Fill and Sign the 1 Person Who Asked for the Hearing Form

FW-007 Notice on Hearing About Court Fees Clerk stamps dat e her e when f orm is filed. Person who asked for the hearing: Name: Stre et or mailing address: Zip: Stat e: City: Phone number: Lawyer , if person in has one (nam e, address, phone number, e-mail, and State Bar number ): Fill out court name an d street address: The court received your request for a hea ring about your court fe es on (date): The court grant s your request for a hearing on your eligibilit y for a f ee waiver. Go t o you r court hearin g on the date below. You may bring info rmation ab ou t y our fina nc ial sit uation to the hearing. The court deni es your re que st for a hearing because (che ck all that ap ply): a. The heari ng request was not filed within ten days aft er the clerk gave notice of the denial of the request for a fee waiver. (Gov ernme nt Code sectio n 6 863 4(g ).) b. c. O ther (explain): Request for Accommodations: Assistive listening sys tems, computer- assisted real-time captioning, or sign language interpreter servic es are available if you ask at l east five days before your hearing. Contac t the clerk’s office for Request for Ac commodation, Form MC-410. Notice on Hearing About Court Fees FW-007, Page 1 of 1 Rev. January 1, 2010, Mandatory For m Government Code, § 68 634(e)(5) No reques t to waive fe es has been de nied by the court in your action. 1 Fill in case number and case nam e: Case Num ber: Case Name: Name and address of court if different from above: Da te: Time: De pt.: Rm.: Heari ng Date Î Date Signature of (check one): Ju dicial Officer Clerk, Deputy Read this fo rm ca refully . All checked box es 5 are cou rt orders. 12345 I certify that I am not in volved in this case and (check on e): Clerk's Certificate of Service This noti ce wa s maile d firs t class , postage paid, to the party and attorney , if any, at the addresses listed in and , Date: from (city) : , California on the dat e below. Cl erk, by , Dep uty 12 A cert ificate of mailing i s attached. I handed a copy of this notice to the party an d att orney, if any, listed in and , at the court, on the date below. 12 Su peri or Co urt of Ca liforn ia, Coun ty o f Judicial Council of Califor nia