| Category | Form Number | Title | Last Revised | Fillable | |
 | ADR Forms |
| |
 | ADR-01 | Settlement Procedure Selection: Request & Notice and Proposed Order | 04/08 | Yes |  |
| ADR-02 | Stipulation Regarding Selection of Attorney Settlement Officer | 05/08 | Yes |  |
 | ADR-03 | Attorney Settlement Officer Proceeding Report | 07/08 | Yes |  |
| ADR-04 | Deleted | 07/08 | Yes |  |
 | ADR-05 | Deleted | 01/09 | Yes |  |
| ADR-07 | Deleted | 01/09 | Yes |  |
 | ADR-09 | ADR Pilot Program Questionnaire | 02/04 | Yes |  |
| ADR-15 | ADR Program - Participant Survey | 07/08 | Yes |  |
 | ADR-16 | ADR Program - Attorney Settlement Officer Survey | 07/08 | Yes |  |
 | AO Forms |
| |
 | AO-040A | Attendance and Transcripts of U.S. Court Reporters | 02/08 | Yes |  |
| AO-040B | Statement of Earnings of U.S. Court Reporters | 02/08 | Yes |  |
 | AO-078 | Application for Judicial Branch Federal Employment | 09/08 | Yes |  |
| AO-088 | Subpoena to Appear and Testify at a Hearing or Trial in a Civil Action | 01/09 | Yes |  |
 | AO-088A | Subpoena to Testify at a Deposition or to Produce Documents in a Civil Action | 01/09 | Yes |  |
| AO-088B | Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises | 01/09 | Yes |  |
 | AO-110 | Subpoena to Testify Before a Grand Jury | 01/09 | Yes |  |
| AO-120 | Report on the Filing or Determination of an Action Regarding a Patent or Trademark | 03/04 | Yes |  |
 | AO-121 | Report on the Filing or Determination of an Action or Appeal Regarding a Copyright | 06/90 | Yes |  |
| AO-133 | Bill of Costs (Obsolete, see Form CV-59) | 09/89 | Yes |  |
 | AO-193 | Request for Personnel Action | 10/09 | Yes |  |
| AO-245H | Judgment in a Criminal Case (For a Petty Offense) - Short Form | 12/03 | Yes |  |
 | AO-245I | Judgment in a Criminal Case (For a Petty Offense) | 12/03 | Yes |  |
| AO-435 | Transcript Order | 03/08 | Yes |  |
 | AO-436 | Tape Order | 01/87 | Yes |  |
| AO-440 | Summons in a Civil Action | 02/09 | Yes |  |
 | AO-441 | Summons on Third-Party Complaint | 02/09 | Yes |  |
| AO-451 | Clerk’s Certification of a Judgment to be Registered in Another District | 01/09 | Yes |  |
 | AO-468 | Waiver of a Preliminary Hearing | 01/09 | Yes |  |
 | Appeals Forms |
| |
 | A-02 | Notice of Appeal | 01/07 | Yes |  |
| A-09 | Transcript Designation and Ordering Form | 08/97 | Yes |  |
 | A-11 | Procedure Governing Circuit Mediation Program | 10/98 | N/A |  |
| A-11A | Civil Appeals Docketing Statement | 10/00 | Yes |  |
 | A-13 | Ex Parte Application | 01/08 | Yes |  |
| A-17 | Appellate Information Letter (Pro Per) | 09/08 | N/A |  |
 | A-18 | Motion and Affidavit For Leave To Appeal In Forma Pauperis | 02/08 | Yes |  |
| A-21 | Ordering and Designation of Reporter's Transcripts - Criminal Cases | 09/08 | N/A |  |
 | A-24 | Appellate Information Letter | 09/08 | Yes |  |
 | Civil Forms |
| |
 | CV-001 | Proof of Service - Summons Complaint | 08/09 | Yes |  |
| CV-001A | Summons | 12/07 | Yes |  |
 | CV-004 | Writ of Attachment Package | 12/03 | No |  |
| CV-004A | Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Resident) (Attachment) | 12/03 | No |  |
 | CV-004B | Right to Attach Order After Hearing and Order for Issuance of Writ of Attachment (Attachment) | 12/03 | No |  |
| CV-004C | Notice of Attachment (Attachment) | 12/03 | No |  |
 | CV-004D | Writ of Attachment (Attachment) | 12/03 | No |  |
| CV-004E | Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Nonresident) (Attachment) | 12/03 | No |  |
 | CV-004F | Application for Right to Attach Order, Temporary Protective Order, etc. (Attachment) | 12/03 | No |  |
