On March 18, 2019 a
Order
was filed
involving a dispute between
M.D.L.F.,
and
Arrowood, Cindy,
Does 1 Through 10, Inclusive,
Fisher, Diana,
Morongo Unified School District, A Government Entity,
for Personal Injury Non-Motor Vehicle Unlimited
in the District Court of San Bernardino County.
Preview
C erk stamps date here when form is filed
Order on Court Fee Waiver
Superior Court
i
SUPERIOt2 CJURT OF CALfFORIVUI
Person who asked the court to waive court fees COUfVTY OF SAN BERNARDINO
1O SAN BERWARI31N 2 BSTRICT
Name Melinda Fields
Street or mailing address 74203 Cactus Dr MA g 2 19
City Twentynine Palms State CA Zip 92277
E31 u
DE vTY
OLawyer ifperson in 10 has one name address phone number
e mail and State Bar number Theida Salazar Esq
2140 North Hollywood Way 7192 Burbank 91510 818 433 7290 SBN 295547 Fill in court name and street address
Superior Court of California County of
SAN BERNARDINO
247 W 3rd Street
San Bernardino CA 92415
OA to waive court fees was filed on date fR 1
request
g
The court made a previous fee waiver order in this case on date
Fill in case number andname
Case Number
Read this form carefully All checked boxes are court orders
Case Name
Fields v Morongo Unified SD et al
Notice The court may order you to answer questions about your finances and later order you to pay back the waived
fees If this happens and you do not pay the court can make you pay the fees and also charge you collection fees If there
is a change in your financial circumstances during this case that increases your ability to pay fees and costs you must
notify the trial court within five days Use form FW 010 If you win your case the trial court may order the other side
to pay the fees If you settle your civil case for 10 000 or more the trial court will have a lien on the settlement in the
amount of the waived fees e trial court may not dismiss the case until the lien is paid
After reviewing your Request to Waive Court Fees Request to Waive Additional Court Fees
4
e court makes the following orders
a The court grants your request as follows
1 Fee Waiver The court grants your request and waives your court fees and costs listed below Cal
Rules ofCourt rules 3 SS and 8 818 You do not have to pay the court fees for the following
Filing papers in Superior Court Giving notice and certificates
Making copies and certifying copies Sending papers to another court department
Sheriff sfee to give notice Court appointed interpreter in small claims court
Court fee for phone hearing
Reporter s fee for attendance at hearing or trial if reporter provided by the court
Assessment far court investigations under Probate Code section 1513 1826 or 1851
Preparing certifying copying and sending the clerk s transcript on appeal
Holding in trust the deposit for a reporter s transcript on appeal under rule 8 130 or 8 834
Making a transcript or copy of an official electronic recarding under rule 8 835
2 Additional Fee Waiver The court grants your request and waives your additional superior court fees
and costs that are checked below Cal Rules of Court rule 3 56 You do not have to pay for the
checked items
Jury fees and expenses Fees for a peace officer to testify in court
Fees for court appointed experts Court appointed interpreter fees for a witness
Other specify
ludicialCouncilofCalifomia
www courts ca gov
Superior Court FW 003 PBge 1 of 2
Order on Court Fee Waiver
Revised July 1
2015 Mandatory Form
Govemment Code68634 e
CalRules
ofCourt 3 52
rule
C er
Your name Melinda Fields 9 O O Z
b The court denies your fee waiver request as follows
Warning If you miss the deadline below the court cannotprocess your request for hearing or the court papers
you filed with your original request
If the papers were a notice of appeal
the appeal may be dismissed
1 The court denies your request because it is incomplete You ha e 10 days after the clerk gives notice of
this order see date of service on next page to
Pay your fees and costs or
File a new revised request that includes the items listed below specify incomplete items
2 The court denies your request because the information you provided on the request shows that you are
not eligible far the fee waiver you requested specify reasons
The court has enclosed a blank Requestfor Hearing About Court Fee Waiver Order Superior Court
form FW 006 You have 10 days after the clerk gives notice of this order see date of service below to
Pay your fees and costs in fullor the amount listed in c below or
Ask for a hearing in order to show the court more information Use form FW 006 to request
hearing
The court needs more information to decide whether to grant your request You must go to court on the date
below The hearing will be about specify questions regarding eligibility
Bring the following proof to support your request if reasonably available
Name and address of court if different from above
Hearing Date Time
Date
Dept Room
Warning If item c is checked and you do not go to court on your hearing date the judge will deny your
request to waive court fees and you will have 10 days to pay your fees If youmiss that deadline the
court cannot process the court papers you filed with your request Ifthe papers were a notice of appeal
the appeal may be dismissed
Amber M G
Date IIAR n 9 Signature ofcheckon Judicial Officer Clerk Deputy
Request for Accommodations Assistive listening system computer assisted real time captioning or sign
language interpreter services are available if you ask at least 5 days before your hearing Contact the clerk s
office for Request for Accommodation Form MC 410 Civil Code 54 8
Clerk s Certificate of Service
I certify that I am not involved in this case and check one A certificate of mailing is attached
I handed a copy of this order to the party and attorney if any listed in 1 and 2 at the court on the date below
This order was mailed first class postage paid to the party and attorney if any at theaddresses listed in and 0
from city California on the
Date Clerk y Deputy
G r
Revised 1 2015 FW 003 Page 2of2
July Order on Court Fee Waiver Superior Court
Document Filed Date
March 18, 2019
Case Filing Date
March 18, 2019
Category
Personal Injury Non-Motor Vehicle Unlimited
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