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FW-012

Order on Court Fee Waiver After
Reconsideration Hearing (Superior Court)

Clerk stamps date here when form is filed.

Name of person who asked the court to waive court fees:

Street or mailing address:

City:

State:

Zip:

Lawyer, if person in 1 has one: (name, firm name, address, phone
number, e-mail, and State Bar number):

Fill in court name and street address:
Superior Court of California, County of

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

Court fills in case number when form is filed.
Case Number:

The court sent you a notice to go to court about your fee waiver on (date):

Case Name:

There was a hearing on (date):
at (time):
The following people were at the hearing (check all that apply):

in (Department):

Person in
1

Lawyer in 2

Others

(names):

Additional persons present listed on Attachment 5.

Read this form carefully. All checked boxes are court orders.

(cid:254)

After considering the information provided at the hearing, the court makes the following orders:
a.
No Change to Fee Waiver. The Order on Court Fee Waiver issued by this court on (date):
remains in effect. No change is made at this time.
Fee Waiver Is Ended as of: (date):
longer eligible for a fee waiver for the reasons stated:

. The court finds that beginning on that date you were no
On Attachment 6b

Below

3 4

(1)
(2)

You must pay all court fees in this case from the date of this order.
You must also pay the court $

for fees that were initially waived after you were no longer eligible.

(a)
(b)

You must pay that amount within 10 days of this order.
You may pay that amount in monthly payments of $
and payable on the 1st of each month after that until paid in full.

beginning (date):

Judicial Council of California, www.courts.ca.gov
Revised September 1, 2019, Mandatory Form
Government Code, § 68636

Order on Court Fee Waiver After
Reconsideration Hearing (Superior Court)

FW-012, Page 1 of 3

Your name:

Case Number:

Fee Waiver Is Retroactively Withdrawn. The court finds that you were never entitled to a fee waiver in
this case for the reasons stated:

On Attachment 6c

Below

(1)

(2)

(1)

(2)

You must pay all court fees in this case from the date of this order.

You must also pay the court $

for fees that the court initially waived.

(a)
(b)

You must pay that amount within 10 days of this order.
You may pay that amount in monthly payments of $
and payable on the 1st of each month after that until paid in full.

beginning (date):

Fee Waiver Is Modified. The court finds that you obtained the initial fee waiver in bad faith, for an
improper purpose, or to needlessly increase the costs of litigation. The court places the following limitations
on the fee waiver that was granted to you:

You must pay all court fees in this case from the date of this order.

From the date of this order, only the following court fees will be waived (court to check all that apply).

You must pay for all court fees that are not checked below:

Filing papers at superior court

Making certified copies

Giving notice and certificates

Sheriff’s fee to give notice

Sending papers to another court department

Court-appointed interpreter fees for a witness

Reporter’s fee for attendance at hearing or trial, if the court is not electronically recording the
proceeding and you request that the court provide an official reporter

Jury fees and expenses

Fees for a peace officer to testify in court

Court-appointed expert’s fees

Court fees for telephone hearings

Other fees (specify):

(3)

Other modifications as ordered:

Below

On Attachment 6d(3)

e. Other Orders as stated:

Below

On Attachment 6e

Date:

Revised September 1, 2019

Signature of Judge or Judicial Officer

Order on Court Fee Waiver After
Reconsideration Hearing (Superior Court)

FW-012, Page 2 of 3

Your name:

Case Number:

Clerk's Certificate of Service

I certify that I am not involved in this case and (check one):

I handed a copy of this order to the party and attorney, if any, listed in and , at the court, on the date below.
This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in and ,
2
from (city):

, California, on the date below.

A certificate of mailing is attached.

