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Forms Report July -December 2017 Prepared by Court Programs And Services January 1, 2018 Forms Report – Table of Contents | January 1, 2018 Page i Table of Contents TABLE OF CONTENTS .......................................................................................................................... I INTRODUCTION ................................................................................................................................ .1 ADMINISTRATIVE A ND ACCOUNTING FORMS ..................................................................................... 2 Forms Currently In Use ............................................................................................................................. 2 Form Changes Posted 7/1/2017 – 12/31/2017 ........................................................................................ 5 Discontinued and Out Of Use Forms ........................................................................................................ 5 CIVIL FORMS .................................................................................................................................... 14 Forms Currently In Use ........................................................................................................................... 14 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 32 Discontinued and Out Of Use Forms ...................................................................................................... 33 CIVIL REVOCATION FOR MS ............................................................................................................... 35 Forms Currently In Use ........................................................................................................................... 35 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 35 Discontinued and Out Of Use Forms ...................................................................................................... 36 COURT OF APPEALS FOR MS .............................................................................................................. 37 Forms Currently In Use ........................................................................................................................... 37 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 37 Discontinued and Out Of Use Forms ...................................................................................................... 37 CRIMINAL FORMS ............................................................................................................................ 41 Forms Currently In Use ........................................................................................................................... 41 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 63 Discontinued and Out Of Use Forms ...................................................................................................... 66 DISPUTE RESOLUTION F ORMS .......................................................................................................... 72 Forms Currently In Use ........................................................................................................................... 72 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 72 Discontinued and Out Of Use Forms ...................................................................................................... 73 EASTERN BAND OF CHER OKEE FORMS .............................................................................................. 74 Forms Currently In Use ........................................................................................................................... 74 Form C hanges Posted 7/1/2017 – 12/31/2017 ...................................................................................... 74 Discontinued and Out Of Use Forms ...................................................................................................... 74 ESTATES FORMS ............................................................................................................................... 75 Forms Currently In Use ........................................................................................................................... 75 Form C hanges Posted 7/1/2017 – 12/31/2017 ...................................................................................... 78 Discontinued and Out Of Use Forms ...................................................................................................... 78 Forms Report – Table of Contents | January 1, 2018 Page ii FINANCIAL SERVICES F ORMS ............................................................................................................ 80 Forms Currently In Use ........................................................................................................................... 80 Form C hanges Posted 7/1/2017 – 12/31/2017 ...................................................................................... 81 Discontinued and Out Of Use Forms ...................................................................................................... 81 GENERAL FORMS ............................................................................................................................. 82 Forms Currentl y In Use ........................................................................................................................... 82 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 84 Discontinued and Out Of Use Forms ...................................................................................................... 84 GOVERNOR FORMS .......................................................................................................................... 85 Forms Currentl y In Use ........................................................................................................................... 85 For m Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 85 Discontinued and Out Of Use Forms ...................................................................................................... 85 JUVENILE FORMS ............................................................................................................................. 86 Forms Currentl y In Use ........................................................................................................................... 86 Form Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 94 Discontinued and Out Of Use Forms ...................................................................................................... 96 MISCELLANEOUS FORMS .................................................................................................................. 99 Forms Currently In Use ........................................................................................................................... 99 For m Changes Posted 7/1/2017 – 12/31/2017 ...................................................................................... 