| CV-004G | Application for Set Aside Right to Attach Order and Release Attached Property, etc. (Attachment) | 12/03 | No |  |
 | CV-004H | Application and Notice of Hearing for Order to Terminate, Modify or Vacate Temporary Protective Order (Attachment) | 12/03 | No |  |
| CV-004I | Notice of Application and Hearing for Right to Attach Order and Writ of Attachment (Attachment) | 12/03 | No |  |
 | CV-004J | Order to Set Aside Attachment, to Substitute Undertaking, etc. (Attachment) | 12/03 | No |  |
| CV-004K | Notice of Opposition to Right to Attach Order and Claim of Exemption (Attachment) | 12/03 | No |  |
 | CV-004L | Order to Terminate, Modify, or Vacate Temporary Protective Order (Attachment) | 12/03 | No |  |
| CV-004M | Temporary Protective Order (Attachment) | 12/03 | No |  |
 | CV-004N | Undertaking by Personal Sureties (Attachment--Claim and Delivery) | 12/03 | No |  |
| CV-004O | Notice of Lien (Attachment--Enforcement of Judgment) | 12/03 | No |  |
 | CV-004P | Application and Order for Appearance and Examination (Attachment-Enforcement of Judgment) | 08/08 | Yes |  |
| CV-005 | Dismissal of Parties Designated by a Fictitious Name | 11/76 | Yes |  |
 | CV-009 | Notice of Dismissal Pursuant to F.R.Civ.P. 41(a) or (c) | 07/01 | Yes |  |
| CV-010 | Warrant for Arrest in Action in Rem | 10/83 | Yes |  |
 | CV-011 | Statement of Consent to Proceed Before Assigned United States Magistrate Judge Pursuant to Title 28 U.s.c. § 636(c) (For Use in Report and Recommendation Cases) | 06/09 | Yes |  |
| CV-011B | Consent To Proceed Before A United States Magistrate Judge (State/Federal Habeas Case) | 01/09 | Yes |  |
 | CV-011C | Statement of Consent to Proceed Before a United States Magistrate Judge (For use in Magistrate Judge Civil Consent Pilot Project Cases only) | 07/09 | Yes |  |
| CV-011ED | Deleted | 06/06 | N/A |  |
 | CV-021 | Notice of Acknowledgment of Receipt of Summons and Complaint | 02/04 | Yes |  |
| CV-023 | Writ of Execution | 06/01 | Yes |  |
 | CV-024 | Affidavit and Request for Issuance of Writ of Execution | 06/01 | Yes |  |
| CV-027 | Petition for Writ of Habeas Corpus by a Person in Federal Custody | 02/05 | No |  |
 | CV-030 | Notice of Interested Parties | 12/03 | Yes |  |
| CV-031 | Copyright, Patent, Trademark Reporting | 01/04 | Yes |  |
 | CV-036 | Request by Prisoner under California Death Judgement for Appointment of Counsel | 12/88 | Yes |  |
| CV-039 | Notice of Lawsuit and Request for Waiver of Service of Summons | 08/95 | Yes |  |
 | CV-040 | Proof of Service - Acknowledgment of Service | 01/00 | Yes |  |
| CV-041A | Summons on a Third Party Complaint | 12/07 | Yes |  |
 | CV-046 | Writ of Venditioni | 12/95 | Yes |  |
| CV-058 | Instructions for Filing a Civil Action by a Non-Prisoner | 04/09 | N/A |  |
 | CV-059 | Bill of Costs | 06/08 | Yes |  |
| CV-060 | Request to Proceed in Forma Pauperis with Declaration in Support | 04/06 | Yes |  |
 | CV-060P | Request to Proceed Without Prepayment of Filing Fees with Declaration in Support | 04/06 | Yes |  |
| CV-066 | Civil Rights Complaint | 07/97 | Yes |  |
 | CV-066A | Instructions for Filing a Civil Rights Complaint by a Prisoner - General Instructions | 07/06 | N/A |  |
| CV-067 | Motion to Vacate, Set Aside, or Correct Sentence by a Person in Federal Custody 28 U.S.C §2255 | 02/05 | No |  |
 | CV-068 | Local Civil Rule 83-16 | 10/01 | N/A |  |
| CV-069 | Petition for Writ of Habeas Corpus by a Person in State Custody | 04/05 | No |  |
 | CV-071 | Civil Cover Sheet | 05/08 | Yes |  |
| CV-071A | Instructions for Civil Cover Sheets | 03/05 | N/A |  |
