Forms by division

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 PDF format and require 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. If the pdf form seems to load slowly, click the refresh button on your browser.
Click Forms Open for Comment  on the left-side Tab to view new or recently revised local forms that are pending adoption by the court and are currently open for public comment.

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

CIVIL

Form Description Updated Format
Case Intake Form Mandatory form Amador Rule of Court 11.20 requires parties filing new civil cases to complete all identifying information available to them regarding all parties to the case, and submit the form at the time of filing. 07/11/08 Adobe pdf file
Mediator Application CIV-099: - Civil Litigation Mediator Application.  06/15/06 Adobe pdf file
Stipulation to Mediator CIV-025: - Used for parties/counsel to stipulate to a civil mediator.
Civil Mediators Panel   Court Arbitrators List
04/08 Adobe pdf file
STIP to Allow TRIAL JUDGE to Conduct SC CIV 131 - Stipulation to Allow Trial Judge to Conduct Settlement Conference 06/16/16 Adobe pdf file
STIP to Allow TRIAL JUDGE to Conduct SC-Attachment CIV 132 - Attachment to Stipulation to Allow Trial Judge to Conduct Settlement Confernce-additional parties 06/16/16 Adobe pdf file
INFO Stay of Execution CIV 133 INFO - Information related to a Request For Stay of Execution in eviction cases 03/29/17 Adobe pdf file
Ex Parte Application for Stay of Execution of Judgment CIV 133 - - Ex Parte Application for Stay of Execution of Judgment in eviction cases 03/29/17 Adobe pdf file
Order on Ex Parte Application for Stay of Execution in eviction cases CIV 134 - Proposed Order on Request For Stay of Execution in eviction cases 03/29/17 Adobe pdf file
Declaration re: Notice of Ex Parte Application for Orders or Order Shortening Time CIV 135 - - Declaration re: Notice of Ex Parte Application for Orders or Order Shortening Time used in civil cases 04/2717 Adobe pdf file
Civil Bench Warrant CIV 138 - Civil Bench Warrant used for Civil and Small Claims Cases 09/06/17 Adobe pdf file
Request for Discovery Conference Mandatory form CIV 139 - Request for Discovery Conference 01/10/2018 Adobe pdf file
Petition for Gun Violence Restraining Order Mandatory form GV-100 Ask the judge for a restraining order and tell the judge why you need one. 04/18/23 Adobe pdf file
Notice of Court Hearing Mandatory form GV-109 Tells you when your court date is and whether the judge granted a restraining order in your case. 04/18/23 Adobe pdf file
Temporary Restraining Order Mandatory form GV-110 Temporary Restraining Order (CLETS—TGV)
Tells you what restraining orders the court granted temporarily.
04/18/23 Adobe pdf file

Claims

Form Description Updated Format
Attorney Claim Form  Mandatory form FIN-031: - Used by Court Appointed Attorneys to submit claims to the Court. 11/01/16 Adobe pdf file
Prof Services Claim Form  Mandatory form FIN-021: - Used by Investigators and other Professional Services to submit claims to the Court. 10/05/12 Adobe pdf file
Mediator's Claim Form  Mandatory form FIN-022: - Used by Family Law Mediators, Civil Mediators and Evaluators to submit claims to the Court. 10/05/10 Adobe pdf file

CRIMINAL

Form Description Updated Format
1203.4 Instructions

PETITION TO DISMISS

PROOF OF SERVICE FOR PETITION TO DISMISS
CR-180: - After successful completion of probation, if you qualify, you may petition the court to dismiss the charges under Penal Code §17(b), 17(d), 1203.4, 1203.4a, 1203.43 or 1203.49. If it is in the interest of justice, the judge may allow you to file the petition before probation ends. You may also petition the court under the above codes after conviction of a misdemeanor. 01/18