99 Discontinued and Out Of Use Forms ...................................................................................................... 99 SMALL CLAIMS FORMS ................................................................................................................... 128 Forms Currently In Use ......................................................................................................................... 128 Form Changes P osted 7/1/2017 – 12/31/2017 .................................................................................... 131 Discontinued and Out Of Use Forms .................................................................................................... 132 SPECIAL PROCEEDINGS FORMS ....................................................................................................... 133 Forms Currently In Use ......................................................................................................................... 133 For m Changes Posted 7/1/2017 – 12/31/2017 .................................................................................... 138 Discontinued and Out Of Use Forms .................................................................................................... 139 WAIVER FORMS ............................................................................................................................. 141 Forms Currently In Use ......................................................................................................................... 141 Form Changes Posted 7/1/2017 – 12/31/2017 .................................................................................... 141 Discontinued and Out Of Use Forms .................................................................................................... 142 Forms Report | January 1, 2018 Page iii About the North Carolina Judicial Branch The mission of the North Carolina Judicial Branch is to protect and preserve t he rights and liberties of all the people as guaranteed by the Constitutions and laws of the United States and North Ca rolina by providing a fair, independent and accessible forum for the just, timely and economical resoluti on of their legal affairs. About the North Carolina Administrative Office of the Courts The mission of the North Carolina Administrative Office of the Courts is t o provide services to help North Carolina’s unified court system operate more efficiently and effectiv ely, taking into account each courthouse’s diverse needs, caseloads, and available resources. Forms Report – Introduction | January 1, 2018 Page 1 Introduction This is the July -December 2017 NCAOC Forms Report, a document that lists change and postin g dates for the various NCAOC forms during the time period beginning July 1, 2017 and ending December 31, 2017. The next (January -June 2018 ) installment of the Forms Report will account for changes to NCAOC forms during the time period beginning January 1, 2018 and ending June 30, 201 8. Each new installment of the Forms Report will be posted to the “Complete Index to Ju dicial Forms” link on the Judicial Forms Search Page ( www.nccourts.org/Forms/Documents/CompleteIndex.pdf ). Thi s document contains a listing of official NCAOC forms. In some cases, forms and documents that are not NCAOC documents (e.g., the adoption forms maintained by the N orth Carolina Department of Health and Human Services) are linked -to on the NCAOC forms page . In a similar manner, envelope templates and other documents in use by NCAOC that do not constitute judicia l forms are also posted on the NCAOC forms page. This Forms Report does not include n on-NCAOC forms and, with few exceptions, it does not include documents that are not given an “AOC -” number. Forms in this document are grouped in categories from the current NCAOC fo rm numbering system, irrespective of general areas of practice that the forms may in fact relate to (e .g., civil revocation forms are gr ouped under the Civil Revocation Forms heading and not with Criminal Forms). The listings of “Forms Currently In Use” include forms that are in regular us e, as well as forms that are used more infrequently. Where a form is currently posted to the Judicial Forms Search Page ( www.nccourts.org/Forms/FormSearch.asp ), a link to the Forms Search Page posting is included within this document. As many of the NCAOC form s are frequent ly update d and revised , use of a form’s presently -posted version is highly recommended. In order to call attention to forms that were newly - posted or revised during the re levant time period (here, July 1, 2017 to December 31 , 2017), status notes are included in the Forms Report . The “Discontinued and Out Of Use Forms” listings include f orms that have been formally discontinued, as well as those whic h have been superseded and those which are presumed to be “out of use” in the absence of indications to the c ontrary. Regular users of a form presumed to be out of use should notify NCAOC Forms staff of the fact of the form’s use – where appropriate, the form may be updated and listed among the “ Forms Currently In Use.” Questions, concerns, and suggestions relative to this document and NCAOC forms in gener al are welcome and may be addressed to Forms and Procedural Help Desk Manager Paul Lachance at (919) 890 -1375 and at paul.k.lachance@nccourts.org . Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 2 Administrative and Accounting F orms Forms Currently In Use Form No. Current Version Form Title AOC-A-2 Rev. 8/80 Receipt (Clerk Of Superior Court) AOC -A-7 Rev. 6/04 Reimbursement Of Authorized Petty/Emergency Purchases AOC -A-17 Rev. 6/16 Certification Of Days Served Assistant To The District Attorney - Contractual AOC -A-25 Rev. 10/17 Reimbursement Of Travel And Other Expenses Incurred In The Discharge Of Official Business AOC -A-42 Rev. 10/13 Court Reporter Statement For Transcripts AOC -A-43 Rev. 10/05 Statement Of Contractual Court Report Services AOC -A-85 Rev. 6/04 Administrative Office of the Courts Stock Supply Request AOC-A-92 Rev. 6/00 Printing Work Order AOC -A-102 Rev. 1/02 Off -Site Daily Cash Report AOC -A-114 Rev. 9/15 Position Description AOC -A-116 Rev. 10/13 Status Of Employment Under The Fair Labor Standards Act AOC -A-119 Rev. 12/15 Request For Approval For Destruction Of Records AOC -A-120 New 12/15 Request For Approval For Transfer Of Clerk Of Superior Court Archival Records AOC -A-122 Rev. 7/98 Transmittal Of Funds Withheld For Child Support AOC -A-125 Rev. 1/99 Court Reporter's Monthly Report AOC -A-128 Rev. 7/07 Employee Certification Of Aggregate Service AOC -A-130 Rev. 9/08 Biographical Data For Judicial Officials AOC -A- 132 New 3/87 Change Of Location For Fixed Assets AOC -A-133 Rev. 1/12 North Carolina Judicial Department Application For Employment AOC -A-134 201 8 Regular Employee Leave And Work Time Record (Excel) AOC -A-135 Rev. 4/14 Acknowledgement Of Judicial Branch Time/Leave Policies AOC -A-136 Rev. 5/16 Personnel Data Sheet For Employees AOC -A-144 Rev. 5/17 Application For Leave Of Absence AOC -A-148 Rev. 5/15 Disc Review And Notification Report AOC -A-150 Rev. 2/11 Administrative