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MC-410-INFO
How to Request a Disability Accommodation for Court
This information sheet is for form .
The purpose of this information sheet is to help you:
l Ask the court for an accommodation on page 1 of form MC-410.
l Understand the court's response on page 2.
If you have a disability or limitation and need an accommodation while you are at
court, one way to ask for an accommodation is to fill out form MC-410 and give it to
the ADA Coordinator or designated person (this could be a court clerk, a jury
commissioner, or another person). Other ways to ask for an accommodation are to
call the court or go in person to ask the ADA Coordinator or designated person.
Please note: If you are submitting papers to the court electronically, through
electronic filing, you must not include form MC-410 with your filing. Form MC-410 is
a confidential form that is not part of the case file. The form must be given to the
ADA Coordinator or designated person in your court.
Make this request at least 5 days (when the court is open) before you
need the accommodation.
If this is not possible, you can still make a request.
Page 1 of form MC-410 asks for the information the court needs to understand and
make a decision about your request.
Court name and Address:
Write the name and address of your court. If you
do not know the court address, ask the ADA
Coordinator or court staff for help.
If you know the name of your case, write it here.
xample: Guardianship of Jane Doe.
E
Case Name/Type (if you know it):
Case Number (if you know it):
If you have a case number, write it here.
MC-410-INFO, Page 1 of 3
How to Request a Disability
Accommodation for Court
ew January 1, 2021, Optional Form
Cal. Rules of Court, rule 1.100
N
Judicial Council of California,
MC-410-INFO
How to Request a Disability Accommodation for Court
1 Your information
Write your name, address, telephone number, and email address where the court
can reach you in the near future.
2 How are you involved in the case?
Check the box that describes who you are: a juror, party, witness, or lawyer.
If you are someone else, mark "Other" and explain on the line.
3 When and where do you need the accommodation?
Tell the court the dates and times when you will need the accommodation
in court and where in the courthouse you will be.
4 What accommodation do you need at the court?
Write down the accommodation you are requesting.
Example: ASL Interpreter
For more examples of accommodations the court can provide, see
5 Why do you need this accommodation to assist you in court?
Explain to the court what you cannot do and how the accommodation you are
requesting will help you participate in court.
xample: I am hard of hearing and can't hear like everybody else. I need an
assistive listening device to hear what is going on in court.
E
There is a check box under this question that you can check if you attach additional
information about your request to the form.
Signatures
l Write today's date, type or print your name, and sign on the signature line
next to the arrow.
l If someone helped you fill out the form, such as a court employee or a
friend, caregiver, or relative, you can provide their name, email address,
and phone number where the court can reach them if there are any
questions about the request. This is optional.
New January 1, 2021
MC-410-INFO, Page 2 of 3
How to Request a Disability
Accommodation for Court
MC-410-INFO
How to Request a Disability Accommodation for Court
The court will respond to your request by telling you in person, calling you on the
phone, or mailing or emailing you a response.
Page 2 of form MC-410 is where the court responds to your request.
Important! If your case is delayed or dismissed after you make your
request, please contact the court at the phone number or email address
provided.
l The court will check one of two boxes. Either:
Your Request is GRANTED
-OR-
Your Request is DENIED IN WHOLE OR IN PART
If your request is denied in whole or in part, the court will tell you why it is
being denied. If the court offers you a different accommodation, it will tell
you what accommodation will be provided.
l If the court will provide an accommodation, it will tell you when the
accommodation will be provided: either the dates and times you requested,
indefinitely, or for different dates and times.
l If the court provides additional information about the decision, it will check
that box and attach the information to the form.
l Underneath the court's signature line, the court enters a date telling you
when the court responded to the request. The court may respond by telling
you in person, calling you on the phone, or by mailing or emailing you a
response.
l At the bottom of the page, there is a link to information about how to ask for a
review or the court's decision.
Need More Help?
l See
l Visit your court's website to find the ADA Coordinator.
For help finding your court:
New January 1, 2021
MC-410-INFO, Page 3 of 3
How to Request a Disability
Accommodation for Court
