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OREM
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Sep-02-2009 8:21 am
"Case Number: CGC-09-489060
Filing Date: Aug-25-2009 11:02
Juke Box: 001 Image: 02604582
} ORDERED FOR APPLICATION OF WAIVER OF COURT FEES, PI
GLORIA FORTIER et al VS. THE CITY AND COUNTY OF SAN FRANCISCO et al
001002604582
Instructions:
Please place this sheet on top of the document to be scanned.C
Order on Court Fee Waiver Clerk stamps date here when form is fied.
(Superior Court)
E
@ Person who asked the court to waive court fees: Superat Court of Galfomia
Name: Tristan Fortier-McGuire
Street or mailing address: 2275 19th Ave.. #17 AUG 2 0 2009
City; San Francisco State:__CA__ Zip: 94116 GORDON, PARICLI, Clerk
@ Lawyer, if person In () has one (name, address, phone number, OY aay Ce
e-mail, and State Bar number): Greg Groeneveld (SBN 163833)
220 Montgomery St., Ste 961., San Francisco, CA 94104
415-308-3637
Greg@GregGroeneveldLaw.com
@) ‘A request to waive court fees was filed
bill in Court name ana street a0oress:
‘Superior Court of California, County of
San Francisco
400 McAllister St
(date): .
on (date). . San Francisco, CA 94102
DD The court made a previous fee waiver order in this case
on (date): , Fill in casa number and case name:
CGC 09 489060
Case Name:
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. The trial court may not dismiss the case until the lien is paid.
Read this form carefully, All checked boxes Ware court orders.
@® After reviewing your (check one): Request to Waive Court Fees 1) Request to Waive Additional Court Fees
the court makes the following orders:
a. D The court grants your request, as follows:
(1) DD Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of
Court, rule 3,55.) 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 ’s fee to give notice * Court-appointed interpreter in small claims court
* Reporter's daily fee (for up to 60 days following the fee waiver order at the court-approved daily rate)
« Preparing and certifying the clerk’s transcript on appeal * Court fees for phone hearings
(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.
1 Jury fees and expenses O Fees fora peace officer to testify in court
O Fees for court-appointed experts C2 Court-appointed interpreter fees for a witness
(Ol Reporter's daily fees (Beyond the 60-duy period following the fee waiver order)
0 Other (specify):
(3)D0 Fee Waiver for Appeal. The court grants your request and waives the fees and costs checked below, for your
appeal. (Cal. Rules of Court, rules 3.55, 3.56, 8.26, and 8.818.) You do not have to pay for the checked items.
(0 Preparing and certifying clerk’s transcript for appeal
0 Other (specify):
LY Other (specif)
See tO ermorten™ — Order on Court Fee Waiver (Superior Court) FW.003, Page 1 of 2
‘Severrsnert Code. SES83410)
Cattora Rises of Court, nse 3 52 rarmeniaan Leyalleel 1S
woes Forravork ow cor}C
Your name: Tristan Fortier-McGuire
eee
b. O The court denies your request, as follows:
‘Warning! If you miss the deadline below, the court cannot process 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) 0 The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of
this order (see date below) to:
+ Pay your fees and costs, or
« File a new revised request that includes the items listed below {specyy incomplete items):
(2) D0 The court denics your request because the information you provided on the request shows that you are not
eligible for the fee waiver you requested (specify reasons):
The court has enclosed a blank Request for 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 below) to:
* Pay your fees and costs, or
+ Ask for a hearing in order to show the court more information. (Use form FIV-006 to request hearing.)
c. 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):
C1 Bring the following proof to support your request if reasonably available:
Name and address of court if different from page 1:
a7 9 rime: 7 et
Rm.
Warning! If item cis checked, and you do not go to court on your hearing date, the judge will deny your request to
walve court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot process
Date:
ime edptioning, or sign
Request for Accommodations, Assistive listening systems, computer-assisted
4nfg. Contact the clerk’s
language interpreter services are available if you ask at least 5 days before you
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): (1) A certificate of mailing is attached.