Office Of The Courts North Carolina Guardian Ad Litem Program Volunteer Application AOC -A-151 Rev. 12/17 Access Request (Judicial Branch Only) AOC -A-152 Rev. 5/16 Access R equest (Law Enforcement Only) AOC -A-153 Rev. 11/15 Access Request (Government Agency Only) AOC-A- 154 Rev. 11/15 Access Request/Agreement (Counsel) AOC -A-155 New 4/17 Access Request And Security Approval (Third -Party Vendor Only) AOC -A-156 Rev. 11/15 Access Request/Agreement (Professional Bondsmen, Surety Bondsmen, And Runners Only) AOC-A-157 New 10/15 Access Request/Agreement (For Domestic Violence Program, As Defined By G.S. 8-53.12(a)(3)) AO C-A-161 Rev. 1/16 Report Of Credit For Continuing Judicial Education AOC -A-162 Rev. 8/15 North Carolina Child Support Guidelines Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 3 Administrative and Accounting F orms Forms Currently In Use Form No. Current Version Form Title AOC -A-162 Spanish Rev. 8/15 North Carolina Child Support Guidelines (Guidelines for AOC -CV -627, AOC - CV-628 and AOC -CV -629) (Effective January 1, 2015, Revised August 31, 2015)/Pautas de manutención infantil de Carolina del Norte (Vigen tes a partir del 1 de enero del 2015, revisadas el 31 de agosto del 2015) AOC -A-162 Vietnamese Rev. 8/15 North Carolina Child Support Guidelines (G uidelines for AOC -CV -627, AOC - CV-628 and AOC -CV -629) (Effective January 1, 2015, Revised August 31, 2015)/Hýớng Dẫn của North Carolina về Trách Nhiệm Cấp Dýỡng Con Cái... AOC -A-166 Rev. 1/11 Application For Participation In Voluntary Shared Leave Program AOC-A-167 Rev. 7/07 Donor Request To Transfer Leave In The Voluntary Shared Leave Program AOC -A-174 Rev. 12/06 Employee Performance Appraisal (Legal Support - District Attorneys And Public Defenders) AOC -A-175 Rev. 1/15 Clerk Of Superior Court Employee Performance Review AOC -A-179 Rev. 5/00 Application And Agreement For Sentencing Services AOC -A-181 Rev. 12/06 Employee Performance Appraisal Admin istrative Support For Judges AOC -A-182 Rev. 3/10 Request For Special Travel And Training AOC -A-183 Rev. 4/11 Waiver Of Juror Fees AOC -A-186 Rev. 7/08 AOC Supervisory Performance Management and Development Program AOC -A-186/229 Continuation Page Rev . 7/08 AOC Supervisory/Non -Supervisory Performance Management And Development Program Continuation Page AOC -A-187 Rev. 12/16 Complaint Form For NCAOC Employees AOC -A-188 Rev. 12/16 Complaint Form For NC Judicial Branch Employees AOC -A-189 New 5/12 Complaint Response Form AOC -A-191 Rev. 12/15 Separation From Employment AOC -A-194 and AOC-A-194 Spanish Rev. 3/17 Consecuencias De No Comparecer En El Tribunal Para Su Próxima Cita Notificación/Consequences Of Failing To Appear At Your Next Cour t Date Notice AOC -A-194 and AOC-A- 194 Vietnamese Rev. 3/17 Các Hậu Quả Của Việc Không Hầu Tòa Tại Phiên Tòa Tiếp Theo Thông Báo/Consequences Of Failing To Appear At Your Next Court Date Notice AOC -A-195 New 3/02 Notice Your Social Security Number AOC -A-199 Rev. 7/10 Grant/Contract Position Acknowledgment AOC-A-200AS Rev. 10/11 Notice Of Claim To Income Tax Refund AOC -A-201 Rev. 1/05 Reimbursement Of Authorized Purchases For Books, Supplies, Equipment Or Printing AOC -A-203 Rev. 7/07 Credentials Verification AOC -A-204 Rev. 4/09 Performance Bond For Licensing Agreement AOC -A-205 2013 Non -Exempt Part -Time Magistrate Work Time Record AOC -A-207 Rev. 5/15 Application To Be A Registered Court Interpreter AOC -A-208 Rev. 12/16 Custody Mediation Intake Form Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 4 Administrative and Accounting F orms Forms Currently In Use Form No. Current Version Form Title AOC -A-208 Spanish Rev. 12 /16 Custody Mediation Intake Form/Hoja De Admisión Para Mediación De Custodai AOC -A-208 Vietnamese Rev. 12 /16 Custody Mediation Intake Form/Mẫu Tiếp Nhận Thông Tin Cho Cuộc Hòa Giải Tranh Chấp Về Quyền Giám Hộ Con AOC -A-210 Rev. 5/13 Criminal And Sex Offender Record Search AOC -A-212 New 10/06 Employee Travel Advance Request AOC -A-212 New 10/06 Employee Travel Advance Request (Excel) AOC -A-213 Rev. 8/10 Prior Appr oval And Reimbursement For Refreshments At Meetings AOC -A-213 Rev. 8/10 Prior Approval And Reimbursement For Refreshments At Meetings (Excel) AOC -A-214 Rev. 9/17 Prior Approval And Reimbursement For Working Lunches AOC -A-215 Rev. 3/17 Foreign Language Interpreter Invoice For Hours Worked AOC -A-216 Rev. 2/17 Foreign Language Court Interpreter Daily Log AOC -A-219 Rev. 3/17 Disc No. AOC -A-220 Rev. 3/17 Scanned Under Authority Of Administrative Office Of The Courts By The Clerk Of Superior Court AOC -A-222 Rev. 3/17 County AOC -A-223 Rev. 3/17 Certificate Of Authenticity AOC -A-224 Rev. 4/17 NC Administrative Office of the Court s Employee Payment Verification Form AOC -A-225 Rev. 4/17 NC Administrative Office of the Courts Vendor Payment Verification Form AOC -A-226 New 11/08 NC Judicial Center Training Room Reservation Request Form AOC -A-227 New 10/07 Request For Additional Payment To Judge Or Justice For Work Performed For Another State Agency AOC -A-229 New 7/08 AOC Non -Supervisory Performance Management and Development Program AOC -A-230 Rev. 1/15 Request For Temporary Assignment Of Judicial Department Vehicle AOC -A-231 Rev. 5/12 Job Posting Request Form AOC -A-233 Rev. 12/09 Hiring Authority Designee Personnel Changes AOC -A-234 New 10/09 License/Certification Acknowledgement AOC -A-237 Rev. 10/13 Disclosure And Approval Of Secondary Employment AOC -A-239 Rev. 7/15 Public Records Request By Employee AOC -A-240 Rev. 1/11 Reference Authorization Judicial Branch Applicant AOC -A-241 Rev. 1/11 Reference Authorization Former/Current Judicial Branch Employee AOC-A- 242 New 3/11 Performance Management Custody And Visitation Mediator AOC -A-243 Rev. 5/17 Petition For Expert Fee Rate Exception And Approval Or Denial Form AOC -A-246 New 6/15 Magistrate Recusal From The Solemnization Of Marriages AOC -A-247 New 6/15 Request For Temporary Magistrate Assignment For The Solemnization Of Marriages AOC -A-251 New 9/17 Scanning Separator Sheet AOC -A-253 New 10/17 Sealed Documents Exist In This Case AOC -A-254 New 10/17 Scanning Cover Sheet AOC -A-255 New 10/17 Exhibits/Photos Exist In This Case Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 5 Administrative and Accounting F orms Forms Currently In Use Form No. Current Version Form Title AOC -A-900M Rev. 1/03 Clerk Of Superior Court Assignment Record Of Uniform Traffic Citations/Receipt Books AOC -A-901M Rev. 7/01 Request For Verification Of License Or Certificate AOC -A-905M Rev. 7/01 Request For Verification Of Employment AOC -A-907 Rev. 11/16 Facilities Fee Annual Activity Report AOC -A-913 Rev. 11/12 Magistrate Nomination Certification AOC -A-914M New 6/99 Waiver Of Right To Contest Setoff Debt Collection Administrative and Accounting Forms Form Changes Posted 7/1/2017 – 12/31/201 7 Form No. Date Changed Nature Of Change AOC-A-25 8/3/2017 Rev. 7/17 posted AOC-A-25 10/5/2017 Rev. 10/17 posted AOC-A-134 12/18/2017 2018 version of form posted AOC-A-151 12/22/2017 Rev. 12/17 posted AOC-A-214 9/28/2017 Rev. 9/17 posted AOC-A-233 10/20/2017 Rev. 12/09 reposted AOC-A-243 