Fill and Sign the Complete Index to Judicial Formsnorth Carolina Judicial

Forms Report January-June 2015 July 1, 2015 Court Services Division [This Page Is Intentionally Left Blank. FORMS REPORT – JANUARY-JUNE 2015 Overview – January-June 2015 Page i OVERVIEW This is the January-June 2015 NCAOC Forms Report, a document that lists change and posting dates for the various NCAOC forms during the time period beginning Janua ry 1, 2015 and ending June 30, 2015 . The next (July-December 2015) installment of the Forms Report will account for changes to NCAOC forms during the time period beginning July 1, 2015 and ending December 31, 2015. Each new installment of the Forms Report will be posted to the “Complete Index to Judicial Forms” link on the Judicial Forms Search Page ( www.nccourts.org/Forms/Documents/CompleteIndex.pdf ). This 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 North 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 judicial forms are also posted on the NCAOC forms page. This Forms Report does not include non-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 form numbering system, irrespective of general areas of practice that the forms may in fact relate to (e.g., civil revocation forms are grouped under the Civil Revocation Forms heading and not with Criminal Forms). The listings of “Forms Currently In Use” incl ude forms that are in regular use, as well as forms that are used more infrequently. Where a form is currently posted to the Jud icial Forms Search Page ( www.nccourts.org/Forms/FormSearch.asp ), a link to the Forms Search Page posting is included within this document. As each NCAOC form is subject to frequent update and revision , 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 relevant time period (here, January 1, 2015 to June 30, 2015 ), status notes are included in the Forms Report. The “Discontinued and Out Of Use Forms” listings include forms that have been formally discontinued, as well as those which have been superseded and those which are presumed to be “out of use” in the absen ce of indications to the contrary. 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 general 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 – JANUARY-JUNE 2015 Table of Contents – January-June 2015 Page ii TABLE OF CONTENTS OVERVIEW .................................................................................................................................................... i TABLE OF CONTENTS ............................................................................................................................... ii ADMINISTRATIVE AND ACCOUNTING FORMS ....................................................................................... 1 Forms Currently In Use ............................................................................................................................. 1 Form Changes Posted 1/1/2015 – 6/30/2015 ........................................................................................... 3 Discontinued and Out Of Use Forms ........................................................................................................ 4 CIVIL FORMS ............................................................................................................................................. 12 Forms Currently In Use ........................................................................................................................... 12 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 25 Discontinued and Out Of Use Forms ...................................................................................................... 27 CIVIL REVOCATION FORMS .................................................................................................................... 29 Forms Currently In Use ........................................................................................................................... 29 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 29 Discontinued and Out Of Use Forms ...................................................................................................... 30 COURT OF APPEALS FORMS ................................................................................................................. 31 Forms Currently In Use ........................................................................................................................... 