FW-007 Notice on Hearing About Court Fees

Clerk stamps date here when form is filed.

1

Person who asked for the hearing:
Name:

Street or mailing address:

City:

Phone number:

State:

Zip:

2

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

1

Fill out court name and street address:

Superior Court of California, County of

3

The court received your request for a hearing about your court fees on
(date):

Read this form carefully. All checked boxes (cid:53) are court orders.

Case Number:

Fill in case number and case name:

4

The court grants your request for a hearing on your eligibility for a fee 
waiver. Go to your court hearing on the date below. You may bring 
information about your financial situation to the hearing.

Case Name:

(cid:206)

Hearing 
Date

Date:
Dept.:

Time:
Rm.:

Name and address of court if different from above:

5

The court denies your request for a hearing because (check all that apply):

The hearing request was not filed within ten days after the clerk gave notice of the denial of the request 
for a fee waiver. (Government Code section 68634(g).)
No request to waive fees has been denied by the court in your action.

Other (explain):

a. 

b. 

c. 

Date

Request for Accommodations: Assistive listening systems, computer-assisted real-time captioning, or sign 
language interpreter services are available if you ask at least five days before your hearing. Contact the clerk’s 
office for Request for Accommodation, Form MC-410.

Signature of (check one):         Judicial Officer          Clerk, Deputy

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

Clerk's Certificate of Service

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

1

1

  A certificate of mailing is attached.
2

, California on the date below.

Clerk, by

, Deputy

from (city):

Date:

Judicial Council of California, www.courtinfo.ca.gov 
Rev. January 1, 2010, Mandatory Form 
Government Code, § 68634(e)(5)

Notice on Hearing About Court Fees

FW-007, Page 1 of 1