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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

CIV-153

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF:
DEFENDANT:

OTHER:

ORDER ON APPLICATION TO BE RELIEVED AS ATTORNEY
ON COMPLETION OF LIMITED SCOPE REPRESENTATION

[Note: This form is for use in civil cases other than family law. In family law cases, use form FL-958.]

CASE NUMBER:

JUDGE:

DEPT.:

DATE:

The application of (name of attorney):

to be relieved as attorney for (name of client):

a party to this action or proceeding, was filed on (specify date):

UNCONTESTED

The Application to Be Relieved as Attorney on Completion of Limited Scope Representation (form CIV-151) and any
attachments, and a blank Objection to Application to Be Relieved as Attorney on Completion of Limited Scope
Representation (form CIV-152) were served on the client.

The client was
(1)

personally served with the papers

(2)

served by mail

No Objection to Application to Be Relieved as Attorney on Completion of Limited Scope Representation (form CIV-152) was
filed or served within the time prescribed under rule 3.36 of the California Rules of Court.

It appears from the application to be relieved as attorney and any attached documents that the attorney has completed the
tasks that the client and attorney agreed that the attorney would perform as well as any acts ordered by the court.

CONTESTED

The party filed an Objection to Application to Be Relieved as Attorney on Completion of Limited Scope Representation (form
CIV-152) on

(date):

Attorney demonstrated that he or she has completed the tasks that the party and attorney agreed that the attorney would
perform on the Notice of Limited Scope Representation (form CIV-150) as well as any acts ordered by the court.

Attorney is relieved as attorney for the party identified in 1:

ORDER

effective immediately

effective on

(date):

effective on the filing of the proof of service of this signed order on the client

Form Approved for Optional Use
Judicial Council of California
CIV-153 [Rev. September 1, 2018]

ORDER ON APPLICATION TO BE RELIEVED AS ATTORNEY
ON COMPLETION OF LIMITED SCOPE REPRESENTATION

Page 1 of 3

Code of Civil Procedure, § 284;
Cal. Rules of Court, rule 3.36
www.courts.ca.gov

PLAINTIFF:
DEFENDANT:

OTHER:

CASE NUMBER:

CIV-153

The Application to Be Relieved as Attorney on Completion of Limited Scope Representation is denied for the following
reasons:

The court further orders (specify):

7. The current mailing address of the party identified in 1 is:

NOTICE TO PARTY: When this order becomes effective, you will represent yourself in all aspects of your case.

The court and the other parties in the case need to know how to contact you. It is your responsibility to keep the court and the other
parties informed of your address. If the address in item 7 above is wrong, you must let the court and the parties know your correct
mailing address as soon as possible. You can use form MC-040, Notice of Change of Address, for this notification.

If you do not let the court and the other parties know where to send you copies of papers, you may not get notices of hearings or
orders in your case. Decisions may be made without your participation, and your case could be ended.

NOTICE TO ATTORNEY WHO FILED APPLICATION FOR RELIEF: You must serve copies of this order on all parties or their
attorneys in this case. Proof of service must be filed with the court.

Date:

(JUDICIAL OFFICER)

CIV-153 [Rev. September 1, 2018]

ORDER ON APPLICATION TO BE RELIEVED AS ATTORNEY
ON COMPLETION OF LIMITED SCOPE REPRESENTATION

Page 2 of 3

PLAINTIFF:
DEFENDANT:

OTHER:

CASE NUMBER:

CIV-153

I am at least 18 years old and not a party to this action. I am a resident of or employed in the county where the mailing took
place, and my residence or business address is (specify):

PROOF OF SERVICE BY FIRST-CLASS MAIL

I served copies of the Order on Application to Be Relieved as Attorney on Completion of Limited Scope Representation (form
MC-958) by enclosing each of them in a sealed envelope with first-class postage fully prepaid and (check one):

deposited the sealed envelopes with the United States Postal Service.

placed the sealed envelopes for collection and processing for mailing, following this business's usual practices, with which
I am readily familiar. On the same day correspondence is placed for collection and mailing, it is deposited in the ordinary
course of business with the United States Postal Service.

