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Local Court Forms

Kern County Superior Court Local Forms

The links below allow the printing of Local Forms referenced in the current Local Rules of the Court for Kern Superior Court. If you do not find the form you are looking for below, you probably need a California State Form, not a Local Form. By clicking on the link you can print out the Local Form for use at the Courthouse.

Local Court Forms

FORM NUMBER TITLE OF FORM EFFECTIVE or REVISED DATE MANDATORY or OPTIONAL FORM
CLERK 580 2170 063B Citation - Freedom from Parental Custody and Control (Abandonment) (Re: Adoption) Rev. 3/1979 Optional
CLERK 580 2170 CI-262 Amendment to Complaint Eff. 6/1991 Optional
FCS-001 Identification Information Rev. 11/2018 Mandatory
FORM NO. 500 Order on Petition For Resentencing/Reduction Eff. 11/5/14 Optional
FORM NO. 501 Response For Resentencing/For Reduction to Misdemeanor Eff. 2/19/16 Optional
FORM NO. 502 Petition For Resentencing/For Reduction to Misdemeanor Eff. 1/8/16 Optional
KC ADR-101 ADR Stipulation and Order Form Rev. 7/2014 Mandatory
KC CLERK CI-115 Affidavit for Issuance of Writ of Execution and Order Rev. 9/1973 Optional
KERN RRD 0320 Revenue Recovery Division Recommendation Re Request for Waiver of Fees Rev. 8/14/19; rev. 9/9/19; rev. 11/7/19; rev. 3/3/20 Mandatory
KERN-0007 Statement of Classification and Location Rev. 11/1/03 Optional
KERN-0014 Eviction Instructions Eff. 3/2016 Optional
KERN-0020 General Service Instructions Eff. 3/2016 Optional
KERN-0021 Application for Issuance of Writ of Possession of Real Property (Unlawful Detainer) Rev. 2/26/15 Optional
KERN-0022 Post-Arbitration Survey Rev. 4/8/15 Optional
KERN-0023 Request for Temporary Orders; Notice to Other Party Rev. 8/1/12 Optional
KERN-0024 Stipulation and Order For Continuance/Temporary Orders and Continuance Est. 5/30/13; rev. 5/26/15 Optional
KERN-0028 Electronic/Traditional Writ Declaration Rev. 3/2016 Optional
KERN-0029 Civil Harassment (Law Enforcement Information) Eff. 9/21/16; rev. 8/22/23 Optional
KERN-0030 CRC 5.450/FC6306 Compliance Form Rev. 5/2007 Optional
KERN-2390 Court Interpreter Services Rev. 1/21/15; rev. 3/23/15; rev. 10/5/16; rev. 10/1/18; rev. 5/16/23; rev. 7/1/24 Optional
KN-151 Notice of Entry of Judgment and Proof of Service by
Mail (Freedom from Parental
Custody/Control/Termination of Parental Rights)
Rev. 11/7/16 Optional
KRN SUP CRT 1121 Civil Assessment Petition and Order Rev. 8/2022 Optional
KRN SUP CRT CIV-01 Settlement Conference Declaration/Trial Brief Rev. 11/2018 Mandatory
KRN SUP CRT CIV-0025 Court Reporter Services Request by a Party with a Fee
Waiver
Appr. 8/2018 Optional
KRN SUP CRT CIV-2340 Sister State Judgment Pursuant to 1710.25 CCP Adpt. 8/22/23 Optional
KRN SUP CRT CIV-2341 Request to Set Prove Up Hearing/Default Setting for
Civil Cases
Adpt. 8/22/23 Optional
KRN SUP CRT CIV-2440 Stipulation and Order for Appointment of Privately Compensated Temporary Judge Adpt. 1/1/2024 Mandatory