7/13/2017 Rev. 5/17 posted AOC-A-251 9/14/2017 New 9/17 posted AOC-A-252 9/28/2017 New 9/17 posted AOC-A-252 12/20/2017 Form discontinued AOC-A-252 12/21/2017 Form removed from public posting AOC-A-253 10/3/2017 New 10/17 posted AOC-A-254 10/24/2017 New 10/17 posted AOC-A-255 10/25/2017 New 10/17 posted Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A-4 Not applicable – form is presumed to be out of use Daily Financial Report Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 6 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A-5 Not applicable – form is presumed to be out of use General Ledger Presumed to be out of use AOC-A-8 Not applicable – form is presumed to be out of use Monthly Transmittal Presumed to be out of use AOC-A-16 Not applicable – form is presumed to be out of use Acknowledgement Of Receipt/Uniform Traffic Citation Forms Presumed to be out of use AOC-A-20 5/30/2014 Purchase Order Form was out of use for more than 10 years prior to “Date Discontinued” AOC-A-21A Not applicable – form is presumed to be out of use Cost Summary For Telephone Services Presumed to be out of use AOC-A-22 Not applicable – form is presumed to be out of use Reconciliation - General Court Of Justice Presumed to be out of use AOC-A-23 Not applicable – form is presumed to be out of use Daily Transmittal Presumed to be out of use AOC-A-26 Not applicable – form is presumed to be out of use Review Of Telephone Bill Presumed to be out of use AOC-A-27 Not applicable – form is presumed to be out of use Daily Cash Balance Report Presumed to be out of use AOC-A-28 Not applicable – form is presumed to be out of use Receipt Journal And Check Registry Presumed to be out of use AOC-A-29 Not applicable – form is presumed to be out of use Ledger Card Presumed to be out of use AOC-A-39 Not applicable – form is presumed to be out of use Request/Shortage/Deficits Presumed to be out of use AOC-A-40 Not applicable – form is presumed to be out of use Receipt Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 7 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 41 Not applicable – form is presumed to be out of use Supreme Court Mimeographing Department Monthly Statement - Indigent Defendant Appeal Records Presumed to be out of use AOC-A-52 Not applicable – form is presumed to be out of use Analyzation Of Certain Acco unts - District Court - Criminal Division - Guilford County Presumed to be out of use AOC-A-57 Not applicable – form is presumed to be out of use Juror Payment Record Presumed to be out of use AOC-A-74 Not applicable – form is presumed to be out of use Inventory Record Of Forms And Supplies Presumed to be out of use AOC-A-75 Not applicable – form is presumed to be out of use Field Accountant Report Presumed to be out of use AOC-A-81 10/89 Criminal Bill Of Costs See AOC-CR -381 AOC-A- 82 10/89 Civil Bill Of Costs See AOC-CV -382 AOC-A- 83 5/15/2016 Estates Bill Of Costs See AOC-E-383 AOC-A- 84 5/15/2016 Special Proceedings Bill Of Costs See AOC-SP -384 AOC-A- 98S Not applicable – form is presumed to be out of use Monthly Summary Of Hours Worked By Judicial Employees - IV -D Program Presumed to be out of use AOC-A-98T Not applicable – form is presumed to be out of use Judicial Employees Time Record - IV -D Program Presumed to be out of use AOC-A-99 Not applicable – form is presumed to be out of use Monthly Remittance Child Support Report Presumed to be out of use AOC-A-100 Not applicable – form is presumed to be out of use Daily Receipts Log Presumed to be out of use AOC-A-101 Not applicable – form is presumed to be out of use Daily Cash Analysis Presumed to be out of use AOC-A-103 Not applicable – form is presumed to be out of use Partial Payment Presumed to be out of use AOC-A-104 Not applicable – form is presumed to be out of use Acknowledgement Of Receipt When Properly Validated Presumed to b e out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 8 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 105 Not applicable – form is presumed to be out of use Request For Postage Presumed to be out of use AOC-A-106 Not applicable – form is presumed to be out of use Invoice Presumed to be out of use AOC-A-107 Not applicable – form is presumed to be out of use Notice Of Publication Presumed to be out of use AOC-A-109 5/30/2014 Request Overtime Pay For Work By Non -Exempt Permanent Employee Form was out of use prior to “Date Discontinued” AOC-A-110 Unknown Monthly Time And Pay Data Form was discontinued prior to 1992, specific “Date Discontinued” is unknown AOC-A-111 Not applicable – form is presumed to be out of use Field Activity Report Presumed to be out of use AOC-A-112 Not applicable – form is presumed to be out of use Request Presumed to be out of use AOC-A-113 Not applicable – form is presumed to be out of use Purchase Order And Requisition Data Entry Sheet Presumed to be out of use AOC-A-115 Not applicable – form is presumed to be out of use System Service Request Presumed to be out of use AOC-A-118 Not applicable – form is presumed to be out of use Complaint To Vendor Presumed to be out of use AOC-A-123 3/1/2017 Application For Educational Assistance Reimbursement Discontinued (was removed from posting on 3/2/2017) AOC-A-124 Not applicable – form is presumed to be out of use Temporary Employee Time Record Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 9 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 126 Not applicable – form is presumed to be out of use Telephone System Installation Checklist Presumed to be out of use AOC-A-129 Not applicable – form is presumed to be out of use Request/Verbatim Transcript Presumed to be out of use AOC-A-138 Not applicable – form is presumed to be out of use Payee Conversion Sheet Presumed to be out of use AOC-A-139 Not applicable – form is presumed to be out of use Payor Conversion Sheet Presumed to be out of use AOC-A-140 Not applicable – form is presumed to be out of use Additional Name Conversion Sheet Presumed to be out of use AOC-A-141 Not applicable – form is presumed to be out of use General Order Conversion Sheet Presumed to be out of use AOC-A-142 Not applicable – form is presumed to be out of use Interval And Special Order Conversion Sheet Presumed to be out of use AOC-A-143 Not applicable – form is presumed to be out of use Guardian Ad Litem Case Information Presumed to be out of use AOC-A-145 Not applicable – form is presumed to be out of use Dispute Settlement Center Quarterly Statistical Caseload Presumed to be out of use AOC-A-146 Not applicable – form is presumed to be out of use Dispute Settlement Center Quarterly Claim Presumed to be out of use AOC-A-147 Not applicable – form is presumed to be out of use Employment Inquiry Card Presumed to be out of use AOC-A-149 Not applicable – form is presumed to be out of use Telephone Service Request Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 10 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 153 4/97 Employee Performance Appraisal Program - Office Support And Equipment Operators See AOC-A-186; form is to be distinguished from the new AOC-A- 153 brought into use in 2009 AOC-A-159 Not ap plicable – form is presumed