Forms

Alternate Dispute Resolution Forms
Form Number Title Form Revision Date
ADR-01 Request: ADR Procedure Selection 04/2018
ADR-02 Stipulation Regarding Selection of Panel Mediator 08/2016
ADR-03 Mediation Report 10/2019
ADR-12 Order / Referral to ADR 04/2018
ADR-13 Notice of Mediation Date 01/2012
ADR-17 Mediation Confidentiality Agreement 12/2018
ADR-19 Mediation Panel Application Form 07/2018
ADR-20 Notice to Parties: ADA Disability Access Litigation 10/2016
ADR-21 Application For Stay and Early Mediation 10/2016
ADR-22 Order Granting Application For Stay and Early Mediation 11/2016
ADR-23 Request by Panel Mediator to Incur Costs in Excess of $50.00 07/2018
ADR-24 Request for Reimbursement of Out-of-Pocket Expenses Incurred by Panel Mediator 07/2018
AO Forms
Form Number Title Form Revision Date
AO-078 Application for Judicial Branch Federal Employment 10/2009
AO-088 Subpoena to Appear and Testify at a Hearing or Trial in a Civil Action Click Here
AO-088A Subpoena to Testify at a Deposition in a Civil Action Click Here
AO-088B Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action Click Here
AO-110 Subpoena to Testify Before a Grand Jury Click Here
AO-120 Report on the Filing or Determination of an Action Regarding a Patent or Trademark Click Here
AO-121 Report On the Filing Or Determination of An Action Or Appeal Regarding A Copyright Click Here 06/2016
AO-133 Bill of Costs(Obsolete, see CV-59) Click Here 06/2010
AO-196A Acknowledgment of Gratuitous Services and Waiver 11/2010
AO-336 Voucher Attendance Court Reporters 09/1996
AO-436 Audio Recording Order 04/2013
AO-440 Summons in a Civil Action Click Here
AO-441 Summons on Third-Party Complaint Click Here
AO-443 Warrant for the Arrest of a Witness or Material Witness in a Pending Criminal Case Click Here
AO-451 Clerk’s Certification of a Judgment to be Registered in Another District Click Here
AO-455 Waiver of an Indictment Click Here
Appeals Forms
Form Number Title Form Revision Date
A-02 Notice of Appeal 01/2007
A-13 Ex Parte Application 01/2008
A-18 Motion and Affidavit For Leave To Appeal In Forma Pauperis 04/2010
Civil Forms
Form Number Title Form Revision Date
CV-001 Proof of Service of Summons (replaced by Form POS-010) Click Here
CV-001A Summons (replaced by Form AO-440) Click Here
CV-004A Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Resident) (Attachment) 05/2018
CV-004B Right to Attach Order After Hearing and Order for Issuance of Writ of Attachment (Attachment) 05/2018
CV-004C Notice of Attachment (Attachment) 05/2018
CV-004D Writ of Attachment (Attachment) 05/2018
CV-004E Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Nonresident) (Attachment) 05/2018
CV-004F Application for Right to Attach Order, Temporary Protective Order, etc. (Attachment) 05/2018
CV-004G Application for Set Aside Right to Attach Order and Release Attached Property, etc. (Attachment) 05/2018
CV-004H Application and Notice of Hearing for Order to Terminate, Modify or Vacate Temporary Protective Order (Attachment) 05/2018
CV-004I Notice of Application and Hearing for Right to Attach Order and Writ of Attachment (Attachment) 05/2018
CV-004J Order to Set Aside Attachment, to Substitute Undertaking, etc. (Attachment) 05/2018
CV-004K Notice of Opposition to Right to Attach Order and Claim of Exemption (Attachment) 05/2018
CV-004L Order to Terminate, Modify, or Vacate Temporary Protective Order (Attachment) 05/2018
CV-004M Temporary Protective Order (Attachment) 05/2018
CV-004N Undertaking by Personal Sureties (Attachment--Claim and Delivery) 05/2018
CV-004O Notice of Lien (Attachment--Enforcement of Judgment) 05/2018
CV-004P Application and Order for Appearance and Examination (Attachment-Enforcement of Judgment) 05/2018
CV-005 Application for Permission for Electronic Filing 11/2015
CV-009 Notice of Dismissal Pursuant To Federal Rules of Civil Procedure 41(a) or (c) 03/2010
CV-010 Warrant for Arrest in Action in Rem 06/2012
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) 05/2016
CV-011B Consent To Proceed Before A United States Magistrate Judge (State/Federal Habeas Case) 01/2009
CV-011C Statement of Consent to Proceed Before a United States Magistrate Judge (Direct Assignment of Civil Cases to Magistrate Judges Program only) 05/2014
CV-011D Statement of Consent to Proceed Before a United States Magistrate Judge (Voluntary Consent List only) 01/2019
CV-021 Notice of Acknowledgment of Receipt of Summons and Complaint 02/2004
CV-023 Writ of Execution 06/2001
CV-024 Affidavit and Request for Issuance of Writ of Execution 06/2001
