Form APP-016/FW-016 "Order on Court Fee Waiver (Court of Appeal or Supreme Court)" - California

What Is Form APP-016/FW-016?

This is a legal form that was released by the California Judicial Branch - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2010;
  • The latest edition provided by the California Judicial Branch;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form APP-016/FW-016 by clicking the link below or browse more documents and templates provided by the California Judicial Branch.

ADVERTISEMENT
ADVERTISEMENT

Download Form APP-016/FW-016 "Order on Court Fee Waiver (Court of Appeal or Supreme Court)" - California

1457 times
Rate (4.8 / 5) 87 votes
Order on Court Fee Waiver (Court
Clerk stamps date here when form is filed.
APP-016/FW-016
of Appeal or Supreme Court)
To keep other people from
seeing what you entered on
1
Person who asked the court to waive court fees:
your form, please press the
Clear This Form button at the
Name:
end of the form when finished.
Street address:
City:
State:
Zip:
Phone number:
2
Lawyer, if person in
has one: (Name, address, phone number, e-mail,
1
Fill in court name and street address:
and State Bar number):
3
On (date):
you filed a Request to Waive Court Fees (form
Court of Appeal or Supreme Court
FW-001).
Case Number:
4
The court reviewed your request and makes the following order:
a.
The court grants your request and waives your court fees and costs listed below. You do not have to pay
fees for the following:
Filing notice of appeal, petition for writ, or petition for review
Other (specify):
b.
The court denies your request for the following reasons:
(1)
Your request is incomplete. You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File a new revised request that includes the items listed below (specify incomplete items):
(2)
The information you provided on the request shows that you are not eligible for the fee waiver you
requested (specify reasons):
You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File more information that shows you are eligible.
(3)
The court finds there is substantial question regarding your eligibility (describe issue regarding
eligibility):
You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File the following additional documents to support your request:
Warning! If you miss the deadline for paying your fees and costs or providing the additional items required by the
court and you are the appellant, your appeal may be dismissed.
Order on Court Fee Waiver
Judicial Council of California, www.courts.ca.gov
APP-016/FW-016,
Page 1 of 2
Rev. July 1, 2010
(Court of Appeal or Supreme Court)
Government Code, § 68634.5
Order on Court Fee Waiver (Court
Clerk stamps date here when form is filed.
APP-016/FW-016
of Appeal or Supreme Court)
To keep other people from
seeing what you entered on
1
Person who asked the court to waive court fees:
your form, please press the
Clear This Form button at the
Name:
end of the form when finished.
Street address:
City:
State:
Zip:
Phone number:
2
Lawyer, if person in
has one: (Name, address, phone number, e-mail,
1
Fill in court name and street address:
and State Bar number):
3
On (date):
you filed a Request to Waive Court Fees (form
Court of Appeal or Supreme Court
FW-001).
Case Number:
4
The court reviewed your request and makes the following order:
a.
The court grants your request and waives your court fees and costs listed below. You do not have to pay
fees for the following:
Filing notice of appeal, petition for writ, or petition for review
Other (specify):
b.
The court denies your request for the following reasons:
(1)
Your request is incomplete. You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File a new revised request that includes the items listed below (specify incomplete items):
(2)
The information you provided on the request shows that you are not eligible for the fee waiver you
requested (specify reasons):
You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File more information that shows you are eligible.
(3)
The court finds there is substantial question regarding your eligibility (describe issue regarding
eligibility):
You have 10 days from the date this notice was sent to:
Pay your fees and costs, or
File the following additional documents to support your request:
Warning! If you miss the deadline for paying your fees and costs or providing the additional items required by the
court and you are the appellant, your appeal may be dismissed.
Order on Court Fee Waiver
Judicial Council of California, www.courts.ca.gov
APP-016/FW-016,
Page 1 of 2
Rev. July 1, 2010
(Court of Appeal or Supreme Court)
Government Code, § 68634.5
Court of Appeal/Supreme Court
Case Number:
Court of Appeal/
Supreme Court Case Name:
4
c.
The court needs more information. You must go to court on the date below.
_
Hearing
>
Date:
Time:
Dept.:
Date
Name and address of the court if different from page 1:
Bring the following proof to support your request, if it is reasonably available:
Warning! If item
c. is checked and you do not go to court on your hearing date, the court will deny your
4
request to waive court fees and you will have 10 days to pay your fees. If you are the appellant and you do not pay
your filing fees, your appeal may be dismissed.
Date:
Signature of (check one):
Judicial Officer
Clerk, Deputy
Order on Court Fee Waiver
,
APP-016/FW-016
Page 2 of 2
Rev. July 1, 2010
(Court of Appeal or Supreme Court)
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.
Page of 2