to be out of use Additional Employee Performance Areas And Criteria Presumed to be out of use AOC-A-160 Not applicable – form is presumed to be out of use Year End Review Of Microfilm And Notification Report Presumed to be out of use AOC-A- 163 Not applicable – form is presumed to be out of use Case Add Conversion Sheet Presumed to be out of use AOC-A-164 Not applicable – form is presumed to be out of use Application Selection/Rejection Log Presumed to be out of use AOC-A-165 Not applicable – form is presumed to be out of use Employee Grievance Log Presumed to be out of use AOC-A-168 2/20/1992 Postcard Confirming Letterhead And Envelopes Replaced by AOC-PUR-3 (AOC -PUR -3 is presumed to be out of use) AOC-A-169 Not applicable – form is presumed to be out of use Monthly Arbitration Statistical Report Presumed to be out of use AOC-A-170 Not applicable – form is presumed to be out of use Trial De Novo Arbitration Cases Worksheet Presumed to be out of use AOC-A-171 Not applicable – form is presumed to be out of use Fiscal Year Summary Of Trial De Novo Cases Presumed to be out of use AOC-A-172 Not applicable – form is presumed to be out of use Employee Performance Appraisal Program - Legal Support For District Attorneys/Public Defenders Presumed to be out of use AOC-A-173 Not applicable – form is presumed to be out of use Employee Performance Appraisal Program - Court Reporters Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 11 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 175 Not applicable – form is presumed to be out of use Dist. Admin. Monthly Act. Report Presumed to be out of use; form is to be distinguished from the new AOC-A-175 brought into use in 2013 AOC-A-176 Not applicable – form is presumed to be out of use Atty. Admin. Monthly Act. Report Presumed to be out of use; See AOC-A-177 (also presumed to be out of use) AOC-A-177 Not applicable – form is presumed to be out of use Petition Disposition Report And Request For Payment Presumed to be out of use AOC-A-178 Not applicable – form is presumed to be out of use Request For Funds And Budget Revision - Sentencing Services Presumed to be out of use AOC-A-180 7/96 Application For Mediated Settlement Conference (Pilot Program) Replaced by AOC-DRC-1 AOC-A- 184 Not applicable – form is presumed to be out of use Authorization For Automatic Deposit Presumed to be out of use AOC-A-185 Not applicable – form is presumed to be out of use Separation From Employment [ ] Leave Without Pay (LWOP) [ ] Separation Presumed to be out of use AOC-A-190 7/08 Employee Performance Appraisal Summar y See AOC-A-186; See AOC -A-229 AOC-A- 193 Not applicable – form is presumed to be out of use Performance Appraisal - Family Court Case Manager Presumed to be out of use AOC-A-196 Not applicable – form is presumed to be out of use Special Printing Request Presumed to be out of use AOC-A-202 Not applicable – form is presumed to be out of use Intra-Agency Requisition - Books, Equipment, Or Non -Catalog Supplies Presumed to be out of use AOC-A-206 4/18/2017 Security Approval (Third -Party Vendor Only) Discontinued on 4/18/2017; See AOC-A-155 Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 12 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 209 Not applicable – form is presumed to be out of use 2006 Interpreter Orientation Training And Certification Application Presumed to be out of use AOC-A-217 6/13/2011 Employee Incentive Program Discontinued – program rescinded on 6/13/2011 AOC-A-221 Not applicable – form is presumed to be out of use Certification Of Health Care Provider Presumed to be out of use AOC-A-232 8/13/2014 Interview And Selection Justification Form Discontinued on 8/13/2014 AOC-A-238 1/7/2015 Public Records Request Discontinued on 1/7/2015 AOC-A-244 3/6/2015 Judicial Department Forms Manual New Subscription Discontinued (was removed from posting on 3/9/2015) AOC-A-245 3/6/2015 Judicial Department Forms Manual Subscription Renewal Notice Discontinued (was removed from posting on 3/9/2015) AOC-A-252 12/20/2017 Transferred Case Discontinued (was removed from posting on 12/21/2017 ) AOC-A-0510 Not applicable – form is presumed to be out of use Clerk Of Superior Court Request For Reimbursement Of Shortages Presumed to be out of use AOC-A-902M 3/03 State Property Misuse Report For SBI See SBI 78 AOC-A-903M Not applicable – form is presumed to be out of use Request For Verification Of Academic Credentials Presumed to be out of use AOC-A- 904M Not applicable – form is presumed to be out of use Request For Verification Of License Or Certificate Presumed to be out of use AOC-A-906M Not applicable – form is presumed to be out of use Evaluation Of Transcript Record Presumed to be out of use AOC-A-909M Not applicable – form is presumed to be out of use Indigency Screening Monthly Report Presumed to be out of use Forms Report – Administrative and Accounting Forms | January 1, 2018 Page 13 Administrative and Accounting Forms Discontinued and Out Of Use Forms Form No. Date Discontinued Form Title Notes AOC-A- 910M Not applicable – form is presumed to be out of use Custody Mediation Monthly Report Presumed to be out of use AOC-A-911M Not applicable – form is presumed to be out of use Security Agreement With Resolution Presumed to be out of use AOC-A-912M Not applicable – form is presumed to be out of use Escrow Agent Agreement Presumed to be out of use AOC-A-1000AS Not applicable – form is presumed to be out of use Support Enforcement Calendar Presumed to be out of use AOC-A-R&P-2 Not applicable – form is presumed to be out of use Drug Treatment Court Request For Funds And Budget Revision Presumed to be out of use Forms Report – Civil Forms | January 1, 2018 Page 14 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -100 Rev. 6/16 Civil Summons Alias And Pluries Summons (Assess Fee) AOC -CV -100 Spanish Rev. 6/16 Civil Summons [ ] Alias And Pluries Summons (Assess Fee)/Empla zamiento De Lo Civil [ ] Emplazamiento Suplementario (Imponer Cuota) AOC -CV -100 Vietnamese Rev. 6/16 Civil Summons [ ] Alias And Pluries Summons (Assess Fee)/Trát Mời Hầu Tòa Dân Sự [ ] Trát Đã Gửi Từ Hai Lần Trở Lên (Có Tính Phí) AOC -CV -101 Rev. 7/11 Side One: Application And Order Extending Time To File Complaint Side Two: Motion And Order Extending Statute Of Limitations In Medical Malpractice Action AOC -CV -102 Rev. 1/10 Civil Summons To Be Served With Order Extending Time To File Comp laint AOC -CV -103 Rev. 1/10 Delayed Service Of Complaint AOC -CV -105 New 8/17 Affidavit Of Service Of Process By [ ] Registered Mail [ ] Certified Mail [ ] Designated Delivery Service AOC -CV -110 Rev. 8/17 Commitment Order For Civil Contempt AOC -CV -120 Rev. 5/17 Complaint For Judicial Authorization For Underag e Person To Marry AOC -CV -120 Instructions Rev. 5/17 Instructions For Underage Person Seeking Court Authorization To Marry AOC -CV -121 Rev. 5/17 Civil Summons In Action By Underage Person For Authorization To Marry Alias And Pluries Summons AOC -CV -122 Rev. 5/17 Order In Civil Action To Authorize Underage Person To Marry AOC -CV -200 Rev. 3/14 Affidavit And Request For Hearing In Claim And Delivery AOC -CV -201 