31 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 31 Discontinued and Out Of Use Forms ...................................................................................................... 31 CRIMINAL FORMS ..................................................................................................................................... 35 Forms Currently In Use ........................................................................................................................... 35 Form C hanges Posted 1/1/2015 – 6/30/2015 ......................................................................................... 50 Discontinued and Out Of Use Forms ...................................................................................................... 53 DISPUTE RESOLUTION FORMS .............................................................................................................. 58 Fo rms Currently In Use ........................................................................................................................... 58 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 58 Discontinued and Out Of Use Forms ...................................................................................................... 59 EASTERN BAND OF CHEROKEE FORMS .............................................................................................. 60 Forms Currently In Use ........................................................................................................................... 60 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 60 Discontinued and Out Of Use Forms ...................................................................................................... 60 ESTATES FORMS ...................................................................................................................................... 61 Forms Currently In Use ........................................................................................................................... 61 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 63 Discontinued and Out Of Use Forms ...................................................................................................... 64 FINANCIAL SERVICES FORMS ............................................................................................................... 65 Forms Currently In Use ........................................................................................................................... 65 Form C hanges Posted 1/1/2015 – 6/30/2015 ......................................................................................... 65 Discontinued and Out Of Use Forms ...................................................................................................... 65 FORMS REPORT – JANUARY-JUNE 2015 Table of Contents – January-June 2015 Page iii GENERAL FORMS ..................................................................................................................................... 66 Forms Currently In Use ........................................................................................................................... 66 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 67 Discontinued and Out Of Use Forms ...................................................................................................... 68 GOVERNOR FORMS ................................................................................................................................ . 69 Forms Currently In Use ........................................................................................................................... 69 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 69 Discontinued and Out Of Use Forms ...................................................................................................... 69 JUVENILE FORMS ..................................................................................................................................... 70 Forms Currently In Use ........................................................................................................................... 70 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 76 Discontinued and Out Of Use Forms ...................................................................................................... 77 MISCELLANEOUS FORMS ....................................................................................................................... 