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FW-010

Notice to Court of Improved 
Financial Situation or Settlement

CONFIDENTIAL

Clerk stamps date here when form is filed.

1

Your Information (person with a fee waiver):

Street or mailing address:

Name:

City:

Phone number:

State:

Zip:

Your lawyer, if you have one (name, address, phone number, e-mail, 
and State Bar number:

Date of your last court fee waiver order in this case:
(date)

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

Fill out case number and case name:

Case Number:

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.

My financial situation has changed since the date of the last court fee waiver order in a way that improves my 
ability to pay fees. I ask the court to do one of the following:
a.       End my fee waiver because my financial situation has improved and I am able to pay my court fees and 
          costs that are due after (date):                                                      .

b.       Review my updated financial information in the attached Request to Waive Court Fees. I believe I am still  
          eligible for a fee waiver. (Complete form FW-001 and attach to this form.)

My case has settled for (check one)        less than $10,000        $10,000 or more (if so, complete a and b below.)  
a.  I (check one)         have          have not     received the proceeds of the settlement.
b.  The name and address of the party who has agreed to pay the settlement:

I declare under penalty of perjury under the laws of the State of California that the information above is true 
and correct.

Date:

Print your name here

Sign here

Judicial Council of California, www.courtinfo.ca.gov
New July 1, 2009, Mandatory Form
Government Code, § 68636(a)

Notice to Court of Improved  
Financial Situation or Settlement

FW-010, Page 1 of 1