CV-027 Petition for Writ of Habeas Corpus by a Person in Federal Custody 05/2018
CV-030 Notice of Interested Parties 05/2013
CV-039 Notice of Lawsuit and Request for Waiver of Service of Summons 06/2012
CV-040 Proof of Service - Acknowledgment of Service 01/2000
CV-041A Summons on a Third-Party Complaint (replaced by Form AO-441) Click Here
CV-046 Writ of Venditioni 12/1995
CV-058 Instructions for Filing a Civil Action by a Non-Prisoner 12/2015
CV-058A Instructions for Filing a Civil Action by a Non-Prisoner Spanish version 12/2015
CV-059 Bill of Costs 12/2018
CV-060 Request to Proceed in Forma Pauperis with Declaration in Support 04/2006
CV-060P Request to Proceed Without Prepayment of Filing Fees with Declaration in Support 04/2006
CV-066 Civil Rights Complaint 07/1997
CV-066A Instructions for Filing a Civil Rights Complaint by a Prisoner - General Instructions 05/2018
CV-066B Instructions for Filing a Civil Rights Complaint by a Prisoner - Pilot Project 05/2018
CV-067 Motion to Vacate, Set Aside, or Correct Sentence by a Person in Federal Custody 28 U.S.C §2255 05/2018
CV-069 Petition for Writ of Habeas Corpus by a Person in State Custody 05/2018
CV-071 Civil Cover Sheet 06/2017
CV-071A Instructions for Civil Cover Sheets 07/2016
CV-088 Wage Garnishment Package - (F.R.C.P. RULE 64) 07/2005
CV-088A Notice of Termination or Modification of Earnings Withholding Order (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088B Employer’s Return (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088C Order Determining Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088D Notice of Opposition to Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088E Notice of Filing of Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088F Notice of Hearing on Claim of Exemption (Wage Garnishment - F.R.C.P. RULE 64) 06/2004
CV-088G Claim of Exemption and Financial Declaration (Wage Garnishment - F.R.C.P. RULE 64) 07/2005
CV-099 Application of Registered Legal Services Attorney to Practice Before the Court and Proposed Order 11/2018
CV-101 Certification of CA/CD Judgment for Registration in Another District 11/2015
CV-108 Waiver of Service of Summons 06/1998
CV-126 Pleading Page for a Complaint 09/2009
CV-127 Pleading Page for a Subsequent Document 09/2009
CV-132 Request for Reimbursement of Service Expenses 07/2013
CV-137 Request for Reimbursement of Out-of-Pocket Expenses 04/2018
CV-138 Notice of Setting of Date for Execution of Sentence on Judgment of Death 08/2018
CJA Forms
Form Number Title Form Revision Date
CJA-01 CACD AUTH FORM - ASSOCIATE COUNSEL 11/2019
CJA-02 CACD AUTH FORM - EXPERT 11/2019
CJA-03 CACD AUTH FORM - INVESTIGATOR 11/2019
CJA-04 CACD AUTH FORM - PARALEGAL 11/2019
CJA-19 Notice to Court-Appointed Counsel of Public Disclosure of Attorney Fee Information Click Here
CJA-20 Appointment of and Authority to Pay Court Appointed Counsel Click Here
CJA-21 Authorization and Voucher for Expert and other Services Click Here
CJA-23 Financial Affidavit Click Here
CJA-24 Authorization and Voucher for Payment of Transcript Click Here
CJA-26 Supplemental Information Statement for a Compensation Claim in Excess of the Statutory Case Compensation Maximum: District Court 11/2019
CJA-30 Death Penalty Proceedings: Appointment of and Authority to Pay Court Appointed Counsel Click Here
CJA-31 Death Penalty Proceedings: Ex Parte Request for Authorization and Voucher for Expert and Other Services Click Here
Criminal Forms
Form Number Title Form Revision Date
CR-003 Affidavit of Surety(ies) (Property) 12/2005
CR-004 Affidavit of Surety (No Justification) 02/2009
CR-005 Short Form Deed of Trust and Assignment of Rents 05/2018
CR-007 Affidavit Re Appearance Bond (Cash Security) 09/2019
CR-010 Advisement of Constitutional and Statutory Rights 09/2018
CR-014 Designation and Appearance of Counsel 01/2007
CR-015 Notice To District Court Of Related Criminal Duty Filing 05/2008
CR-019 Waiver of Trial by Jury and Waiver of Special Findings of Fact 09/1997
CR-020 Instructions for Posting a Third Party Surety Appearance Bond 07/2016
CR-021 Subpoena in a Criminal Case 10/2015
CR-031 Affidavit of Third-Party Custodian 03/2015
CR-032 Waiver of Right to Counsel 06/2007
CR-035 Waiver of Defendant's Presence 03/2007
CR-037 Declaration Re Passport and Other Travel Documents 05/2015
CR-043 Notice Directing Defendant to Appear for Arraignment Calendar 10/2015
CR-044 Statement of Defendant's Constitutional Rights 09/1997
CR-052 Affidavit Re: Out- of- District Warrant 05/1998
CR-054 Statement of Compliance with Local Criminal Rules 46-5 and 46-6 12/2003