80 Forms Currently In Use ........................................................................................................................... 80 Form Changes Posted 1/1/2015 – 6/30/2015 ......................................................................................... 80 Discontinued and Out Of Use Forms ...................................................................................................... 80 SMALL CLAIMS FORMS ......................................................................................................................... 108 Forms Currently In Use ......................................................................................................................... 108 Form Changes Posted 1/1/2015 – 6/30/2015 ....................................................................................... 110 Discontinued and Out Of Use Forms .................................................................................................... 111 SPECIAL PROCEEDINGS FORMS ......................................................................................................... 112 Forms Currently In Use ......................................................................................................................... 112 Form Changes Posted 1/1/2015 – 6/30/2015 ....................................................................................... 114 Discontinued and Out Of Use Forms .................................................................................................... 114 WAIVER FORMS ...................................................................................................................................... 116 Forms Currently In Use ......................................................................................................................... 116 Form Changes Posted 1/1/2015 – 6/30/2015 ....................................................................................... 116 Discontinued and Out Of Use Forms .................................................................................................... 116 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 1 ADMINISTRATIVE AND ACCOUNTING FORMS 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. 8/05 Certification Of Days Served Assistant To The District Attorney - Contractual AOC-A-25 Rev. 7/13 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-83 Rev. 7/14 Estates Bill Of Costs AOC-A- 84 Rev. 8/13 Special Proceedings Bill Of Costs AOC-A-85 Rev. 6/04 Administrative Office of the Courts Stock Supply Request AOC-A-92 Rev. 6/00 Printing W ork Order AOC-A-102 Rev. 1/02 Off-Site Daily Cash Report AOC-A-114 Rev. 12/08 Position Description AOC-A-116 Rev. 10/13 Status Of Employment Under The Fair Labor Standards A ct AOC-A-119 Rev. 7/13 Request For Approval For Destruction Of Records AOC-A-122 Rev. 7/98 Transmittal Of Funds Withheld For Child Support AOC-A-123 Rev. 3/09 Application For Educational Assistance Reimbursement 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 5 State Of North Carolina Judicial Branch Of Government Regular Time Leave Record (Excel Spreadsheet) AOC-A-135 Rev. 4/14 Acknowledgement Of Judicial Branch Time/Leave Policies AOC-A-136 Rev. 10/13 Personnel Data Sheet For Employees AOC-A-144 Rev. 5/14 Application For Leave Of Absence AOC-A-148 Rev. 5/15 Microfilm Review And Notification Report AOC-A-150 Rev. 2/11 Administrative Office Of T he Courts North Carolina Guardian Ad Litem Program Volunteer Application AOC-A-151 Rev. 10/14 Security Approval (Judicial Branch Only) AOC-A-152 Rev. 10 /14 Security Approval (Law Enforcement Only) AOC-A-153 Rev. 10 /14 Security Approval (Government Agency Only) AOC-A-154 New 2/10 Security Approval/Agreement (Counsel) AOC-A-156 Rev. 3/12 Security Approval/Agreement (Professional Bondsmen, Surety Bondsmen, And Runners Only) AOC-A-161 Rev. 12/02 Report Of Credit For Continuing Judicial Education AOC-A-162 Rev. 1/15 North Carolina Child Support Guidelines 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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 2 ADMINISTRATIVE AND ACCOUNTING FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE 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 Administrative 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 New 5/12 NCAOC Complaint Form AOC-A-188 New 5/12 Judicial Branch Unlawful Workplace Harassment Complaint Form AOC-A-189 New 5/12 Complaint Response Form AOC-A-191 Rev. 2/11 Separation From Employment AOC-A-194 New 3/02 Las Consecuencias De No Comparecer A Su Proxima Cita Ante El Tribunal/Consequences Of Failing To Appear At Your Next Court Date 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 New 7/05 Confidential Mediation Intake AOC-A-208 Spanish New 7/05 Confidential Mediation Intake/Procdimiento Inicial Confidencial Para La Mediación 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 Approval 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. 