KRN SUP CRT CR-0314 Domestic Violence Diversion Program Instructions Rev. 6/28/23 Mandatory
KRN SUP CRT CR-0318 Request for Continuance of Arraignment Due to
COVID-19
Adpt. 3/2020; rev. 10/2023 Mandatory
KRN SUP CRT CR-0324 Order for Penal Code 1001.95 Diversion Impl. 3/24/21; rev. 10/18/23 Mandatory
KRN SUP CRT CR-409-1 Petition for Sealing of Arrest Records Eff. 7/2018 Optional Form
KRN SUP CRT CR-410-1 Order Sealing Arrest Records PC §851.91 Eff. 7/2018 Optional
KRN SUP CRT CR-0415 Notice of Waiver of Rights and Request for Remote
Video Arraignment
Adpt. 4/2020; rev. 10/2023 Mandatory
KRN SUP CRT CR-0420 Notice and Waiver of Rights and Request for Remote
Video for Preliminary Hearing
Adpt. 4/2020; rev. 10/2023 Mandatory
KRN SUP CRT CR-0608F Bail Review Hearing in re Humphrey Impl. 6/2021; rev. 6/24/21; rev. 10/18/23 Optional
KRN SUP CRT CR-977 Waiver of Defendant’s Personal Presence Pursuant to
Penal Code Section 977
Adpt. 3/2022 Mandatory
KRN SUP CRT CR-
1123
Petition/Application (Health and Safety Code, §11361.8)
Adult Crime(s)
Eff. 1/2017; rev. 12/5/18 Optional
KRN SUP CRT CR-
1124
Order After Petition/Application (Health and Safety
Code, §11361.8) Adult Crime(s)
Eff. 1/2017; rev. 12/5/18 Optional
KRN SUP CRT CR-
1125
Response (Health and Safety Code, §11361.8) Adult
Crime(s)
Eff. 1/2017; rev. 12/5/18 Optional
KRN SUP CRT CR-1201 Probation Petition & Order – AB 1950 Felony Impl. 12/9/20; rev. 10/18/23 Optional
KRN SUP CRT CR-
2300
Petition to Obtain Copies of Confidential Criminal Court
Records
Adpt. 2/17/23 Mandatory
KRN SUP CRT CR-2401 Reporter's Request for Payment on Appeals Adpt. 7/1/24 Mandatory
KRN SUP CRT CR-2404 Misdemeanor Informal Arraignment  Rev. 7/5/24; rev. 10/4/24 Mandatory
KRN SUP CRT CV-
153
Writ of Executive - Attachment 20 Eff. 11/2019 Optional
KRN SUP CRT FL-
01
Ex Parte Application for Telephonic Appearance and
Order Thereon
Rev. 11/2018 Mandatory
KRN SUP CRT FL-
03
Stipulation to Continue and Order Thereon Rev. 11/2018 Mandatory
KRN SUP CRT FL-
0122
Confidential-Party Identification and Notice of Related
Case(s)
Rev. 1/1/2022 Mandatory
KRN SUP CRT FL-
2296
Return Receipt Received: US Postal Service (Family
Law)
Rev. 8/13/19 Optional
KRN SUP CRT FL-
2325
Petition for Freedom from Parental Custody and Control Rev. 1/10/23 Optional
KRN SUP CRT FL-
2326
Order Granting Petition for Freedom from Parental
Custody and Control
Rev. 1/10/23 Optional
KRN SUP CRT FL-2327 Family Law At-Issue Memorandum for Trial Settings Adpt. 11/2023 Optional
KRN SUP CRT FL-2426 Family Law Exhibit List Adpt. 5/15/24 Optional
KRN SUP CRT FL-2427 Family Law Certificate of Assignment - Venue Declaration Adpt. 7/1/24 Mandatory 
KRN SUP CRT FL-
2712
Notice of Lodging (Family Law) Adpt. 3/16/19 Optional
KRN SUP CRT MC-1123A Appointment of Pre-Approved Official Reporter Pro
Tempore
Rev. 9/14/20 Optional
KRN SUP CRT MC-1123B Appointment of Official Reporter Pro Tempore Eff. 6/2013; rev. 9/14/20 Optional
