FW-003, Order on Court Fee Waiver (Superior Court) Instructions
This form contains 62 fields organized into 20 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Alternate Court Address | ||
| Alternate Court Address | Text |
Enter the name and full address of the court if it is different from the court already specified on the form.
|
| Basis of Court Review | ||
| Request to Waive Court Fees | Checkbox |
Check this box if your request is to waive court fees.
|
| Request to Waive Additional Court Fees | Checkbox |
Check this box if your request is to waive additional court fees.
|
| Case Number | ||
| Case Number | Text |
Provide the case number for this form.
|
| Case Number | Text |
Enter the case number.
|
| Clerk Name | ||
| Clerk Name | Text |
Enter the full name of the clerk.
|
| Clerk's Certificate of Service | ||
| 1. Handed Copy at Court | Radiobutton |
Check this box if you, as the certifying clerk, personally handed a copy of this Order to the party and attorney at the court.
|
| 2. Mailed First Class | Radiobutton |
Check this box if you, as the certifying clerk, mailed this Order first-class, postage paid, to the party and attorney at the listed addresses.
|
| Clerk's Certificate Date of Service | Date |
Provide the date on which the Clerk's Certificate of Service is issued.
|
| 3. Certificate of Mailing Attached | Checkbox |
Check this box if a separate certificate of mailing for this service is attached.
|
| Clerk's Certificate City of Mailing | Text |
Provide the city from which the Clerk's Certificate of Service was mailed.
|
| Court and Case Information | ||
| Court Name and Address | Text |
Provide the full name and street address of the Superior Court of California, including the county.
|
| Case Number | Text |
Enter the official case number assigned to this legal matter.
|
| Case Name | Text |
Provide the full legal name of the case.
|
| Court Denial Checkbox | ||
| The court denies your fee waiver request because | CheckBox | |
| Court's Grant of Request | ||
| Fee Waiver | Checkbox |
Check this box if the court grants the initial fee waiver and waives the listed court fees and costs.
|
| Additional Fee Waiver | Checkbox |
Check this box if the court grants an additional fee waiver and waives the checked additional superior court fees and costs.
|
| The court grants your request, as follows | CheckBox | |
| Fee Waiver Request Details | ||
| Request Filing Date | Date |
Enter the date when the request to waive court fees was filed.
|
| Previous Fee Waiver Order | Checkbox |
Check this box if the court made a previous fee waiver order in this case.
|
| Previous Order Date | Date |
Enter the date when the court made a previous fee waiver order in this case.
|
| General | ||
| Print this form | Button | |
| Save this form | Button | |
| Clear this form | Button | |
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button | |
| Hearing Information | ||
| Hearing Date | Date |
Enter the date of the hearing.
|
| Hearing Time | Time |
Enter the time of the hearing.
|
| Hearing Room | Text |
Enter the room number or name where the hearing will take place.
|
| Hearing Department | Text |
Enter the department associated with the hearing.
|
| Incomplete Request Details | ||
| Incomplete Items List 1 | Text |
Enter the list of incomplete items that need to be included in the revised request.
|
| Incomplete Items Below | Radiobutton |
Check this box if the incomplete items that need to be revised are listed below the current instruction.
|
| Incomplete Items On Attachment 4b(1) | Radiobutton |
Check this box if the incomplete items that need to be revised are listed on Attachment 4b(1).
|
| Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service on next page) to | CheckBox | |
| Ineligibility Details | ||
| Ineligibility Reason 2: Not Eligible Based on Information Provided | Checkbox |
Check this box if the court denies the fee waiver because the information provided in the request shows the applicant is not eligible.
|
| Ineligibility Reason 2 Details: Stated Below | Radiobutton |
Check this box if the specific reasons for ineligibility, as described under section (2), are listed directly below on this form.
|
| Ineligibility Reason 2 Details: Stated On Attachment 4b(2) | Radiobutton |
Check this box if the specific reasons for ineligibility, as described under section (2), are provided on Attachment 4b(2).
|
| Specific Ineligibility Reasons | Text |
Enter the specific reasons why the fee waiver request was denied based on the information provided.
|
| Lawyer Information | ||
| Lawyer Information | Text |
Enter the lawyer's name, firm name, address, phone number, e-mail, and State Bar number.
|
| List of Required Proof | ||
| Bring the items of proof to support your request, if reasonably available, that are listed | CheckBox | |
| c.(2) Below | Radiobutton |
Check this box if the required items of proof are listed in the section immediately below this checkbox.
|
| c.(2) On Attachment 4c(2) | Radiobutton |
Check this box if the required items of proof are listed on Attachment 4c(2).
|
| List of Required Proof | Text |
Enter the list of items of proof required to support the request, if reasonably available.
|
| Person Who Asked to Waive Court Fees | ||
| Person 1 Name | Text |
Enter the full name of the person who asked the court to waive court fees.
|
| Person 1 Street or Mailing Address | Text |
Enter the street or mailing address of the person who asked the court to waive court fees.
|
| Person 1 City | Text |
Enter the city of the person who asked the court to waive court fees.
|
| Person 1 State | Text |
Enter the state of the person who asked the court to waive court fees.
|
| Person 1 Zip Code | Text |
Enter the zip code of the person who asked the court to waive court fees.
|
| Questions for Hearing | ||
| Eligibility Questions for Hearing | Text |
Provide the specific questions regarding your eligibility for the fee waiver that will be discussed at the hearing.
|
| The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated | CheckBox | |
| First Question for Hearing Below | Radiobutton |
Check this box if the court needs more information, and the questions regarding your eligibility for the hearing are stated below this point on the form.
|
| First Question for Hearing On Attachment 4c(1) | Radiobutton |
Check this box if the court needs more information, and the questions regarding your eligibility for the hearing are stated on Attachment 4c(1).
|
| Signature | ||
| Signature Date | Date |
Enter the date the form is signed.
|
| Judicial Officer | Radiobutton |
Check this box if the signature or authority is from a Judicial Officer.
|
| Clerk, Deputy | Radiobutton |
Check this box if the signature or authority is from a Clerk or Deputy.
|
| Waived Additional Fees | ||
| Jury fees and expenses | CheckBox | |
| Fees for a peace officer to testify in court | Checkbox |
Check this box if you want the court to waive fees for a peace officer to testify in court.
|
| Court-appointed interpreter fees for a witness | Checkbox |
Check this box if you want the court to waive fees for a court-appointed interpreter for a witness.
|
| Fees for court-appointed experts | Checkbox |
Check this box if you want the court to waive fees for court-appointed experts.
|
| Waived Additional Fees Other Specify | Text |
Enter any other additional fees that are being waived by the court.
|
| Other Waived Additional Fees | Checkbox |
Check this box if you want the court to waive additional superior court fees and costs not listed above, and you must specify them in the provided space.
|
| Your Name | ||
| Your Name | Text |
Enter your full name.
|
| Your Name | Text |
Please enter your full name.
|