
FCS-043 Family Law Case Management Statement 09/2012  
FCS-044 Request to Set Default/Uncontested Matter For Hearing 08/2011  
FCS-052 Family Law Settlement Conference Statement 09/2012
FCS-080 Petition for Joinder - Grandparent Visitation 06/2012  
FCS-081 Petition for Grandparent Visitation 10/2016  
FCS-092 Statement of Issues – Family Law 04/2012  
FCS-104 Stipulation For Continuance – Family Law 06/2018  
FCS-106 Request/Petition to Inspect Adoption records 06/2016  
FCS-306 Parentage Judgment Checklist 07/2020  
RA-010 Notice of Remote Appearance 03/2022
FINANCIAL FORMS
FIN-021 Investigator Claim Form 10/2012  
FIN-022 Mediator's Claim Form 04/2010  
FIN-031 Attorney Claim Form 11/2016
JUVENILE FORMS
JVDP-032 Request for Referral to Juvenile Court Mediation 03/2017  
JVDP-033 Order on Request for Referral to Juvenile Court Mediation 03/2017  
MISCELLANEOUS FORMS
MISC-053 Stipulation for Court Commissioner to Act as Temp Judge. 06/2020
MISC-054 Request for Court Reporter Services 06/2020  
TRAFFIC FORMS
TRF-001 Waiver of Constitutional Rights & Plea F-001 04/2010  
TRF-026 Request For Continuance of Traffic Court Trial and Order 07/2009  
TRF-066 Request For Trial - Traffic 04/2014  
TRF-235 Request to Vacate Civil Assessment 02/2015  
TRF-325 REPEALED - Request for Ability to Pay Determination
(Use Judicial Council From TR-320)
03/2017  
TRF-326 REPEALED - Proposed Order on Ability to Pay Determination
(Use Judicial Council Form TR-321)
03/2017  
SMALL CLAIMS FORMS
SC-020 Declaration of Judgment Debtor
Regarding Satisfaction of Judgment
04/2017