Form Fw-001 - Request To Waive Court Fees (Page 5 of 6) in pdf

Order on Court Fee Waiver

Clerk stamps date here when form is filed.

FW-003

(Superior Court)

Person who asked the court to waive court fees:

Name:

Street or mailing address:

City:

State:

Zip:

Lawyer, if person in

has one (name, address, phone number,

e-mail, and State Bar number):

Fill in court name and street address:

Superior Court of California, County of

A request to waive court fees was filed on (date):

The court made a previous fee waiver order in this case on (date):

Fill in case number and name:

Case Number:

;

Read this form carefully. All checked boxes

are court orders.

Case Name:

Notice: The court may order you to answer questions about your finances and later order you to pay back the waived

fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there

is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must

notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side

to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the

amount of the waived fees. The trial court may not dismiss the case until the lien is paid.

Request to Waive Additional Court Fees

Request to Waive Court Fees

After reviewing your:

the court makes the following orders:

The court grants your request, as follows:

(1)

Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal.

Rules of Court, rules 3.55 and 8.818.) You do not have to pay the court fees for the following:

• Filing papers in Superior Court

• Giving notice and certificates

• Making copies and certifying copies

• Sending papers to another court department

• Sheriff ’s fee to give notice

• Court-appointed interpreter in small claims court

• Court fee for phone hearing

• Reporter’s fee for attendance at hearing or trial, if reporter provided by the court

• Assessment for court investigations under Probate Code section 1513, 1826, or 1851

• Preparing, certifying, copying, and sending the clerk’s transcript on appeal

• Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 or 8.834

• Making a transcript or copy of an official electronic recording under rule 8.835

(2)

Additional Fee Waiver. The court grants your request and waives your additional superior court fees

and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the

checked items.

Jury fees and expenses

Fees for a peace officer to testify in court

Court-appointed interpreter fees for a witness

Fees for court-appointed experts

Other

(specify):

Judicial Council of California,

Order on Court Fee Waiver (Superior Court)

FW-003,

Page 1 of 2

Revised July 1, 2015, Mandatory Form

Government Code, § 68634(e)

Cal. Rules of Court, rule 3.52

Form Fw-001 - Request To Waive Court Fees Page 5

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