4/14 Prior Approval And Reimbursement For Working Lunches AOC-A-214 Rev. 4/14 Prior Approval And Reimbursement For Working Lunches (Excel) AOC-A-215 Rev. 1/15 Foreign Language Interpreter Invoice For Hours Worked AOC-A-216 Rev. 2/13 Foreign Language Court Interpreter Daily Log AOC-A-219 Rev. 1/08 Disk No. FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 3 ADMINISTRATIVE AND ACCOUNTING FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE AOC-A-220 Rev. 1/08 Scanned Under Authority Of Administrative Office Of The Courts By The Clerk Of Superior Court AOC-A-222 New 5/07 County AOC-A-223 New 5/07 Certificate Of Authenticity AOC-A-224 Rev. 5/12 NC Administrative Office of the Courts Employee Payment Verification Form AOC-A-225 Rev. 8/09 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 New 12/10 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. 3/15 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-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-907M Rev. 2/03 Escrow Agent Agreement 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 For m Changes Posted 1/1/2015 – 6/30/2015 FORM NO. DATE CHANGED NATURE OF CHANGE AOC-A-134 1/14/2015 2015 version of form posted FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 4 ADMINISTRATIVE AND ACCOUNTING FORMS For m Changes Posted 1/1/2015 – 6/30/2015 FORM NO. DATE CHANGED NATURE OF CHANGE AOC-A-148 5/19/2015 Rev. 4/15 posted AOC-A-148 5/26/2015 Rev. 5/15 posted AOC-A-175 1/27/2015 Rev. 1/15 posted AOC-A-175 1/28/2015 Rev. 1/15 reposted AOC-A-207 12/?/2014 Rev. 12/14 posted outside of regular forms process, on undetermined date AOC-A-207 6/1/2015 Rev. 5/15 posted AOC-A-215 1/26/2015 Rev. 1/15 posted AOC-A-230 1/20/2015 Rev. 1/15 posted AOC-A-238 1/7/2015 Form discontinued and removed from public posting AOC-A-243 4/27/2015 Rev. 3/15 posted AOC-A-243 4/27/2015 Rev. 3/15 reposted AOC-A-244 3/6/2015 Discontinued (was removed from posting on 3/9/2015) AOC-A-245 3/6/2015 Discontinued (was removed from posting on 3/9/2015) AOC-A-246 6/12/2015 Posted as Rev. 6/15 (erroneously as to it being a "Rev." form) AOC-A-246 6/15/2015 Posted as New 6/15 on 6/15/2015 AOC-A-246 6/17/2015 New 6/15 reposted AOC-A-247 6/12/2015 New 6/15 posted AOC-A-247 6/15/2015 New 6/15 reposted AOC-A-247 6/17/2015 New 6/15 reposted 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 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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 5 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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 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 Accounts - 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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 6 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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-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 be out of use AOC-A-105 No t 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” FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 7 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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-124 Not applicable – form is presumed to be out of use Temporary Employee Time Record Presumed to be out of use 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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 8 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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 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 applicable – 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) FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 9 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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 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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 10 