Copies of the Order on Application to Be Relieved as Attorney on Completion of Limited Scope Representation (form MC-958) were
mailed:

a. on (date):

from (city and state):

The envelopes were addressed and mailed as follows:
a.

Name of person served:

Street address:

City:

State and zip code:

Street address:

City:

State and zip code:

Name of person served:

Street address:

City:

State and zip code:

Street address:

City:

State and zip code:

Name of person served:

Names and addresses of additional persons served are attached. (You may use form POS-030(P).)

I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct.

Date:

(TYPE OR PRINT NAME OF DECLARANT)

(SIGNATURE OF DECLARANT)

CIV-153 [Rev. September 1, 2018]

ORDER ON APPLICATION TO BE RELIEVED AS ATTORNEY
ON COMPLETION OF LIMITED SCOPE REPRESENTATION

Page 3 of 3

Order on Application to Be Relieved as Attorney on Completion of Limited Scope Representation

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 72
Average fields per page: 24
Reading Level: Grade 7
LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

ci_v_page_service_cb__1 was CIV-153[0].Page1[0].Service_cb[0] (0.48 conf)
ci_v_page_service_cb__2 was CIV-153[0].Page1[0].Service_cb[1] (0.33 conf)
v_page_std_p_info_county was CIV-153[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty[0] (0.32 conf)
v_page_std_p_header_info__1 was CIV-153[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch[0] (0.40 conf)
page_std_p_header_info_city was CIV-153[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip[0] (0.40 conf)
v_page_std_p_header_info__2 was CIV-153[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street[0] (0.40 conf)
page_std_p_header_court_info was CIV-153[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd[0] (0.41 conf)
page_std_p_title_party_name__1 was CIV-153[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party1[0] (0.37 conf)
page_std_p_title_party_name__2 was CIV-153[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party2[0] (0.37 conf)
page_std_p_title_party_name__3 was CIV-153[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party3[0] (0.37 conf)
v_page_std_p_header_number was CIV-153[0].Page1[0].StdP1Header_sf[0].CaseNumber[0].CaseNumber[0] (0.37 conf)
v_page_std_p_header_info__3 was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyState[0] (0.39 conf)
v_page_std_p_header_info_zip was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyZip[0] (0.39 conf)
v_page_std_p_header_info_city was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyCity[0] (0.39 conf)
v_page_std_p_header_info__4 was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyStreet[0] (0.39 conf)
v_page_std_p_header_info_firm was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFirm[0] (0.39 conf)
v_page_std_p_header_info_name was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyName[0] (0.39 conf)
page_std_p_header_info_phone was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Phone[0] (0.39 conf)
ci_v_page_std_p_header_info__1 was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Fax[0] (0.39 conf)
page_std_p_header_info_email was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Email[0] (0.39 conf)
ci_v_page_std_p_header_info__2 was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFor[0] (0.39 conf)
v_page_std_p_header_sf_info was CIV-153[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].BarNo[0] (0.43 conf)
page_std_p_header_hearing_info_officer was CIV-153[0].Page1[0].StdP1Header_sf[0].HearingInfo_sf[0].JudOfficer[0] (0.35 conf)
page_std_p_header_info_department__1 was CIV-153[0].Page1[0].StdP1Header_sf[0].HearingInfo_sf[0].Department[0] (0.35 conf)
page_std_p_header_info_department__2 was CIV-153[0].Page1[0].StdP1Header_sf[0].HearingInfo_sf[0].Department[1] (0.35 conf)
ci_v_page_contested_cb__1 was CIV-153[0].Page1[0].Contested_cb[0] (0.34 conf)
