ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

JV-135

TELEPHONE NO.:

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF  

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CHILD(REN)'S NAME(S):

ORDER FOR REPAYMENT OF COST OF LEGAL SERVICES

CASE NUMBER:

To (name):                                              , a person responsible for the support of the child(ren) named above (the responsible person). 
        
1.

The court orders the responsible person to repay to the court the cost of legal services rendered directly to him or her in this 
case in the amount of $           

The court orders the responsible person to repay to the court the cost of legal services rendered to the child(ren) named 
above in this case in the amount of $            

The court orders the responsible person to pay the court $             on the (1st, 2nd, etc.):                 day of every month, 
beginning on (date):                                         until the amount is paid in full.

The court finds that the responsible person is unable to repay the cost of legal services rendered directly to him or her or 
to the child(ren) named above in the case above and is not ordered to repay these costs.

Notwithstanding any determination of his or her ability to pay, the court does not order the responsible person to repay that 
cost for the following reason:

a.

b.

He or she is receiving reunification services, and repayment will pose a barrier to reunification because it will 
limit his or her ability to comply with the requirements of the reunification plan or harm his or her ability to 
support the child(ren); or

Requiring repayment would be unjust under the circumstances of the case.

This order is based on (check all that apply):

The court's review of the financial evaluation officer's recommendation as set forth on Recommendation Regarding Ability to 
Repay Cost of Legal Services.

The court's review of the responsible person's agreement and waiver as set forth on Response to Recommendation 
Regarding Ability to Repay Cost of Legal Services.

The court's review of the evidence presented at a contested hearing held on (date):            

2.

3.

4.

5.

6.

7.

8.

Date:

Form Approved for Alternative Optional Use 
Instead of Form JV-136
Judicial Council of California 
JV-135 [New January 1, 2013]

ORDER FOR REPAYMENT OF COST OF LEGAL SERVICES

JUDICIAL OFFICER

Page 1 of 1

Welfare and Institutions Code, §§ 903.1, 
903.45(b), 903.47
www.courts.ca.gov