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES AOC-A-190 7/08 Employee Performance Appraisal Summary 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- 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-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 FORMS REPORT – JANUARY-JUNE 2015 Administrative and Accounting Forms – January-June 2015 Page 11 ADMINISTRATIVE AND ACCOUNTING FORMS Discontinued and Out Of Use Forms FORM NO. DATE DISCONTINUED FORM TITLE NOTES 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 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 A OC -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 – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 12 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE AOC- CV-100 Rev. 6/11 Civil Summons Alias And Pluries Summons (Assess Fee) AOC- CV-100 Spanish Rev. 6/11 Civil Summons [ ] Alias And Pluries Summons (Assess Fee)/Emplazamiento De Lo Civil [ ] Emplazamiento Suplementario (Imponer Cuota) AOC- CV-100 Vietnamese Rev. 6/11 Civil Summons [ ] Alias And Pluries Summons (Assess Fee)/Trát M ời H ầu Tòa Dân S ự [ ] Trát Đã Gử i Từ Hai L ần Tr ở 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 Complaint AOC- CV-103 Rev. 1/10 Delayed Service Of Complaint AOC- CV-110 New 5/13 Commitment Order For Civil Contempt AOC- CV-120 New 10/01 Complaint For Judicial Authorization For Underage Person To Marry AOC- CV-120 Instructions New 10/01 Instructions For Underage Person Seeking Court Authorization To Marry AOC- CV-121 New 10/01 Civil Summons In Action By Underage Person For Authorization To Marry Alias And Pluries Summons AOC- CV-122 New 10/01 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 6/01 Memorandum Of Judgment/Order/Resumen De La Decisión Judicial U Orden AOC- CV-221 New 4/98 Motion And Order For Continuance (Civil Superior Cases) AOC- CV-226 Rev. 10/13 Civil Affidavit Of Indigency 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 T ố Và Ki ến Ngh ị Ra L ệnh B ảo V ề Vì B ạo L ực Trong Gia Đình AOC-CV-303 Instructions Rev. 10 /14 Instructions For Domestic Violence Forms AOC- CV-303 Instructions Spanish Rev. 10 /14 Instructions For Domestic Violence Forms/Indicaciones Para LLenar Los Formularios Sobre Violencia Intrafamiliar FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 13 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE AOC- CV-303 Instructions Vietnamese Rev. 10/14 Instructions For Domestic Violence Forms/Hướ ng Dẫn Cách Đề n Nh ững Mẫu Đơn Về Bạo L ực Gia Đình AOC-CV-304 Rev. 5/13 Ex Parte Domestic Violence Order Of Protection AOC- CV-304 Spanish Rev. 5 /13 Ex Parte Domestic Violence Order Of Protection/Orden De Protección Ex Parte Por Violencia Intrafamiliar AOC- CV-304 Vietnamese Rev. 5/13 Ex Parte Domestic Violence Order Of Protection/L ệnh Bảo V ệ Vì B ạo L ực Gia 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 Protective Order/Thông Báo Phiên Tòa V ề L ệnh B ảo V ệ Vì B ạo L ực Gia Đình AOC-CV-306 Rev. 10/13 Domestic Violence Order Of Protection Consent Order AOC- CV-306 Spanish Rev. 10/13 Domestic Violence Order Of Protection [ ] Consent Order/ Orden De Protección Por Violencia Intrafamiliar [ ] Orden De Consentimiento 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 Custodia 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/Ki ến Ngh ị Ra L ệnh H ầu Tòa Để Trình Bầy Lý Do Đố i Với L ệnh B ảo V ệ Vì B ạo L ực 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 Violencia Intrafamiliar AOC- CV-308 Vietnamese Rev. 4/10 Order To Appear And Show Cause For Failure To Comply With Domestic Violence Protective Order/L ệnh H ầu Tòa Để Trình Bầy Lý Do Vì Sao Không Tuân L ệnh B ảo V ệ Vì B ạo L ực Gia Đình AOC-CV-309 Rev. 12/13 Contempt Order Domestic Violence Protective Order AOC- CV-309 Spanish Rev. 12/13 Contempt Order Domestic Violence Protective Order/Orden Por Desacato Orden De Protección Por Violencia Intrafamiliar AOC- CV-309 Vietnamese Rev. 12/13 Contempt Order Domestic Violence Protective Order/L ệnh K ết T ội Coi Thường Tòa Án Đố i Với L ệnh B ảo V ệ Vì B ạo L ực Gia Đình AOC-CV-311 New 5/94 Notice Of Ex Parte Hearing Before District Court Judge FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 14 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE 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 Phiên Xét X ử Ðõn Phuõng Trý ớc Th ẩm Phán Toà Án Khu V ực AOC- CV-312 Rev. 6/00 Identifying Information About Defendant Domestic Violence Action AOC- CV-312 