 | CV-072 | Rules Governing 2255 Cases in the U.S. District Courts | 12/04 | N/A |  |
| CV-088 | Wage Garnishment Package - (F.R.C.P. RULE 64) | 06/04 | Yes |  |
 | CV-088A | Notice of Termination or Modification of Earnings Withholding Order (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
| CV-088B | Employer’s Return (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
 | CV-088C | Order Determining Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
| CV-088D | Notice of Opposition to Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
 | CV-088E | Notice of Filing of Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
| CV-088F | Notice of Hearing on Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) | 06/04 | Yes |  |
 | CV-088G | Claim of Exemption and Financial Declaration (Wage Garnishment - F.R.C.P. RULE 64) | 07/05 | Yes |  |
| CV-101 | Certification of Judgement for Registration in Another District | 09/08 | Yes |  |
 | CV-108 | Waiver of Service of Summons | 06/98 | Yes |  |
| CV-126 | Pleading Page for a Complaint | 09/09 | No |  |
 | CV-127 | Pleading Page for a Subsequent Document | 09/09 | No |  |
 | CJA Forms |
| |
 | CJA-20 | Appointment of and Authority to Pay Court Appointed Counsel | 12/03 | Yes |  |
| CJA-21 | Authorization and Voucher for Expert and other Services | 01/06 | Yes |  |
 | CJA-23 | Financial Affidavit | 05/98 | Yes |  |
| CJA-24 | Authorization and Voucher for Payment of Transcript | 12/03 | Yes |  |
 | CJA-26 | Supplemental Information Statement for a Compensation Claim in Excess of the Statutory Case Compensation Maximum: District Court | 10/00 | Yes |  |
| CJA-29 | Application for Authorization to Obtain CJA Services | 08/08 | N/A |  |
 | CJA-30 | Death Penalty Proceedings: Appointment of and Authority to Pay Court Appointed Counsel | 12/03 | Yes |  |
| CJA-31 | Death Penalty Proceedings: Ex Parte Request for Authorization and Voucher Expert and Other Services | 09/05 | Yes |  |
 | CJA-TRA | Travel Request & Authorization - CJA Attorney | 06/09 | N/A |  |
 | Criminal Forms |
| |
 | CR-003 | Affidavit of Surety(ies) (Property) | 12/05 | Yes |  |
| CR-004 | Affidavit of Surety (No Justification) | 02/09 | Yes |  |
 | CR-005 | Short Form Deed of Trust and Assignment of Rents | 01/09 | Yes |  |
| CR-007 | Affidavit Re Appearance Bond (Cash Security) | 01/09 | Yes |  |
 | CR-012 | Warrant for Arrest | 09/08 | Yes |  |
| CR-014 | Designation and Appearance of Counsel | 01/07 | Yes |  |
 | CR-015 | Notice To District Court Of Related Criminal Duty Filing | 05/08 | Yes |  |
| CR-019 | Waiver of Trial by Jury and Waiver of Special Findings of Fact | 09/97 | Yes |  |
 | CR-020 | Instructions for Posting a Third Party Surety Appearance Bond | 04/08 | Yes |  |
| CR-021 | Subpoena in a Criminal Case | 09/08 | Yes |  |
 | CR-032 | Waiver of Right to Counsel | 06/07 | Yes |  |
| CR-035 | Waiver of Defendants Presence
| 03/07 | Yes |  |
 | CR-037 | Declaration Re Passport | 09/09 | Yes |  |
| CR-044 | Statement of Defendant's Constitutional Rights | 09/97 | Yes |  |
 | CR-049 | Pretrial Diversion Agreement Restitution Order | 06/07 | Yes |  |
| CR-052 | Affidavit Re: Out- of- District Warrant | 05/98 | Yes |  |
 | CR-054 | Statement of Compliance with Local Criminal Rules 46-5 and 46-6
| 12/03 | Yes |  |
| CR-057 | Waiver of Indictment | 05/08 | Yes |  |
 | CR-062 | Application to the Criminal Duty Judge for Review of Magistrate Judge’s Bail Order; Order Thereon
| 12/03 | Yes |  |
| CR-063 | Notice to Court of Complex Criminal Case | 07/05 | Yes |  |
 | CR-064 | Report Commencing Criminal Action | 06/09 | Yes |  |
| CR-072 | Case Summary | 10/08 | Yes |  |