05/18

5/18
Adobe pdf file

Adobe pdf file

Adobe pdf file
Application to Shorten Time CRIM-072: - Ex Parte Application is used to request an Order Shortening Time for Filing and Service. 06/08 Adobe pdf file
Order on Application to
Shorten Time
CRIM-073: - Order on Ex Parte Application is used to rule on an Order Shortening Time for Filing and Service. 06/13 Adobe pdf file
Application to Place Matter
on Calendar
CRIM-070: - Ex Parte Application is used to place matter on calendar when counsel/party requests a hearing date and is unable to comply with procedures. 06/08  Adobe pdf file
Order on Application to
Place Matter on Calendar
CRIM-071: - Order which must be submitted to the court in conjunction with the ex parte application to place matter on calendar. 05/13 Adobe pdf file
AB 1950 Petition-Defendant CRIM-502A: - Used by defendant or defendant’s attorney who qualifies for relief pursuant to Assembly Bill 1950 to petition the Court for such relief. 12/20 Adobe pdf file
AB 1950 Petition-Probation: CRIM-502B: - Used by the Probation Department to petition the Court to terminate probation for qualifying probationers pursuant to Assembly Bill 1950. 12/20 Adobe pdf file
AB 1950 Response and Order CRIM-502C: - Used by the District Attorney’s Office to either concur or object to a defendant, defendant’s attorney, or probation department’s request for relief pursuant to Assembly Bill 1950.. 12/20 Adobe pdf file
AB 1950 Reference: CRIM-502D: - Procedural information pertaining to AB 1950 Petitions. 12/20 Adobe pdf file
Certificate of Rehabilitation and Pardon CRIM-502.1 - CRIM-502.4 - Link will redirect to the Forms Packet Page
06/12/2019 Adobe pdf file
DUI form- CRIM-400 CRIM-400: - DUI Advisement of Rights, Waiver and Plea Form.
(1st Offense Only-VC 23152)
01/17 Adobe pdf file
DUI form-CRIM-401 CRIM-401: - DUI Advisement of Rights, Waiver and Plea Form. 
(Subsequent Offense-VC 23152)
01/17 Adobe pdf file
DUI form-CRIM-402 CRIM-402: - Addendum to DUI Advisement of Rights, Waiver and Plea Form. 01/17 Adobe pdf file
DUI form-CRIM-403 CRIM-403: - DUI Advisement of Rights, Waiver and Plea Form. 
(VC 23153) 
01/06 Adobe pdf file
Felony Advisement of Rights
CRIM-016: - Felony Advisement of Rights.
04/23 Adobe pdf file
Felony Waiver and Plea Form

CR-101: Use to enter a plea of guilty or no contest to felony charges.
Firearm Addendum
03/23 Adobe pdf file
Misdemeanor Advisement of Rights
CRIM-017: Misdemeanor Advisement of Rights. 06/08 Adobe pdf file
Misdemeanor Plea Form
CRIM-243: Misdemeanor Advisement of Rights, Waiver and Plea Form

06/18 Adobe pdf file
Request for Modification

Request for Modification
( same as above, but a form version without colored fields )
CRIM-025: - Use for requesting to change a portion of your sentence. (examples:) Converting Jail Time to Work Program, Fine Due Date. The Defendant’s Statement of Assets
(CR-230) form MUST be attached to this request.
02/14/13 Adobe pdf file
Defendant's Statement of Assets (CR-230) CRIM-230: - The Defendant’s Statement of Assets Form must be attached to any Request for Modification of fines. 03/12 Adobe pdf file
Plea in Absentia (CRIM-203) CRIM-203: - A Plea in Absentia is used when the defendant authorizes his/her attorney to appear on their behalf and enter a plea without the Defendant having to be present in court. This is used if the Defendant waives his/her right to personally appear in court and enter a plea. 02/20/14 Adobe pdf file
Petition for Restricted License CRIM-032: - Use this form to request a recommendation for restricted license and Court's decision.
02/07 Adobe pdf file
Waiver of Defendant's Presence (Penal Code §977) CRIM-002: - Request for the court to proceed during every absence of the defendant. 05/12/11 Adobe pdf file
Information & Instructions Instruction for Resentencing Petition (Prop. 47) 11/20/14 Adobe pdf file
Application For Resentencing And Reduction Mandatory form CRIM-237: - Application for Resentencing and Reduction to Misdemeanor (Prop. 47) 11/20/14
Response to Application for Resentencing and Reduction Mandatory form CRIM 238 - Response to Application for Resentencing and Reduction (Prop. 47) 11/18/14 Adobe pdf file
Proof of Service on Application for Resentencing and Reduction Mandatory form CRIM 240 - Proof of Service on Application for Resentencing and Reduction (Prop. 47) 11/19/14 Adobe pdf file
Public Defender Fee Waiver Request CRIM 242 - Public Defender Fee Waiver Request 11/19/14 Adobe pdf file

