JV-133 Recommendation Regarding Ability to Repay Cost of Legal Services

JV-133
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, an d address):
FAX NO. (Optional):TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
CHILD(REN)'S NAME(S):
CASE NUMBER:
RECOMMENDATION REGARDING ABILITY TO REPAY
COST OF LEGAL SERVICES
has been reunified with the children under a court order. Repayment would harm his or her ability to support the children. I
do not, therefore, petition the court for an order of repayment.
Page 1 of 1
Form Approved for Alternative Optional Use
Instead of Form JV-136
Judicial Council of California
JV-133 [New January 1, 2013]
Welfare and Institutions Code, §§ 903.1,
903.45(b) , 90 3.47
STREET ADDRESS:
MAILING ADD RESS:
did not appear as ordered or respond to the order. As required by law, I re commend and petition that the court
order that person to repay the full cost of legal services, in the amount of $
1.
2.
www.courts.ca.gov
did appear as ordered. Based on an interview concerning his or her financial condition and an analysis of his or her
financial declaration and supporti ng documentation, I find that the responsible person (check all that apply):
3.
The responsible person:
On (date): , (name): , a person responsible for the support of the children
named above, was ordered to report for an evaluation to determine his or her ability to reimburse the court's cost of legal services
provided directly to him or her or to the ch ildren named above in this case.
is unable to repay the costs of the legal services in this case.a.
is able to repay the cost of legal services provided directly to him or her in the amount of $ .
b.
is able to repay the cost of legal services provided to the child(ren) named above in the amount of
$ and
c.
has agreed to repayment on the terms set forth on the accompanying Response to
Recommendation Regarding Ability to Repay Cost of Legal Services. I petition the court to
order repayment on these terms.
(1)
disputes this assessment of his or her ability to repay the assessed costs and has
requested a hearing.
(2)
A hearing is scheduled:
RECOMMENDATION REGARDING ABILITY TO REPAY
COST OF LEGAL SERVICES
(SIGNATURE OF FINANCIAL EVALUATION OFFICER)
Date:
Time:
Date:
at Court address above
other (specify address):
Dept./Room:
(NAME OF FINANCIAL EVALUATION OFFICER)
The responsible person is ordered to appear at the above time and place without further notice.
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