ci_v_page_tasks_completed was CIV-153[0].Page1[0].TasksCompleted[0] (0.38 conf)
ci_v_page_fill_text__1 was CIV-153[0].Page1[0].FillText45[0] (0.38 conf)
ci_v_page_fill_text__2 was CIV-153[0].Page1[0].FillText45[1] (0.38 conf)
ci_v_page_fill_text__3 was CIV-153[0].Page1[0].FillText45[2] (0.38 conf)
ci_v_page_contested_cb__2 was CIV-153[0].Page1[0].Contested_cb[1] (0.34 conf)
ci_v_page_atty_sig_date__1 was CIV-153[0].Page1[0].AttySigDate[0] (0.33 conf)
ci_v_page_grant_deny_cb__1 was CIV-153[0].Page1[0].Grant_Deny_cb[0] (0.32 conf)
ci_v_page_atty_sig_date__2 was CIV-153[0].Page1[0].AttySigDate[1] (0.33 conf)
ci_v_page_atty_sig_date__3 was CIV-153[0].Page2[0].AttySigDate[0] (0.33 conf)
ci_v_page_px_caption_sf_case_number__1 was CIV-153[0].Page2[0].PxCaption_sf[0].CaseNumber[0].CaseNumber[0] (0.38 conf)
page_caption_sf_title_party_name__1 was CIV-153[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].Party1[0] (0.37 conf)
page_caption_sf_title_party_name__2 was CIV-153[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].Party2[0] (0.37 conf)
page_caption_sf_title_party_name__3 was CIV-153[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].Party3[0] (0.37 conf)
ci_v_page_grant_deny_cb__2 was CIV-153[0].Page2[0].Grant_Deny_cb[0] (0.32 conf)
ci_v_page_denied_reasons__1 was CIV-153[0].Page2[0].DeniedReasons[0] (0.30 conf)
ci_v_page_denied_reasons__2 was CIV-153[0].Page2[0].DeniedReasons[1] (0.30 conf)
ci_v_page_checkbox was CIV-153[0].Page2[0].Checkbox[0] (0.34 conf)
ci_v_page_fill_text__4 was CIV-153[0].Page2[0].FillText127[0] (0.38 conf)
ci_v_page_declarant_date was CIV-153[0].Page3[0].DeclarantDate[0] (0.34 conf)
ci_v_page_px_caption_sf_case_number__2 was CIV-153[0].Page3[0].PxCaption_sf[0].CaseNumber[0].CaseNumber[0] (0.38 conf)
page_caption_sf_title_party_name__4 was CIV-153[0].Page3[0].PxCaption_sf[0].TitlePartyName[0].Party1[0] (0.37 conf)
page_caption_sf_title_party_name__5 was CIV-153[0].Page3[0].PxCaption_sf[0].TitlePartyName[0].Party2[0] (0.37 conf)
page_caption_sf_title_party_name__6 was CIV-153[0].Page3[0].PxCaption_sf[0].TitlePartyName[0].Party3[0] (0.37 conf)
ci_v_page_declarant_print_name was CIV-153[0].Page3[0].DeclarantPrintName[0] (0.35 conf)
ci_v_page_fill_text__5 was CIV-153[0].Page3[0].FillText45[0] (0.38 conf)
ci_v_page_fill_text__6 was CIV-153[0].Page3[0].FillText45[1] (0.38 conf)
ci_v_page_fill_text__7 was CIV-153[0].Page3[0].FillText45[2] (0.38 conf)
ci_v_page_fill_text__8 was CIV-153[0].Page3[0].FillText45[3] (0.38 conf)
ci_v_page_fill_text__9 was CIV-153[0].Page3[0].FillText127[0] (0.38 conf)
ci_v_page_mail_cb__1 was CIV-153[0].Page3[0].Mail_cb[0] (0.33 conf)
ci_v_page_mail_cb__2 was CIV-153[0].Page3[0].Mail_cb[1] (0.33 conf)
ci_v_page_fill_text__10 was CIV-153[0].Page3[0].FillText45[4] (0.38 conf)
ci_v_page_fill_text__11 was CIV-153[0].Page3[0].FillText45[5] (0.38 conf)
ci_v_page_fill_text__12 was CIV-153[0].Page3[0].FillText45[6] (0.38 conf)
ci_v_page_fill_text__13 was CIV-153[0].Page3[0].FillText45[7] (0.38 conf)
ci_v_page_fill_text__14 was CIV-153[0].Page3[0].FillText45[8] (0.38 conf)
ci_v_page_fill_text__15 was CIV-153[0].Page3[0].FillText45[9] (0.38 conf)
ci_v_page_fill_text__16 was CIV-153[0].Page3[0].FillText45[10] (0.38 conf)
ci_v_page_fill_text__17 was CIV-153[0].Page3[0].FillText45[11] (0.38 conf)
ci_v_page_fill_text__18 was CIV-153[0].Page3[0].FillText45[12] (0.38 conf)
ci_v_page_fill_text__19 was CIV-153[0].Page3[0].FillText45[13] (0.38 conf)
ci_v_page_fill_text__20 was CIV-153[0].Page3[0].FillText45[14] (0.38 conf)
ci_v_page_fill_text__21 was CIV-153[0].Page3[0].FillText45[15] (0.38 conf)
ci_v_page_fill_text__22 was CIV-153[0].Page3[0].FillText45[16] (0.38 conf)
ci_v_page_fill_text__23 was CIV-153[0].Page3[0].FillText45[17] (0.38 conf)
ci_v_page_check_box was CIV-153[0].Page3[0].CheckBox1[0] (0.33 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