Date:

Clerk, by ________________________________
Name:

, Deputy

Revised September 1, 2019

Order on Court Fee Waiver After
Reconsideration Hearing (Superior Court)

FW-012, Page 3 of 3

Order on Court Fee Waiver After Reconsideration Hearing (Superior Court)

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): 68
Average fields per page: 22
Reading Level: Grade 7
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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.

f_w_page_fill_text__1 was FW-012[0].Page1[0].FillText39[0] (0.54 conf)
f_w_page_person_ft was FW-012[0].Page1[0].Person_ft[0] (0.34 conf)
f_w_page_fill_text__2 was FW-012[0].Page1[0].FillText62[0] (0.33 conf)
f_w_page_fill_text__3 was FW-012[0].Page1[0].FillText61[0] (0.33 conf)
f_w_page_fill_text__4 was FW-012[0].Page1[0].FillText60[0] (0.33 conf)
f_w_page_fill_text__5 was FW-012[0].Page1[0].FillText59[0] (0.33 conf)
f_w_page_order_dt__1 was FW-012[0].Page1[0].Order_dt[0] (0.32 conf)
f_w_page_fill_text__6 was FW-012[0].Page1[0].FillText57[0] (0.33 conf)
f_w_page_fill_text__7 was FW-012[0].Page1[0].FillText56[0] (0.33 conf)
f_w_page_fill_text__8 was FW-012[0].Page1[0].FillText55[0] (0.33 conf)
f_w_page_fill_text__9 was FW-012[0].Page1[0].FillText54[0] (0.33 conf)
f_w_page_check_box__1 was FW-012[0].Page1[0].CheckBox12[0] (0.34 conf)
f_w_page_orders_cb__1 was FW-012[0].Page1[0].Orders_cb[0] (0.30 conf)
f_w_page_order_dt__2 was FW-012[0].Page1[0].Order_dt[1] (0.32 conf)
f_w_page_orders_cb__2 was FW-012[0].Page1[0].Orders_cb[1] (0.30 conf)
f_w_page_fill_text__10 was FW-012[0].Page1[0].FillText52[0] (0.33 conf)
f_w_page_check_box__2 was FW-012[0].Page1[0].CheckBox7[0] (0.34 conf)
f_w_page_fill_text__11 was FW-012[0].Page1[0].FillText51[0] (0.33 conf)
f_w_page_rb__1 was FW-012[0].Page1[0].Below_rb[0] (0.33 conf)
f_w_page_attachment_rb__1 was FW-012[0].Page1[0].Attachment_rb[0] (0.31 conf)
f_w_page_fill_text__12 was FW-012[0].Page1[0].FillText50[0] (0.33 conf)
f_w_page_fill_text__13 was FW-012[0].Page1[0].FillText49[0] (0.33 conf)
f_w_page_stamp_court_case was FW-012[0].Page1[0].Stamp_court_case[0].CourtInfo_ft[0] (0.36 conf)
f_w_page_stamp_case_number was FW-012[0].Page1[0].Stamp_court_case[0].CaseNumber_ft[0] (0.37 conf)
w_page_stamp_court_case_name was FW-012[0].Page1[0].Stamp_court_case[0].CaseName_ft[0] (0.34 conf)
f_w_page_check_box__3 was FW-012[0].Page1[0].CheckBox11[0] (0.34 conf)
f_w_page_check_box__4 was FW-012[0].Page1[0].CheckBox7[1] (0.34 conf)
f_w_page_check_box__5 was FW-012[0].Page1[0].CheckBox3[0] (0.34 conf)
f_w_page_area was FW-012[0].Page1[0].#area[11].T276[0] (0.33 conf)
f_w_page_check_box__6 was FW-012[0].Page1[0].CheckBox3[1] (0.34 conf)
f_w_page_text_field was FW-012[0].Page1[0].TextField2[0] (0.33 conf)
f_w_page_header_person_ft was FW-012[0].Page2[0].Header[0].Person_ft[0] (0.39 conf)