C1 I handed a copy of this order to the party and attorncy, if any, listed in@®) and @, at the court, on the date below.
this order was mailed first class, posjage paid, to the party and attorney, ifany, at the addresses listed in@ ang
from (city): ta 'S , California on the date below, RAYRAY Z
3 F Clerk, by
bam Bela ca: 0x0 10 00109: @, Page 2 of 2
Preview
OREM SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO Document Scanning Lead Sheet Sep-02-2009 8:21 am "Case Number: CGC-09-489060 Filing Date: Aug-25-2009 11:02 Juke Box: 001 Image: 02604582 } ORDERED FOR APPLICATION OF WAIVER OF COURT FEES, PI GLORIA FORTIER et al VS. THE CITY AND COUNTY OF SAN FRANCISCO et al 001002604582 Instructions: Please place this sheet on top of the document to be scanned.C Order on Court Fee Waiver Clerk stamps date here when form is fied. (Superior Court) E @ Person who asked the court to waive court fees: Superat Court of Galfomia Name: Tristan Fortier-McGuire Street or mailing address: 2275 19th Ave.. #17 AUG 2 0 2009 City; San Francisco State:__CA__ Zip: 94116 GORDON, PARICLI, Clerk @ Lawyer, if person In () has one (name, address, phone number, OY aay Ce e-mail, and State Bar number): Greg Groeneveld (SBN 163833) 220 Montgomery St., Ste 961., San Francisco, CA 94104 415-308-3637 Greg@GregGroeneveldLaw.com @) ‘A request to waive court fees was filed bill in Court name ana street a0oress: ‘Superior Court of California, County of San Francisco 400 McAllister St (date): . on (date). . San Francisco, CA 94102 DD The court made a previous fee waiver order in this case on (date): , Fill in casa number and case name: CGC 09 489060 Case Name: 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. The trial court may not dismiss the case until the lien is paid. Read this form carefully, All checked boxes Ware court orders. @® After reviewing your (check one): Request to Waive Court Fees 1) Request to Waive Additional Court Fees the court makes the following orders: a. D The court grants your request, as follows: (1) DD Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of Court, rule 3,55.) 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 ’s fee to give notice * Court-appointed interpreter in small claims court * Reporter's daily fee (for up to 60 days following the fee waiver order at the court-approved daily rate) « Preparing and certifying the clerk’s transcript on appeal * Court fees for phone hearings (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. 1 Jury fees and expenses O Fees fora peace officer to testify in court O Fees for court-appointed experts C2 Court-appointed interpreter fees for a witness (Ol Reporter's daily fees (Beyond the 60-duy period following the fee waiver order) 0 Other (specify): (3)D0 Fee Waiver for Appeal. The court grants your request and waives the fees and costs checked below, for your appeal. (Cal. Rules of Court, rules 3.55, 3.56, 8.26, and 8.818.) You do not have to pay for the checked items. (0 Preparing and certifying clerk’s transcript for appeal 0 Other (specify): LY Other (specif) See tO ermorten™ — Order on Court Fee Waiver (Superior Court) FW.003, Page 1 of 2 ‘Severrsnert Code. SES83410) Cattora Rises of Court, nse 3 52 rarmeniaan Leyalleel 1S woes Forravork ow cor}C Your name: Tristan Fortier-McGuire eee b. O The court denies your request, as follows: ‘Warning! If you miss the deadline below, the court cannot process 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) 0 The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of this order (see date below) to: + Pay your fees and costs, or « File a new revised request that includes the items listed below {specyy incomplete items): (2) D0 The court denics your request because the information you provided on the request shows that you are not eligible for the fee waiver you requested (specify reasons): The court has enclosed a blank Request for 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 below) to: * Pay your fees and costs, or + Ask for a hearing in order to show the court more information. (Use form FIV-006 to request hearing.) c. 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): C1 Bring the following proof to support your request if reasonably available: Name and address of court if different from page 1: a7 9 rime: 7 et Rm. Warning! If item cis checked, and you do not go to court on your hearing date, the judge will deny your request to walve court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot process Date: ime edptioning, or sign Request for Accommodations, Assistive listening systems, computer-assisted 4nfg. Contact the clerk’s language interpreter services are available if you ask at least 5 days before you 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): (1) A certificate of mailing is attached. C1 I handed a copy of this order to the party and attorncy, if any, listed in@®) and @, at the court, on the date below. this order was mailed first class, posjage paid, to the party and attorney, ifany, at the addresses listed in@ ang from (city): ta 'S , California on the date below, RAYRAY Z 3 F Clerk, by bam Bela ca: 0x0 10 00109: @, Page 2 of 2