Spanish New 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-313 Rev. 2/06 Motion To Renew / Or Set Aside Domestic Violence Protective Order Notice of Hearing AOC- CV-313 Spanish Rev. 2/06 Motion [ ] To Renew [ ] Or Set Aside Domestic Violence Protective Order Notice Of Hearing/Petición Para [ ] Extender O [ ] Revocar Una Orden De Protección Por Violencia Intrafamiliar Notificación De Audiencia AOC- CV-313 Vietnamese Rev. 2/06 Motion [ ] To Renew [ ] Or Set Aside Domestic Violence Protective Order Notice Of Hearing/[ ] Ki ến Ngh ị [ ] Gia H ạn [ ] Bãi B ỏ L ệnh B ảo V ệ Vì B ạo L ực Gia Đình Thông Báo Phiên Tòa AOC-CV-314 Rev. 2/06 Order Renewing 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/Orden 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 H ạn (Trang M ột)/L ệnh Bãi B ỏ (Trang Ba) L ệnh B ảo V ệ Vì B ạo L ực 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 Otro 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, Hữ u Thệ Và Đăng Bạ B ảo V ệ Vì B ạo L ực Gia Đình Đượ c Ban Hành Ngoài Ti ểu 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 Extensión De Una Orden Emitida Inaudita Pars AOC- CV-316 Vietnamese Rev. 12/04 Order Continuing Domestic Violence Hearing And Ex Parte Order/L ệnh D ời Phiên Tòa V ề B ạo L ực Gia Đình Và Gia Hạ n Lệnh Đơn Phương AOC-CV-317 Rev. 12/09 Civil Summons Domestic Violence Alias And Pluries Summons FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 15 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE 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/Trát M ời H ầu Tòa Dân S ự V ề T ội B ạo L ực 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 6/99 Application And Order To Appoint Guardian Ad Litem In Action For Domestic Violence Protective Order/Solicitud Y Orden Para Nombrar Un Defensor Ad Litem En La Acción Judicial Que Solicita Una Orden De Protección Por Violencia Intrafamiliar 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 Armas 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/Ki ến Ngh ị Đư ợc Tr ả L ại Vũ Khí Đã Giao Nộ p Theo Lệnh B ảo V ệ... AOC- CV-320 Rev. 2/14 Order Upon Motion To Return W eapons Surrendered Under Domestic Violence Protective Order AOC- CV-320 Spanish Rev. 2/06 Order Upon Motion To Return W eapons Surrendered Under Domestic Violence Protective Order/Orden Basada En Una Petición Para Devolver 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 W eapons 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 N ạn 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 Order For Failure To Prosecute 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 FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 16 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE 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 Velocidad (Condenas Fuera Del Condado/Fuera Del Estado O Condenas Federales) AOC- CV-352 Rev. 4/08 Limited Driving Privilege Impaired Driving (Out- Of-State Or Federal Convictions) 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 Velocidad (Condenas Fuera Del Condado/Fuera Del Estado O Condenas Federales) AOC- CV-353 Rev. 6/12 Petition For Limited Driving Privilege Driving While License Revoked Or Committing Moving Offense W hile Driving During Period Of Revocation AOC- CV-354 New 12/07 Limited Driving Privilege Driving W hile License Revoked Or Committing Moving Offense W hile Driving During Period Of Revocation AOC- CV-382 Rev. 10/14 Civil Bill Of Costs AOC- CV-400 Rev. 9/03 Writ Of Execution AOC- CV-401 Rev. 10/14 Writ Of Possession Real Property AOC- CV-402 Rev. 10/14 Writ Of Possession Personal Property AOC- CV-403 Rev. 9/03 Transcript And Certification Of Judgment 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 New 5/07 Notice Of Voluntary Dismissal/Aviso De Sobreseimiento Voluntario [ ] Complaint/Demanda [ ] Counterclaim/Contrademanda [ ] Other/Otra AOC- CV-406 Rev. 2/06 Notice Of Right To Have Exemptions Designated AOC- CV-407 Rev. 10 /14 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed Before Jan. 1, 2006) AOC- CV-407 Spanish Rev. 10/14 Motion To Claim Exempt Property (Statutory Exemptions) (Use if judgment filed before 1/1/06)/Petición Para Acogerse A Exenciones Sobre Bienes (Exenciones Establecidas En La Ley) (Utilice si se presentó la sentencia antes del 1 de enero de 2006) AOC- CV-407 Vietnamese Rev. 10/14 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed Before Jan. 1, 2006)/Ki ến Ngh ị Đư ợc Mi ễn Tr ừ Cho Tài S ản (Các Di ện Mi ễn Tr ừ Lu ật Ð ịnh) AOC- CV-408 Rev. 6/00 Notice Of Hearing On Exempt Property AOC- CV-409 Rev. 2/06 Order Designating Exempt Property AOC- CV-410 Rev. 9/03 Notice Payment On Judgment AOC- CV-411 Rev. 10 /14 Motion To Claim Exempt Property (Constitutional Exemptions) FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 17 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE AOC- CV-411 Spanish Rev. 10 /14 Motion To Claim Exempt Property (Constitutional Exemptions)/Petición Para Acogerse A Exenciones Sobre Bienes (Exenciones Constitucionales) AOC- CV-411 Vietnamese Rev. 10/14 Motion To Claim Exempt Property (Constitutional Exemptions)/Ki ến Ngh ị Đư ợc Mi ễn Tr ừ Cho Tài S ản (Các Di ện Mi ễn Tr ừ Hi ện Ð ịnh) 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 Rev. 10/14 Motion To Claim Exempt Property (Statutory Exemptions) (Use if judgment filed after 1/1/06) AOC- CV-415 Spanish Rev. 10/14 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 Presentó La Sentencia Antes Del 1 De Enero De 2006) AOC- CV-415 Vietnamese Rev. 10/14 Motion To Claim Exempt Property (Statutory Exemptions) (Use If Judgment Filed On Or After Jan. 1, 2006/Ki ến Ngh ị Đư ợc Mi ễn Tr ừ Cho Tài S ản (Các Di ện Mi ễn Tr ừ Lu ật Ð ịnh) AOC- CV-505 Rev. 3/09 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 Khiế u Tố Xin L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng Ứng AOC- CV-521 New 12/04 Civil Summons No-Contact 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 Summons No-Contact Order For Stalking Or Nonconsensual Sexual Conduct [ ] Alias And Pluries Summons/Trát M ời H ầu Tòa V ề L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Đư ợc Hưở ng 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 – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 18 CIVIL FORMS 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/Notificación 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 Phiên Tòa V ề L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục AOC- CV-523 New 11/04 Temporary No-Contact Order For Stalking Or Nonconsensual Sexual Conduct Ex Parte AOC- CV-523 Spanish New 11/04 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 New 11/04 Temporary No-Contact Order For Stalking Or Nonconsensual Sexual Conduct/L ệnh C ấm Ti ếp Xúc T ạm Th ời Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng Ứng [ ] Đơn Phương AOC-CV-524 Rev. 10/12 No-Contact Order For Stalking Or Nonconsensual Sexual Conduct AOC- CV-524 Spanish Rev. 10/12 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. 10/12 No-Contact Order For Stalking Or Nonconsensual Sexual Conduct/L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng 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 [ ] Extender [ ] 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.../Ki ến Ngh ị [ ] Gia H ạn [ ] Bãi B ỏ L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng 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 Acto Sexual Sin Consentimiento AOC- CV-526 Vietnamese Rev. 5/13 Order Renewing No-Contact Order For Stalking Or Nonconsensual Sexual Conduct/Án L ệnh Gia H ạn L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng Ứng AOC- CV-527 Rev. 10/12 Order Continuing No-Contact Hearing And Temporary Order FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 19 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE 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 AOC- CV-527 Vietnamese Rev. 10/12 Order Continuing No-Contact Hearing And Temporary Order/Án L ệnh D ời L ại Phiên Tòa Và Gia H ạn L ệnh C ấm Ti ếp Xúc T ạm Th ời AOC- CV-528 Rev. 10/14 Motion And Order To Show Cause For Failure To Comply W ith 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 W ith No- Contact Order For Stalking Or Nonconsensual Sexual Conduct)/Petición Y Orden Para Mostrar Causa Justificada De Incumplimiento De Una Orden De Prohibición De Contacto Por Acoso O Por Acto Sexual Sin Consentimiento AOC- CV-528 Vietnamese New 12/04 Motion And Order To Show Cause For Failure To Comply.../Ki ến Ngh ị Và L ệnh Trình Bày Lý Do Vì Sao Đã Không Tuân Thủ Lệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Đượ c Hư ởng Ứng AOC- CV-529 New 12/04 Contempt Order No-Contact Order For Stalking Or NonConsensual Sexual Conduct AOC- CV-529 Spanish New 12/04 Contempt Order No-Contact Order For Stalking Or Nonconsensual Sexual Conduct/Orden Por Desacato Orden De Prohibición De Contacto Por Acodo O Por Acto Sexual Sin Consentimiento