CR-057 Waiver of Indictment 06/2014
CR-062 Application to the Criminal Duty Judge for Review of Magistrate Judge’s Bail Order; Order Thereon 12/2003
CR-063 Notice to Court of Complex Criminal Case 09/2014
CR-064 Report Commencing Criminal Action 05/2018
CR-072 Case Summary 03/2019
CR-088 Application for Review/Reconsideration of Order Setting Conditions of Release/Detention, (18 U.S.C. §3142) and Request for Hearing 06/2007
CR-088A Notification Re: Application for Bail Review or Reconsideration of Order Setting Conditions of Release or Detention, (18 U.S.C. §3142) 10/2009
CR-097 Referral for Consideration of Placement in the Tattoo Removal Program 02/2009
CR-110 Waiver of a Preliminary Hearing 06/2012
General Forms
Form Number Title Form Revision Date
G-001 Request for Approval of Substitution or Withdrawal of Counsel 09/2017
G-002 Sealed Case Cover Sheet (New Action) 01/2005
G-004 Warrant For Arrest 10/2015
G-006 Notice of Change of Attorney Business or Contact Information 11/2018
G-009 Application and Order for Writ of Habeas Corpus Ad Prosequendum/Ad Testificandum 10/2006
G-009A Writ of Habeas Corpus 09/1997
G-012 Stipulation and Order Releasing Exhibits to Agent or Designated Custodian 08/1997
G-014 Exhibit Tags (Plaintiff & Defendant) 04/2017
G-018 Abstract of Judgment/Order 03/2012
G-030 Records Request Form - Federal Agency Only 09/2004
G-056 Records Request Form - Public 09/2004
G-058 Application and Agreement To Use Court Facility 04/2017
G-060 Application for Admission to the Bar of the Central District of California 11/2018
G-063 Request for Attorney Admission Information 05/2018
G-064 Application of Non-Resident Attorney to Appear in a Specific Case 11/2018
G-072 Schedule of Fees 10/2019
G-080 Request for CM/ECF Login and Password - Pro Se Litigants (People Without Lawyers) 11/2018
G-087 CM/ECF Media Access Application 08/2015
G-092 Notice of Manual Filing or Lodging 06/2015
G-096 Request and Authorization to Incur Transportation Expenses 08/2018
G-101 Student Application to Appear Under the Student Practice Rule & Proposed Order (Local Civil Rule 83-4) 03/2009
G-115 Transcript Redaction Request 05/2008
G-120 Transcript Order Form 06/2018
G-122 Application for Accommodations for Trial Participants with Communications Disabilites, Jurors, and Members of the Public 04/2018
G-122A Guidelines for Providing Accommodations for Trial Participants with Communications Disabilities, Jurors, and Members of the Public 06/2014
G-123 Notice of Appearance or Withdrawal of Counsel 09/2017
G-124 Application for Refund of Fees; Order Thereon 12/2017
G-126 Transcript Designation Form 10/2015
G-127 Lawyer Representative Request And Authority To Incur Travel Expenses 10/2018
G-128 Lawyer Representative Request For Reimbursement Of Travel Expenses 10/2018
G-129 Application for Ninth Circuit Judicial Conference Lawyer Representatives 06/2019
Human Resources
Form Number Title Form Revision Date
HR-34A Intern I.D. Card Application/Background Check 05/2018
Interpreter Forms
Form Number Title Form Revision Date
I-2 Contract Interpreter Invoice 01/2020
I-4 Contract Court Interpreter Request to be Included in the Local Roster 10/2019
Magistrate Forms
Form Number Title Form Revision Date
M-14 Waiver of Rights (Out of District Cases) 09/2009
M-23 Motion and Affidavit for Leave to Appeal in Forma Pauperis: 28 U.S.C. 753(f), 28 U.S.C. 1915 from Judgment Rendered by a Magistrate Judge in a Criminal Case & Order 12/2011
M-59 Application by Defendant for Travel Expenses Pursuant to 18 U.S.C. §4285 03/2016
M-61 Order for Appearance of Defendant and for Transportation Expenses Pursuant to 18 U.S.C. §4285 03/2016
M-71 Consent to Proceed before a Magistrate Judge in a Class A Misdemeanor Case 06/1998
Miscellaneous
Form Number Title Form Revision Date
Memorandum Extern Packet 04/2019
Advisory Opinion No. 81 Committee on Codes of Conduct Advisory Opinion No. 81 07/2011
SF-1034 Public Voucher for Purchases and Services Other Than Personal Click Here 10/1987
Notice of Filing 1326 Case Notice of Filing 1326 Case 03/2012
Pro Se Clinic Forms
Form Number Title Form Revision Date
1 Pro Se Clinic Forms Click Here
Pro Se Packets
Form Number Title Form Revision Date
1 State Habeas Corpus Packet 05/2018
2 Federal Habeas Corpus Packet 05/2018
3 2255 Motion Packet 05/2018
4 Prisoner Civil Rights Packet 05/2018
5 Civil Action by Non-Prisoner Packet 01/2016
Probation Forms
Form Number Title Form Revision Date
1 Presentence Interview Forms 06/2010
2 Presentence Financial Forms with Net Worth Short Form 06/2010
3 PrePlea Consent Form 07/2009