f_w_page_header_case_number was FW-012[0].Page2[0].Header[0].CaseNumber_ft[0] (0.39 conf)
f_w_page_orders_cb__3 was FW-012[0].Page2[0].Orders_cb[0] (0.30 conf)
f_w_page_rb__2 was FW-012[0].Page2[0].All_rb[0] (0.32 conf)
f_w_page_rb__3 was FW-012[0].Page2[0].Some_rb[0] (0.39 conf)
f_w_page_fill_text__14 was FW-012[0].Page2[0].FillText38[0] (0.33 conf)
f_w_page_check_box__7 was FW-012[0].Page2[0].CheckBox3[0] (0.34 conf)
f_w_page_fill_text__15 was FW-012[0].Page2[0].FillText48[0] (0.33 conf)
f_w_page_rb__4 was FW-012[0].Page2[0].Below_rb[0] (0.33 conf)
f_w_page_attachment_rb__2 was FW-012[0].Page2[0].Attachment_rb[0] (0.31 conf)
f_w_page_fill_text__16 was FW-012[0].Page2[0].FillText47[0] (0.33 conf)
f_w_page_fill_text__17 was FW-012[0].Page2[0].FillText46[0] (0.33 conf)
f_w_page_orders_cb__4 was FW-012[0].Page2[0].Orders_cb[1] (0.30 conf)
f_w_page_check_box__8 was FW-012[0].Page2[0].CheckBox30[0] (0.34 conf)
f_w_page_check_box__9 was FW-012[0].Page2[0].CheckBox29[0] (0.34 conf)
f_w_page_check_box__10 was FW-012[0].Page2[0].CheckBox31[0] (0.34 conf)
f_w_page_check_box__11 was FW-012[0].Page2[0].CheckBox28[0] (0.34 conf)
f_w_page_check_box__12 was FW-012[0].Page2[0].CheckBox27[0] (0.34 conf)
f_w_page_check_box__13 was FW-012[0].Page2[0].CheckBox25[0] (0.34 conf)
f_w_page_check_box__14 was FW-012[0].Page2[0].CheckBox24[0] (0.34 conf)
f_w_page_check_box__15 was FW-012[0].Page2[0].CheckBox22[0] (0.34 conf)
f_w_page_check_box__16 was FW-012[0].Page2[0].CheckBox21[0] (0.34 conf)
f_w_page_check_box__17 was FW-012[0].Page2[0].CheckBox20[0] (0.34 conf)
f_w_page_check_box__18 was FW-012[0].Page2[0].CheckBox19[0] (0.34 conf)
f_w_page_check_box__19 was FW-012[0].Page2[0].CheckBox18[0] (0.34 conf)
f_w_page_fill_text__18 was FW-012[0].Page2[0].FillText91[0] (0.33 conf)
f_w_page_fill_text__19 was FW-012[0].Page2[0].FillText82[0] (0.33 conf)
f_w_page_check_box__20 was FW-012[0].Page2[0].CheckBox17[0] (0.34 conf)
f_w_page_fill_text__20 was FW-012[0].Page2[0].FillText80[0] (0.33 conf)
f_w_page_cb was FW-012[0].Page2[0].Other_cb[0] (0.33 conf)
f_w_page_fill_text__21 was FW-012[0].Page2[0].FillText90[0] (0.33 conf)
f_w_subform__1 was FW-012[0].#subform[2].T328[0] (0.29 conf)
f_w_subform__2 was FW-012[0].#subform[2].T329[0] (0.29 conf)
f_w_subform_clerk_certificate was FW-012[0].#subform[2].ClerkCertificate[0] (0.23 conf)
f_w_subform_clerk_name_ft was FW-012[0].#subform[2].ClerkName_ft[0] (0.31 conf)
f_w_subform_header_person_ft was FW-012[0].#subform[2].Header[0].Person_ft[0] (0.34 conf)
f_w_subform_header_case_number_ft was FW-012[0].#subform[2].Header[0].CaseNumber_ft[0] (0.32 conf)

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

Order on Court Fee Waiver After Reconsideration Hearing (Superior Court)

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