FW-016: FW 016 Form | CA Small Claims

1

list

Person Waiving Name

fill text 23

fill text 21

fill text 20

fill text 22

fill text 212

fill text 13

T

Order Spec

fill text 12

check box 2

Order Spec

check box 4

fill text 135

check box 5

fill text 14

check box 6

fill text 16

fill text 29

Order Spec

Hearing Date

Hearing Time

Hearing Dept

Hearing Court Ft

check box 8

fill text 33

2

Court Info

Case Number

3

Case Name

Case Number

4

fill text 26

Sig Def

5

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