AOC- CV-529 Vietnamese Rev. 12/04 Contempt Order No-Contact Order.../Án L ệnh K ết T ội Coi Thườ ng Tòa Án Đố i Với L ệnh C ấm Ti ếp Xúc Do Hành Vi Rình R ập Ho ặc Tình D ục Không Được Hưở ng Ứng/ AOC- CV-530 New 7/11 Complaint For Civil No-Contact Order Pursuant To The Workplace Violence Prevention Act Motion For Temporary No-Contact Order AOC- CV-531 New 7/11 Civil Summons Workplace Violence Prevention Act Alias And Pluries Summons AOC- CV-532 New 7/11 Notice Of Hearing On No-Contact Temporary Order Pursuant To The Workplace Violence Prevention Act [ ] Temporary Order [ ] Permanent Order AOC- CV-533 New 7/11 Temporary No-Contact Order Pursuant To The Workplace Violence Prevention Act Ex Parte AOC- CV-534 New 7/11 No-Contact Order Pursuant To The Workplace Violence Prevention Act AOC- CV-600 Rev. 3/03 Motion And Notice Of Hearing For Modification Of Child Support Order AOC- CV-600 Spanish New 9/04 Motion ANd Notice Of Hearing For Modification Of Child Support Order/Petición Y Aviso De Audiencia Para Modificar La Order AOC- CV-601 Rev. 3/09 Motion And Order To Show Cause For Failure To Comply W ith Order In Child Support Action AOC- CV-602 Rev. 3/ 09 Order To Appear And Show Cause For Failure To Comply With Support Order And Order To Produce Records And Licenses AOC- CV-603 Rev. 3/03 Commitment Order For Civil Contempt Child Support FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 20 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE AOC- CV-604 Rev. 7/01 Affidavit Of Parentage AOC- CV-604 Spanish Rev. 7/01 Affidavit Of Parentage/Declaración Jurada De Filiación AOC- CV-604 Vietnamese Rev. 7/01 Affidavit Of Parentage/Gi ấy Khai H ữu Th ệ Xác Nh ận Ph ụ H ệ AOC- CV-607 Rev. 3/09 Voluntary Support Agreement and Approval By Court (Non- IV-D Cases) AOC- CV-608 Rev. 3/09 Application, Summons And Order To Show Cause - Child Support AOC- CV-609 Rev. 7/11 Affidavit As To Status Of Minor Child AOC- CV-609 Spanish Rev. 7/11 Affidavit As To Status Of Minor Child/Declaración Jurada Sobre La Condición De Un Menor AOC- CV- 611 /DHHS 1054 Rev. 4 /15 Certificate Of Paternity AOC- CV-613 Rev. 3/09 Notice Of Hearing For Enforcement In Child Support Action AOC- CV-615 Rev. 3/09 Consent Agreement And Order To Modify Child Support Order AOC- CV-616 Rev. 3/09 Motion To W ithhold Wages To Enforce Child Support Order AOC- CV-617 Rev. 3/09 Request By Supporting Party For Wage Withholding AOC- CV-618 Rev. 3/09 Order To Withhold Wages To Enforce Child Support AOC- CV-619 Rev. 3/09 Request For Hearing To Contest Withholding To Enforce Child Support AOC- CV-621 Rev. 3/09 Motion For Modification / Termination Of Order For Wage Withholding AOC- CV-623 Rev. 3/09 Notice Of Change Or Termination Of W ithholding For Child Support AOC- CV-624 Rev. 3/09 Motion To Join Employer As Party To Enforce Wage Withholding AOC- CV-625 Rev. 11/08 Order On Motion To Join Employer As Party To Enforce W age Withholding AOC- CV-626 Rev. 10/14 Child Support Transmittal Order Initial / Modification AOC- CV-627 Rev. 1/15 Worksheet A Child Support Obligation Primary Custody AOC- CV-628 Rev. 1/15 Worksheet B Child Support Obligation Joint Or Shared Physical Custody AOC- CV-629 Rev. 1/15 Worksheet C Child Support Obligation Split Custody AOC- CV-630 Rev. 11/92 Order On Child Custody Mediation AOC- CV-630 Spanish Rev. 11/92 Order On Child Custody Mediation/Orden Para Asistir a Conciliación Sobre El Cuidado Y La Custodia De Menores AOC- CV-630 Vietnamese Rev. 11/92 Order On Child Custody Mediation/L ệnh V ề Vi ệc Hòa Gi ải Tranh Ch ấp Liên Quan Đế n Quyền Giám H ộ Con AOC- CV-631 Rev. 10/14 Order Approving Parenting Agreement AOC- CV-631 Spanish Rev. 9/02 Order Approving Parenting Agreement/Orden Que Aprueba El Acuerdo Sobre El Cuidado Y La Custodia De Menores AOC- CV-631 Vietnamese Rev. 10/14 Order Approving Parenting Agreement/L ệnh Phê Chu ẩn Tho ả Thu ận Nuôi D ạy Con AOC- CV-632 New 4/99 Motion And Order To Waive Custody Mediation FORMS REPORT – JANUARY-JUNE 2015 Civil Forms – January-June 2015 Page 21 CIVIL FORMS Forms Currently In Use FORM NO. CURRENT VERSION FORM TITLE A OC -CV -632 Spanish New 4/99 Motion And Order To Waive Custody Mediation/Petición De Exención De La Conciliación Sobre El Cuidado Y La Custodia Y Orden AOC- CV-632 Vietnamese New 4/99 Motion And Order To Waive Custody Mediation/Ki ến Ngh ị Và L ệnh Cho Mi ễn Tham Gia Hòa Gi ải Tranh Ch ấp V ề Quy ền Giám H ộ Con AOC- CV-634 Rev. 4/15 Motion To Modify Custody A