Rev. 3/98 Notice Of Hearing In Claim And Delivery AOC -CV -202 Rev. 4/97 Findings On Application For Claim And Delivery Order AOC -CV -203 Rev. 3/98 Order Of Seizure In Claim And Delivery AOC -CV -220 New 4/97 Memorandum Of Judgment/Order AOC -CV -220 New 4/97 Memorandum Of Judgment/ Order (without lines) AOC -CV -220 Spanish New 4/97 Memorandum Of Judgment/Order/Resumen De La Decisión Judicial U Orden AOC -CV -220 Vietnamese New 4/97 Memorandum Of Judgment/Order /Bản Ghi Nhớ Về Phán Quyết/Án Lệnh AOC -CV -220 Continuation New 5/16 Continuation Page - Memorandum Of Judgment/Order AOC -CV -220 Continuation New 5/16 Continuation Page - Memorandum Of Judgment/Order (without lines) AOC -CV -220 Continuation Spanish New 5/16 Continuation Page - Memorandum Of Judgment/Order /Página De Con tinuación - Memorándum De Sentencia/Orden AOC -CV -220 Continuation Vietnamese New 5/16 Continuation Page - Memorandum Of Judgment/Order/Trạng Tiếp Tục - Bản Ghi Nhớ Về Phán Quyết/Án Lệnh AOC -CV -221 New 4/98 Motion And Order For Continuance (Civil Superior Cases) AOC -CV -226 Rev. 10/13 Civil Affidavit Of Indigency Forms Report – Civil Forms | January 1, 2018 Page 15 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -270 Rev. 4/17 Petition For Release Of Custodial Law Enforcement Agency Recording AOC -CV -271 Rev. 4/17 Order On Petition For Release Of Custodial Law Enforcement Agency Recording AOC -CV -272 New 10/16 Petition For Review Of Denial Or Delay Of Disclosure Of Custodial Law Enforcement Agency Recording AOC -CV -273 New 10/16 Order On Review Of Denial Or Delay Of Disclosure Of Custodial Law Enforcement Agency Recording AOC -CV -274 Rev. 4/17 Order To Provide Custodial Law Enforcement Agency Recording For In - Camera Review And Order To Provide Notice Of Hearing AOC -CV -300 Rev. 4/97 Affidavit In Attachment Proceeding AOC -CV -301 Rev. 1/98 Order Of Attachment AOC -CV -302 Rev. 1/98 Summons To Garnishee And Notice Of Levy AOC -CV -303 Rev. 5/12 Complaint And Motion For Domestic Violence Protective Order AOC -CV -303 Spanish Rev. 5/12 Complaint And Motion For Domestic Violence Protective Order/Denuncia Y Petición Para Una Orden De Protección Por Violencia Intrafamiliar AOC -CV -303 Vietnamese Rev. 5/12 Complaint And Motion For Domestic Violence Protective Order/Đơn Khi ếu Tố Và Kiến Nghị Ra Lệnh Bảo Về Vì Bạo Lực Trong Gia Đình AOC -CV -303 Instructions Rev. 10/14 Instructions Fo r Domestic Violence Forms AOC -CV -303 Instructions Spanish Rev. 10/14 Instructions For Domestic Violence Forms/Indicaciones Para LLenar Los Formularios Sobre Violencia Intrafamiliar AOC -CV -303 Instructions Vietnamese Rev. 10/14 Instructions For Domestic Violence Forms/Hướng Dẫn Cách Đền Nh ững Mẫu Đơn Về Bạo Lực Gia Đình AOC -CV -304 Rev. 12/15 Ex Parte Domestic Violence Order Of Protection AOC -CV -304 Spanish Rev. 12/15 Ex Parte Domestic Violence Order Of Protection/Orden De Protección Ex Parte Por Violencia Intrafamiliar AOC -CV -304 Vietnamese Rev. 12/15 Ex Parte Domestic Violence Order Of Protection/Lệnh Bảo Vệ Vì Bạo Lực G ia Đình Đơn Phương AOC -CV -305 Rev. 6/00 Notice Of Hearing On Domestic Violence Protective Order AOC -CV -305 Spanish Rev. 6/00 Notice Of Hearing On Domestic Violence Protective Order/Aviso De Audencia Sobre Una Orden De Protección Por Violencia Intrafamiliar AOC -CV -305 Vietnamese Rev. 6/00 Notice Of Hearing On Domestic Violence Protect ive Order/Thông Báo Phiên Tòa Về Lệnh Bảo Vệ Vì Bạo Lực Gia Đình AOC -CV -306 Rev. 12/15 Domestic Violence Order Of Protection [ ] Consent Order AOC -CV -306 Spanish Rev. 12/15 Domestic Violence Order Of Protection [ ] Consent Order/ Orden De Protección Por Violencia Intrafamiliar [ ] Orden De Consentim iento AOC -CV -306 Vietnamese Rev. 12/15 Domestic Violence Order Of Protection [ ] Consent Order/Lệnh Bảo Vệ V ì Bạo Lực Gia Đình [ ] Lệnh Đồng Thuận (Rev. 10/13) ( bao gồm AOC-CV - 306A) Forms Report – Civil Forms | January 1, 2018 Page 16 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -306A Rev. 10/13 Temporary Child Custody Addendum To Domestic Violence Protective Order AOC -CV -306A Spanish Rev. 10/13 Anexo A Una Orden De Protección A Causa De Violencia Intrafamiliar Sobre Custod ia Provisional De Menores AOC -CV -307 Rev. 3/98 Motion For Order To Show Cause Domestic Violence Protective Order AOC -CV -307 Spanish Rev. 3/98 Motion For Order To Show Cause Domestic Violence Protective Order/Petición De Orden Para Mostrar Causa Justificada Orden De Protección Por Violencia Intrafamiliar AOC -CV -307 Vietnamese Rev. 3/98 Motion For Order To Show Cause Domestic Violence Protective Order/K iến Nghị Ra Lệnh Hầu Tòa Để Trình Bầy Lý Do Đối Với Lệnh Bảo Vệ Vì Bạo Lực Gia Đình AOC -CV -308 Rev . 4/10 Order To Appear And Show Cause For Failure To Comply With Domestic Violence Protective Order AOC -CV -308 Spanish Rev. 4/10 Order To Appear And Show Cause For Failure To Comply With Domestic Violence Protective Order/Orden Para Comparecer Y Mostrar Causa Justificada De Incumplimiento Con Una Orden De Protección Por Viol encia Intrafamiliar AOC -CV -308 Vietnamese Rev. 4/10 Order To Appear And Show Cause For Failure To Comply With Domestic Violence Protective Order/Lệnh Hầu Tòa Để Trình Bầy Lý Do Vì Sao Không Tuân Lệnh Bảo Vệ Vì Bạo Lực Gia Đình AOC -CV -309 Rev. 3/17 Contempt Order Domestic Violence Protective Order AOC -CV -309 Spanish Rev. 3/17 Contempt Order Domestic Violence Protective Order/Orden Por Desa cato Orden De Protección Por Violen cia Intrafamiliar AOC -CV -309 Vietnamese Rev. 3/17 Contempt Order Domestic Violence Protective Order/Lệnh Kết Tội Coi Thường Tòa Án Đối Với Lệnh Bảo Vệ Vì Bạo Lực Gia Đình AOC -CV -311 New 5/94 Notice Of Ex Parte Hearing Before District Court Judge AOC -CV -311 Spanish New 5/94 Notice Of Ex Parte Hearing Before District Court Judge/Notificación De Aidiencia Inaudita Pars Ante Un Juez De Distrito AOC -CV -311 Vietnamese Rev. 5/94 Notice Of Ex Parte Hearing Before District Court Judge/Thông Báo Về Ph i ên Xét Xử Ðõn Phuõng Trýớc Thẩm Phán Toà Án Khu Vực AOC -CV -312 Rev. 6/00 Identifying Information About Defendant Domestic Violence Action AOC -CV -312 Spanish Rev. 6/00 Identifying Information About Defendant Domestic Violence Action/Información Que Identifique A El/La Demandado/A En Una Demanda Judicial Por Violencia Intrafamiliar AOC -CV -312 Vietnamese Rev. 6/00 Identifying Information About Defendant Domestic Violence Action/ Thông Tin Nhận Diện Bị Cáo Trong Vụ Án Bạo Lực Gia Đình AOC -CV -313 Rev. 10/17 Motion To Renew / Or Set Aside Domestic Violence Protective Order Notice of Hearing AOC -CV -313 Spanish Rev. 10/17 Motion [ ] To Renew [ ] Or Set Aside Domestic Violence Protective Ord er Notice Of Hearing/Petición Para [ ] Extender O [ ] Revocar Una Orden De Protección Por Violencia Intrafamiliar Notificación De Audiencia Forms Report – Civil Forms | January 1, 2018 Page 17 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -313 Vietnamese Rev. 2/06 Motion [ ] To Ren ew [ ] Or Set Aside Domestic Violence Protective Order Notice Of Hearing/[ ] Kiến Nghị [ ] Gia Hạn [ ] Bãi Bỏ Lệnh Bảo Vệ Vì Bạo Lực Gia Đình Thông Báo Phiên Tòa AOC -CV -314 Rev. 2/06 Order R enewing