 | CR-087 | Waiver of Preliminary Hearing Probation/Supervised Release | 10/06 | Yes |  |
| CR-088 | Application for Review/Reconsideration of Order Setting Conditions of Release/Detention, (18 U.S.C. §3142) and Request for Hearing | 06/07 | Yes |  |
 | CR-097 | Referral for Consideration of Placement in the Tattoo Removal Program | 02/09 | Yes |  |
 | General Forms |
| |
 | G-01 | Request for Approval of Substitution of Attorney | 03/06 | Yes |  |
| G-02 | Sealed Case Cover Sheet (New Action) | 01/05 | Yes |  |
 | G-06 | Notice of Change of Attorney Information | 05/08 | Yes |  |
| G-09 | Application and Order for Writ of Habeas Corpus Ad Prosequendum/Ad Testificandum | 10/06 | Yes |  |
 | G-09A | Writ of Habeas Corpus | 09/97 | Yes |  |
| G-12 | Stipulation and Order Releasing Exhibits to Agent or Designated Custodian | 08/97 | Yes |  |
 | G-18 | Abstract of Judgement/Order | 06/01 | Yes |  |
| G-30 | Records Request Form - Federal Agency Only | 09/04 | N/A |  |
 | G-46 | Notice of Filing of Official Transcript | 05/08 | Yes |  |
| G-56 | Records Request Form - Public | 09/04 | N/A |  |
 | G-58 | Application and Agreement To Use Court Facility | 01/08 | Yes |  |
| G-60 | Application for Admission to the Bar of the Central District of California | 06/08 | Yes |  |
 | G-63 | Request for Attorney Admission Information | 02/07 | Yes |  |
| G-64 | Application of Non-Resident Attorney to Appear in a Specific Case | 10/08 | Yes |  |
 | G-67 | Request for Reservation of Videoconferencing Equipment | 12/97 | Yes |  |
| G-72 | Schedule of Fees | 04/08 | N/A |  |
 | G-76 | CM/ECF Attorney Information Update Form | 10/08 | Yes |  |
| G-86 | Waiver of Service of Documents from the Clerk | 04/02 | Yes |  |
 | G-87 | CM/ECF Media Access Application | 09/08 | Yes |  |
| G-92 | Notice of Manual Filing | 03/09 | Yes |  |
 | G-93 | Request for Transcript of Sealed Proceedings and Proposed Order | 02/09 | Yes |  |
| G-96 | Request and Authorization to Incur Transportation Expenses | 09/08 | Yes |  |
 | G-101 | Student Application to Appear Under the Student Practice Rule & Proposed Order (Local Civil Rule 83-4) | 03/09 | Yes |  |
| G-115 | Transcript Redaction Request | 05/08 | Yes |  |
|
|  |
| I-2 | Contract Interpreter Purchase Agreement and Invoice | 10/09 | Yes |  |
 | I-3 | Interpreting Services Invoice | 07/03 | Yes |  |
| I-4 | Contract Interpreter Employmnent Application | 07/03 | Yes |  |
 | I-5 | Tape/Compact Disc Assignment Work Log | 02/09 | Yes |  |
 | Jury Forms |
| |
 | J-12 | Deleted | 02/03 | No |  |
| Online | Juror Qualification Questionnaire | 10/09 | Yes |  |
|
|  |
| M-14 | Waiver of Rights (Out of District Cases) | 09/09 | Yes |  |
 | M-34 | Deleted | 07/06 | N/A |  |
| M-59 | Application by Defendant for Travel Expenses Pursuant to 18 U.S.C. §4285 | 10/97 | Yes |  |
 | M-61 | Order for Appearance of Defendant and for Transportation Expenses Pursuant to 18 U.S.C. §4285 | 10/97 | No |  |
| M-71 | Consent to Proceed before a Magistrate Judge in a Class A Misdemeanor Case | 06/98 | Yes |  |
|
|  |
| SF-1034 | Public Voucher for Purchases and Services Other Than Personal | 01/87 | Yes |  |
|
|  |
| 1 | State Habeas Corpus Packet | 09/08 | No |  |
 | 2 | Federal Habeas Corpus Packet | 09/08 | No |  |
| 3 | 2255 Motion Packet | 09/08 | No |  |
 | 4 | Prisoner Civil Rights Packet | 07/06 | No |  |
| 5 | Civil Action by Non-Prisoner Packet | 09/09 | No |  |
|
|  |
| 1 | Presentence Interview Forms | 07/09 | No |  |
 | 2 | Presentence Financial Forms with Net Worth Short Form | 07/09 | No |  |
| 3 | PrePlea Consent Form | 07/09 | Yes |  |