FAMILY

Form Description Updated Format
Case Intake Form Mandatory form Amador Rule of Court 11.20 requires parties filing new civil cases to complete all identifying information available to them regarding all parties to the case, and submit the form at the time of filing. 07/11/08 Adobe pdf file
Non-Pro Provider Guide courts.ca.gov - Guide for the Non-Professional Provider of Supervised Visitation. 06/04/12 Adobe pdf file
Request for DV Restraining Order Mandatory form DV-100 Ask the judge for a Domestic Violence restraining order and tell the judge why you need one. 04/18/23 Adobe pdf file
Notice of Court Hearing Mandatory form DV-109 Tells you when your court date is and whether the judge granted a temporary restraining order in your case. 04/18/23 Adobe pdf file
Temporary Restraining Order Mandatory form DV-110 Temporary Restraining Order (CLETS—TRO)
Tells you what restraining orders the court granted temporarily.
04/18/23 Adobe pdf file
Petition to Declare FCA-200 Petition To Declare Minor Free From Parental Custody & Control of Parent for Step Parent Adoption 03/10/17 Adobe pdf file
Order on Petition FCA-201 Order on Petition To Declare Minor Free From Parental Custody & Control of Parent for Step Parent Adoption 03/10/17 Adobe pdf file
Adoption Citation FCA-202 Adoption Citation to Declare Minor Free From Parental Custody and Control of Parent for Stepparent Adoption 03/10/17 Adobe pdf file
Consent to Adoption FCA-203 Consent to Adoption by Parent In/Outside CA giving custody to Wife or Other Parent 03/10/17 Adobe pdf file
Ex Parte Application FCA-204 Ex Parte Application for Publication of Citation 03/10/17 Adobe pdf file
Order on Ex Parte Application FCA-205 Order on Ex Parte Application for Publication of Citation 03/10/17 Adobe pdf file
Declaration of Due Diligence FCA-206 Declaration of Due Diligence in Support of Request for an Order for Publication or Dispensing with Notice 03/10/17 Adobe pdf file
Declaration in Support of Ex Parte Application for Orders FCS-004: - Used to give notice of ex parte hearing, or explain why no notice is being given. 08/26/14 Adobe pdf file
Firearm Declaration FCS-006: - Used by restrained person to comply with mandatory firearm requirements. 05/14/01 Adobe pdf file
Memorandum To Set Case For
Trial
FCS-031: - Used to request case set for trial. 04/24/12 Adobe pdf file
Family Law Case Management Statement Mandatory form FCS-043: - Used to inform the Court as to your updated Family Law case status. 09/17/12 Adobe pdf file
Request to Set Default/Uncontested Matter For Hearing FCS-044: - Used to request hearing set on default or uncontested matter. 08/11 Adobe pdf file
Family Law Settlement Conference Statement FCS-052: - Used to inform the court what the parties have agreed to and what they are disputing. 09/17/12 Adobe pdf file
Grandparent Rights Information
Petition for Joinder
Petition for Grandparent Rights
FCS-080: - Grandparent Rights Packet:  Information sheet;
Petition for Joinder (Custody/Visitation); Petition.
07/12/12
06/19/12
06/20/12
Adobe pdf file
Statement of Issues FCS-92 - Statement of Issues, Contentions and Proposed Disposition of the Case 10/06/16 Adobe pdf file
Mediation/Evaluation Client Complaint Form FCS-100: - Used to inform the Court of your complaint against a mediator or evaluator. 04/24/12 Adobe pdf file
INFO-Petition to Inspect Adoption Records
FCS-105: Info on Filing a PETITION TO INSPECT ADOPTION RECORDS 06/16 Adobe pdf file
Request/Petition to Inspect Adoption records FCS-106: PETITION TO INSPECT ADOPTION RECORDS 06/16 Adobe pdf file
Stipulation For Continuance FCS-104: - Stipulation For Continuance of Hearing 06/12/18 Adobe pdf file
Notice of Remote Appearance RA-010:  Notice or Remote Appearance 03/2023 Adobe pdf file

GENERAL

Form Description Updated Format
Citizen Complaint Form While the Grand Jury will investigate complaints presented to it in any form, it is desirous that this form be used whenever possible. Please identify the specific problem and describe the circumstances. Document your complaint with all available evidence and submit copies of all available documents. 05/09/11 Adobe pdf file
Court Complaint Form OPREF-036: - Use this form to file a Complaint with the Court against, Court Administration, a Temporary Judge, Court appointed Counsel for Child, Courtroom experience, Staff, and/or a Mediator. 09/05/12 Adobe pdf file
Interpreter Invoice Mandatory form Use to submit invoice for professional services. 04/11 Adobe pdf file
Request for Search and Copies Used to request a search for records or obtain copies of court records. 04/22/14 Adobe pdf file
Public Information Request Used to request judicial administrative records. 05/09/11 Adobe pdf file

JUVENILE

Form Description Updated Format
Judicial Council forms The majority of Juvenile forms are located on the Juducial Council website. Local exceptions are listed below.   Adobe pdf file
Request for Referral JVDP-032: - Request for Referral to Juvenile Court Mediation 03/21/2017 Adobe pdf file
Order on Request JVDP-033: - Order on Request for Referral to Juvenile Court Mediation 03/21/2017 Adobe pdf file

PROBATE

Form Description Updated Format
Decedents Estates Judicial Council Probate-Decedent's Estate forms   Adobe pdf file
Guardianships/Conservatorships Judicial Council Probate-Guardianship and Conservatorship forms   Adobe pdf file