Domestic Violence Protective Order AOC -CV -314 Spanish Rev. 2/06 Order Renewing Domestic Violence Protective Order (Side One) Order Setting Aside Domestic Violence Protective Order (Side Two)/Orden Para Extender La Orden De Protección Por Violencia Intrafamiliar/Orde n Para Revocar La Orden De Protección Por Violencia Intrafamiliar AOC -CV -314 Vietnamese Rev. 2/06 Order Renewing Domestic Violence Protective Order (Side One) Order Setting Aside Domestic Violence Protective Order (Side Two)/L ệnh Gia Hạn (Trang Một)/Lệnh Bãi Bỏ (Trang Ba) Lệnh Bảo Vệ Vì Bạo Lực Gia Đình AOC -CV -315 Rev. 11/02 Request And Affidavit To Register And Registration Of Out -Of-State Domestic Violence Protective Order AOC -CV -315 Spanish Rev. 11/02 Request And Affidavit To Register And Registration Of Out -Of-State Domestic Violence Protective Order/Solicitud Y Declaración Jurada Para Inscribir Una Orden De Protección Por Violencia Intrafamiliar De O tro Estado Y Registro De La Misma AOC -CV -315 Vietnamese Rev. 11/02 Request And Affidavit To Register And Registration Of Out -Of-State Domestic Violence Protective Order/Đơn Xin, Hữu Thệ Và Đăng Bạ Bảo Vệ Vì Bạo Lực Gia Đình Được Ban Hành Ngoài Tiểu Bang AOC -CV -316 Rev. 12/04 Order Continuing Domestic Violence Hearing And Ex Parte Order AOC -CV -316 Spanish Rev. 12/04 Order Continuing Domestic Violence Hearing And Ex Parte Order/Orden De Aplazamiento De Una Audiencia De Violencia Intrafamiliar Y De Exten sión De Una Orden Emitida Inaudita Pars AOC -CV -316 Vietnamese Rev. 12/04 Order Continuing Domestic Violence Hearing And Ex Parte O rder/Lệnh Dời Phiên Tòa Về Bạo Lực Gia Đình Và Gia Hạn Lệnh Đơn Phương AOC -CV -317 Rev. 12/09 Civil Summons Domestic Violence Al ias And Pluries Summons AOC -CV -317 Spanish Rev. 12/09 Civil Summons Domestic Violence/Orden De Comparecencia De Lo Civil Por Violencia Intrafamiliar/Alias And Pluries Summons/Orden de comparecencia de sustitución o cuando la original no produjo el efecto requerido AOC -CV -317 Vietnamese Rev. 12/09 Civil Summons Domestic Violence [ ] Alias And Pluries Summons/Tr át Mời Hầu Tòa Dân Sự Về Tội Bạo Lực Gia Đình ... AOC -CV -318 New 6/00 Application And Order To Appoint Guardian Ad Litem In Action For Domestic Violence Protective Order AOC -CV -318 Spanish New 6/00 Application And Order To Appoint Guardian Ad Litem In Action For Domestic Violence Protective Order/Solicitud Y Orden Para Nombra r Un Defensor Ad Litem En La Acción Judicial Que Solicita Una Orden De Protección Por Violencia Intrafamiliar AOC -CV -318 Vietnamese New 6/00 Application And Order To Appoint Guardian Ad Litem In Action For Domestic Violence Protective Order/Ðõn Yêu Cầu Và L ệnh Chỉ Ðịnh Ngýời Ðại Diện Quyền Lợi Cho Trẻ Chýa Thành Niên... Forms Report – Civil Forms | January 1, 2018 Page 18 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -319 Rev. 2/06 Motion For Return Of Weapons Surrendered Under Domestic Violence Protective Order and Notice Of Hearing AOC -CV -319 Spanish Rev. 2/06 Motion For Return Of Weapons Surrendered Under Domestic Violence Protective Order And Notice Of Hearing/Petición Para Devolver Arm as Entregadas Según Una Orden De Protección Por Violencia Intrafamiliar Con Notificación De Audiencia AOC -CV -319 Vietnamese Rev. 2/06 Motion For Return Of Weapons Surrendered Under Domestic Violence Protective Order And Notice Of Hearing/Kiến Nghị Được Trả Lại Vũ Khí Đã Giao Nộp Theo Lệnh Bảo Vệ... AOC -CV -320 Rev. 2/14 Order Upon Motion To Return Weapons Surrendered Under Domestic Violence Protective Order AOC -CV -320 Spanish Rev. 2/06 Order Upon Motion To Return Weapons Surrendered Under Domestic Violence Protective Order/Orden Basada En Una Petición Para Devo lver Armas Entregadas Según Una Orden De Protección Por Violencia Intrafamiliar AOC -CV -321 Rev. 2/06 Motion And Notice Of Hearing For Disposal Of Weapons Surrendered Under Domestic Violence Protective Order AOC -CV -322 Rev. 5/15 Order Upon Motion For Disposal Of Weapons Surrendered Under Domestic Violence Protective Order AOC -CV -323 Rev. 2/10 Victim Information Sheet AOC -CV -323 Spanish Rev. 2/10 Victim Information Sheet/Documento De Información Para La Victima AOC -CV -323 Vietnamese Rev. 2/10 Victim Information Sheet /Thông Tin Dành Cho Nạn Nhân AOC -CV -324 New 5/13 Order Setting Aside No -Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC -CV -325 New 7/13 Order Dismissing Complaint For Domestic Violence Protective Orde r For Failure To Prosecute AOC -CV -326 New 10/17 Modified Domestic Violence Order Of Protection [ ] Consent Order AOC -CV -350 Rev. 6/12 Petition For Limited Driving Privilege Speeding: Out -Of-County/Out -Of-State Or Federal Convictions OR DWI: Out -Of-State Or Federal Convictions AOC -CV -351 Rev. 4/08 Limited Driving Privilege Speeding (Out -Of-County/Out -Of-State Or Federal Convictions) AOC -CV -351 Spanish Rev. 4/08 Limited Driving Privilege Speeding (Out -Of-County/Out -Of-State Or Federal Convictions/Privilegio De Conducción Limitada Por Exceso De Veloci dad (Condenas Fuera Del Condado/Fuera Del Estado O Condenas Federales) AOC -CV -351 Vietnamese Rev. 4/08 Limited Driving Privilege (Out -Of-County/Out -Of-State Or Federal Convictions)/Ðặc Quyền Lái Xe Cô Giới Hạn Chạy Xe Quá Tốc Ðộ (Các Bản Án Bên Ngoài Quận/Hạt/Tiểu Bang Hoặc Bản Án Liên Bang)/ AOC -CV -352 Rev. 10/15 Limited Driving Privilege Impaired Driving (Out -Of-State Or Federal Convictions) Forms Report – Civil Forms | January 1, 2018 Page 19 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -352 Spanish Rev. 4/08 Limited Driving Privilege Impaired Driving (Out -Of-State Or Federal Convictions)/Privilegio De Conducción Limitada Por Exceso De Vel ocidad (Condenas Fuera Del Condado/Fuera Del Estado O Condenas Federales) AOC -CV -352 Vietnamese Rev. 10/15 Limited Driving Privilege Impaired Driving (Out -Of-State Or Federal Convictions)/Đặc Quyền Lái Xe Có Giới Hạn Do Lái Xe Trong Tình Trạn g Không Tình Táo... AOC -CV -353 Rev. 6/12 Petition For Limited Driving Privilege Driving While License Revok ed Or Committing Moving Offense While Driving During Period Of Revocation AOC -CV -354 New 12/07 Limited Driving Privilege Driving While License Revoked Or Commit ting Moving Offense While Driving During Period Of Revocation AOC -CV -382 Rev. 8/17 Civil Bill Of Costs AOC -CV -400 Rev. 9/03 Writ Of Execution AOC -CV -401 Rev. 8/17 Writ Of Possession Real Property AOC -CV -401 Spanish Rev. 8/17 Writ Of Possession Real Property/Auto De Posesión Propiedad Inmueble AOC -CV -401 Vietnamese Rev. 8/17 Writ Of Possession Real Property/Trát Chiễm Hữu Bất Ðộng Sản AOC -CV -402 Rev. 10/14 Writ Of Pos session Personal Property AOC -CV -404 Rev. 9/03 Certificate Of Payment On Judgment AOC -CV -405 Rev. 11/02 Notice Of Voluntary Dismissal Complaint / Counterclaim / Other AOC -CV -405 Spanish Rev. 11/02 Notice Of Voluntary Dismissal/Aviso De Sobreseimiento Voluntario [ ] Complaint/Demanda [ ] Counter claim/Contrademanda [ ] Other/Otra AOC -CV -405 Vietnamese Rev. 11/02 Notice Of Voluntary Dismissal [ ] Complaint [ ] Counterclaim [ ] Other ______ /Thông Báo Về Việc Tự Nguyện Hủy Bỏ [ ] Ðõn Khiếu Tố [ ] Ðõn Phản Tố [ ] Ðõn Khác ______ AOC -CV -406 Rev. 2/06 Notice Of Right To Have Exemptions Designated AOC -CV -406 Spanish Rev. 2/06 Notice Of Right To Have Exemptions Designated/Notificación Del Der echo A La Designación De Exenciones AOC -CV -406 Vietnamese Rev. 2/06 Notice Of Right To Have Exemptions Designated/Thông Báo Về Quyền Ðýợc Miễn Trừ Tài Sản AOC -CV -407 Rev. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed Before Jan. 1, 2006) AOC -CV -407 Spanish Rev. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use if judgment filed before 1/1/06)/Petición Para Acogerse A Exenciones Sobre Bienes (Exenciones Estableci das En La Ley) (Utilice si se presentó la sentencia antes del 1 de enero de 2006) AOC -CV -407 Vietnamese Rev. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed Before Jan. 1, 2006)/Kiến Nghị Được Miễn Trừ Cho Tài Sản (Các Diệ n Miễn Trừ Luật Ðịnh) AOC -CV -408 Rev. 6/00 Notice Of Hearing On Exempt Property AOC -CV -409 Rev. 2/06 Order Designating Exempt Property Forms Report – Civil Forms | January 1, 2018 Page 20 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -410 Rev. 9/03 Notice Payment On Judgment AOC -CV -411 Rev. 10/14 Motion To Claim Exempt Property (Constitutional Exemptions) AOC -CV -411 Spanish Rev. 10/14 Motion To Claim Exempt Property (Constitutional Exemption s)/Petición Para Acogerse A Exenciones Sobre Bienes (Exenciones Constituciona les) AOC -CV -411 Vietnamese Rev. 10/14 Motion To Claim Exempt Property (Constitutional Exemptions)/Kiến N ghị Được Miễn Trừ Cho Tài Sản (Các Diện Miễn Trừ Hiện Ðịnh) AOC -CV -412 Rev. 12/06 Request For Issuance Of Writ Of Possession Of Real Property When Judgment More Than 30 Days Old AOC -CV -413 Rev. 12/06 Certificate Of Payment/Satisfaction Of Judgment By Judgment Creditor Payment In Full / Partial Payment AOC -CV -414 Rev. 4/15 Notice Of Upset Bid In Judicial Sale Or Execution Sale Notice To Person Holding The Sale AOC -CV -415 Re v. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use if judgment filed after 1/1/06) AOC -CV -415 Spanish Rev. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed On Or After Jan. 1, 2006/Petición Para Acogerse A Exenciones Sobre Bienes (Exenciones Establecidas En La Ley) (Utilice Si Se Presen tó La Sentencia Antes Del 1 De Enero De 2006) AOC -CV -415 Vietnamese Rev. 8/17 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed On Or After Jan. 1, 2006/Kiến Nghị Được Miễn Trừ Cho Tài Sản (Các Diện Miễn Trừ Luật Ðịnh) AOC -CV -416 New 5/16 Transcript Request (Request To Issue Transcript Of Judgment) AOC -CV -505 Rev. 5/16 Notice Of Registration Of Foreign Support Order AOC -CV -520 Rev. 8/14 Complaint For No -Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC -CV -520 Spanish Rev. 8/14 Complaint For No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Demanda De Prohibición De Contacto Por Acoso O Acto Sexual Sin Consentimiento AOC -CV -520 Vietnamese Rev. 8/14 Complaint For No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Đơn Khiếu Tố Xin Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng AOC -CV -521 New 12/04 Civil Summons No -Con tact Order For Stalking Or Nonconsensual Sexual Conduct Alias And Pluries Summons AOC -CV -521 Spanish New 12/04 Civil Summons No -Contact Order For Stalking Or Nonconsensual Sexual Conduct [ ] Alias And Pluries Summons/Citatorio Civil De Prohibición De Contacto Por Acoso O Acto Sexual Sin Consentimiento [ ] Citatorio Sumplementario AOC -CV -521 Vietnamese New 12/04 Civil Summon s No -Contact Order For Stalking Or Nonconsensual Sexual Conduct [ ] Alias And Pluries Summons/Trát Mời Hầu Tòa Về Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng AOC -CV -522 New 12/04 Notice Of Hearing On No -Contact Order For Stalking Or Nonconsensual Sexual Conduct Temporary Order / Permanent Order Forms Report – Civil Forms | January 1, 2018 Page 21 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -522 Spanish New 12/04 Notice Of Hearing On No -Contact Order For Stalking Or Nonconsensual Sexual Conduct [ ] Temporary Order [ ] Permanent Order/Notific ación De Audiencia Sobre Orden De Prohibición De Contacto Por Acoso O Acto Sexual Sin Consentimiento [ ] Orden Temporal [ ] Orden Permanente AOC -CV -522 Vietnamese New 12/04 Notice Of Hearing On No -Contact Order For Stalking Or Nonconsensual Sexual Conduct [ ] Temporary Order [ ] Permanent Order/Thông Báo Phiê n Tòa Về Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục AOC -CV -523 Rev. 10/15 Temporary No -Contact Order For Stalking Or Nonconsensual Sexual Conduct Ex Parte AOC -CV -523 Spanish Rev. 10/15 Temporary No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Orden Temporal De Prohibición De Contacto Por Acoso O Por Acto Sexual Sin Consentimiento [ ] Inaudita Pars AOC -CV -523 Vietnamese Rev. 10/15 Temporary No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Lệnh Cấm Tiếp Xúc Tạm Thời Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng [ ] Đơn Phương AOC -CV -524 Rev. 4/17 No -Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC -CV -524 Spanish Rev. 4/17 No-Contact Order For Stalking Or Nonconsensual Sexual Conduct/Orden De Prohibición De Contacto Por Acoso O Acto Sexual Sin Consentimiento AOC -CV -524 Vietnamese Rev. 4/17 No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng AOC -CV -525 Rev. 5/13 Motion To [ ] Renew [ ] Set Aside No -Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC -CV -525 Spanish Rev. 5/13 Motion To [ ] Renew [ ] Set Aside No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Petición Para [ ] Exte nder [ ] Revocar La Orden De Prohibición De Contacto Por Acoso O Acto Sexual Sin Consentimiento AOC -CV -525 Vietnamese Rev. 5/13 Motion To [ ] Renew [ ] Set Aside No -Contact Order.../Kiến Ng hị [ ] Gia Hạn [ ] Bãi Bỏ Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng AOC -CV -526 Rev. 5/13 Order Renewing No -Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC -CV -526 Spanish Rev. 5/13 Order Renewing No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Orden Para Extender La Orden De Prohibición De Contacto Por Acoso O Por Act o Sexual Sin Consentimiento AOC -CV -526 Vietnamese Rev. 5/13 Order Renewing No -Contact Order For Stalking Or Nonconsensual Sexual Conduct/Án Lệnh Gia Hạn Lệnh Cấm Tiếp Xúc Do Hành Vi Rình Rập Hoặc Tình Dục Không Được Hưởng Ứng AOC -CV -527 Rev. 10/12 Order Continuing No -Contact Hearing And Temporary Order AOC -CV -527 Spanish Rev. 10/12 Order Continuing No -Contact Hearing And Temporary Order/Orden Para Aplazar La Audiencia De Prohibición De Contacto Y Extender La Orden Temporal Forms Report – Civil Forms | January 1, 2018 Page 22 Civil F orms Forms Currently In Use Form No. Current Version Form Title AOC -CV -527 Vietnamese Rev. 10/12 Order Continuing No -Contact Hearing And Temporary Order/Án Lệnh Dời Lại Phiên Tòa Và Gia Hạn Lệnh Cấm Tiếp Xúc Tạm Thời AOC -CV -528 Rev. 10/14 Motion And Order To Show Cause For F ailure To Comply With No -Contact Order For Stalking Or NonConsensual Sexual Conduct AOC -CV -528 Spanish New 12/04 Motion And Order To Show Cause For Failure To Comply With No -Contact Order For Stalking Or Nonconsensual Sexual Conduct)/Petición Y Orden P