KRN SUP CRT MC-1124 Agreement for Pre-Approved Official Reporters Pro
Tempore List
Eff. 6/2013; rev. 12/5/18; rev. 9/14/20 Optional
KRN SUP CRT MC-2377 Notice and Stipulation to Temporary Judge Ruling on Ex Parte Application Adpt. 1/1/24 Mandatory 
KRN SUP CRT MC-2477 Request to Cancel an Interpreter  Adpt. 5/17/24 Optional 
KRN SUP CRT MC-2478 Appointment, Termination or Resignation of Supporter Adpt. 10/1/24 Optional 
KRN SUP CRT MI-
0315
Request and Order for Audio Stream or Video Remote
Access/Non-Party
Impl. 3/15/22; rev. 10/18/23 Mandatory
KRN SUP CRT PB-
001
Court Reporter Services Request (Probate) Eff. 7/19/18 Optional
KRN SUP CRT PB-
003
Declaration of Diligent Search and Request to Dispense
with Notice (Probate)
Eff. 9/2018 Optional
KRN SUP CRT PB-
8524
Guardianship Questionnaire Eff. 1/1/20; rev. 3/2023 Mandatory
KRN SUP CRT PB-
8525
Guardianship Termination/Objection Questionnaire Eff. 1/1/20; rev. 1/21/20; rev. 5/2023 Mandatory
KRN SUP CRT PR-
2351
Request for Temporary Orders; Ex Parte Compliance
(Probate)
Rev. 2/2/23; rev. 8/21/23 Optional
KRN SUP CRT PR-
2352
Notice to Conservatee of Rights to Probate Code §1835.5 Adpt. 2/21/23 Mandatory
KRN SUP CRT PR-2451 Petition and Report of Personal Representative  Adpt. 5/03/24 Optional
KRN SUP CRT PR-2452 Petition for Settlement of Final Account/Account Current (Conservatorships/Guardianships) Adpt. 5/03/24 Optional
KRN SUP CRT TR-
0501
Ignition Interlock Devices DMV Fast Facts #31 Adpt. 5/2022 Mandatory
KRN SUP CRT TR-
0502
Notice and Advisal Re: Ignition Interlock Device Adpt. 5/2022 Mandatory
KRN SUP CRT TR-
0503
Correctable (Fix It) Citations, Proof of Correction and
Reduced Bail
Adpt. 5/2022 Mandatory
KRN SUP CRT TR-
0504
Proof of Correction Certificate – Traffic Infraction
Violations
Adpt. 5/2022 Mandatory
KRN SUP CRT TR-0505 Traffic Advisement of Rights Adpt. 5/2022; rev. 9/2024 Mandatory
KRN SUP TR-050 Traffic Advisal/Waiver of Constitutional Rights for Plea by Mail Rev. 7/2018; rev. 6/2020; rev. 7/2022 Mandatory
PR-054 Referral for Investigator's Report Per Probate Code §1826 Rev. 11/2018 Mandatory
SCKC 159 Exemplification Eff. 9/2007 Optional
SUP CRT 580 9410 CI-12 At-Issue Memorandum Rev. 1/1999 Optional
SUP CRT 580 9410 CI-80 Application and Order for Publication of Notice of Hearings or Summons or Citation Eff. 4/2002 Optional
SUP CRT 9410 CR-010 Receipt for Records Rev. 6/2017; rev. 10/2018; rev. 10/2023 Optional
SUP CRT 9410 CR-020 Record of Criminal Documents Rev. 6/2017; rev. 10/2018 Optional
SUP CRT FL-2825 Ex Parte Application and Order Confirming Retention of
Martial Surname (Family Law)
Adpt. 8/6/19 Optional
SUP CRT KERN-
0052
Request for Modification of Criminal Protective Order Eff. 7/8/16 Optional
VN-147 Notice of Motion and Motion for Order Vacating
Default
Rev. 1/2010 Optional
Unclaimed Funds Instructions and Forms  
TR-205 Request For Trial By Written Declaration Adpt. 1/1/99  
TR-200 Instructions to Defendant Rev. 1/1999  

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