SM CLAIMS

Form Description Updated Format
Information Sheet FW-001-INFO: - Information Sheet on Waiver of Superior Court Fees and Costs   Adobe pdf file
Request to Waive Court Fees FW-001: - Request to Waive Court Fees Adobe pdf file
Order on Court Fee Waiver FW-003: - Order on Court Fee Waiver (Superior Court)   Adobe pdf file
Notice Improved Financial Situation FW-010: - Notice to Court of Improved Financial Situation or Settlement Adobe pdf file
Information for the Plaintiff SC-100-INFO: - Information for the Plaintiff   Adobe pdf file
Plaintiff’s Claim and Order SC-100: - Plaintiff’s Claim and Order to Go to Small Claims Court Adobe pdf file
Attachment – Plaintiff’s or Defendants SC100A: - Attachment – Other Plaintiff’s or Defendants   Adobe pdf file
Fictitious Business Nam SC-103: - Fictitious Business Name Adobe pdf file
Proof of Service SC-104: - Proof of Service   Adobe pdf file
Information sheet on Proof of Service SC-104B: - Information sheet on Proof of Service Adobe pdf file
Authorized to Appear SC-109: - Authorized to Appear   Adobe pdf file
Declaration of Judgment Debtor Regarding Satisfaction of Judgment SC-020 - Used in Small Claims cases by the Judgment Debtor to receive a Clerks Satisfaction of Judgment 04/19/17 Adobe pdf file

TRAFFIC

Form Description Updated Format
Application to Place Matter
on Calendar
CRIM-070: - Ex Parte Application is used to place matter on calendar when counsel/party requests a hearing date and is unable to comply with procedures. 06/2008  Adobe pdf file
Order on Application to
Place Matter on Calendar
CRIM-071: - Proposed Order which must be submitted to the court in conjunction with the ex parte application to place matter on calendar. 05/2013 Adobe pdf file
Request for Modification CRIM-025: - Use for requesting to change a portion of your sentence (examples:) Converting Jail Time to Work Program, Fine Due Date. The Defendant’s Statement of Assets(CR-115) form MUST be attached to this request. 12/24/13 Adobe pdf file
Defendant's Financial Statement CRIM-230: - The Defendant’s Financial Statement Form must be attached to any Request for Modification of fines. 03/2013 Adobe pdf file
Petition for Restricted License CRIM-032: - Use this form to request a recommendation for restricted license and Court's decision.
02/2007 Adobe pdf file
Request for new trial
(TRIAL DE NOVO)
TR-220: - If you are dissatisfied with the court's decision.
Use this form to request a new trial.
01/01/99 Adobe pdf file
Waiver of Constitutional
Rights & Plea
TRF-001: - Use to withdraw previously entered plea of not guilty and vacate trial date. 04/2010 Adobe pdf file
Request For Continuance of
Traffic Court Trial and Order
TRF-026: - Use for requesting a continuance in a traffic court trial previously set. Any request for a continuance must be in writing and received by the Court at least 10 (ten) days prior to the court date. 07/2009 Adobe pdf file
Request For Trial TRF-066: - Use to request Trial by Court or Trial by Declaration. 04/2014 Adobe pdf file
Request to Vacate Civil Assessment TRF-235: Use to request the removal of the Civil Assessment fee. See document for eligibility requirements. 02/2015 Adobe pdf file
Request for Ability to Pay Determination TRF-325 This form has been REPEALED - Link will redirect you to Judicial Council Form TR-320 Can't Afford to Pay Traffic Fine 04/2018 Adobe pdf file
Proposed Order on Ability to Pay Determination TRF-326 This form has been REPEALED - Link will redirect you to Judicial Council Form TR-321 Court Order on Can't Afford to Pay Traffic Pine 04/2018 Adobe pdf file

FAQs

FREQUENTLY ASKED QUESTIONS

+ Do I need a special program to open PDF forms?
The Adobe Reader software is required to open pdf files. If you do not have this application already installed on your computer, please download the free program prior to accessing the files.
+ Where do I file my forms.
IN PERSON:
You may submit your paperwork in person at the clerks office at:
Amador Superior Court, 500 Argonaut Lane, Jackson, CA. 95642
during office hours, or left in the dropbox at the Courthouse entrance. (See Local Rule 11.22).
BY MAIL:
You may mail your paperwork to:
Amador Superior Court, 500 Argonaut Lane, Jackson, CA 95642.
Be sure and include the proper fee and a self-addressed stamped envelope for return of your copies.
+ How do I create Pleading Paper?
The Sacramento County Public Law Library contains easy to follow instructions,
that will guide you through creating pleadings at home or on the library's public
computer terminals using Microsoft Word, ( versions 2003 and earlier ).
You can also download blank pleading paper from the Saclaw site.