ci_v_page_service_cb__1
ci_v_page_service_cb__2
v_page_std_p_info_county
v_page_std_p_header_info__1
page_std_p_header_info_city
v_page_std_p_header_info__2
page_std_p_header_court_info
page_std_p_title_party_name__1
page_std_p_title_party_name__2
page_std_p_title_party_name__3
v_page_std_p_header_number
v_page_std_p_header_info__3
v_page_std_p_header_info_zip
v_page_std_p_header_info_city
v_page_std_p_header_info__4
v_page_std_p_header_info_firm
v_page_std_p_header_info_name
page_std_p_header_info_phone
ci_v_page_std_p_header_info__1
page_std_p_header_info_email
ci_v_page_std_p_header_info__2
v_page_std_p_header_sf_info
page_std_p_header_hearing_info_officer
page_std_p_header_info_department__1
page_std_p_header_info_department__2
ci_v_page_contested_cb__1
ci_v_page_tasks_completed
ci_v_page_fill_text__1
ci_v_page_fill_text__2
ci_v_page_fill_text__3
ci_v_page_contested_cb__2
ci_v_page_atty_sig_date__1
ci_v_page_grant_deny_cb__1
ci_v_page_atty_sig_date__2
ci_v_page_atty_sig_date__3
ci_v_page_px_caption_sf_case_number__1
page_caption_sf_title_party_name__1
page_caption_sf_title_party_name__2
page_caption_sf_title_party_name__3
ci_v_page_grant_deny_cb__2
ci_v_page_denied_reasons__1
ci_v_page_denied_reasons__2
ci_v_page_checkbox
ci_v_page_fill_text__4
ci_v_page_declarant_date
ci_v_page_px_caption_sf_case_number__2
page_caption_sf_title_party_name__4
page_caption_sf_title_party_name__5
page_caption_sf_title_party_name__6
ci_v_page_declarant_print_name
ci_v_page_fill_text__5
ci_v_page_fill_text__6
ci_v_page_fill_text__7
ci_v_page_fill_text__8
ci_v_page_fill_text__9
ci_v_page_mail_cb__1
ci_v_page_mail_cb__2
ci_v_page_fill_text__10
ci_v_page_fill_text__11
ci_v_page_fill_text__12
ci_v_page_fill_text__13
ci_v_page_fill_text__14
ci_v_page_fill_text__15
ci_v_page_fill_text__16
ci_v_page_fill_text__17
ci_v_page_fill_text__18
ci_v_page_fill_text__19
ci_v_page_fill_text__20
ci_v_page_fill_text__21
ci_v_page_fill_text__22
ci_v_page_fill_text__23
ci_v_page_check_box

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Order on Application to Be Relieved as Attorney on Completion of Limited Scope Representation

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02