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JV-455: JV 455 Form | CA Small Claims
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JV-455
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JV 455 Form
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1
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Bar No Ft
Atty Name Ft
Atty Firm Ft
Atty Street Ft
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Atty State Ft
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Atty Zip Ft
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NH
NJ
NM
NY
NC
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OH
OK
OR
PA
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Phone Ft
Fax Ft
Email Ft
Atty For Ft
Crt County Ft
Street Ft
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MI
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MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
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VA
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Mailing Add Ft
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NJ
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NY
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ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
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WI
WY
DC
City Zip Ft
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DE
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ID
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KY
LA
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MD
MA
MI
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MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
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Branch Ft
Party1 Ft
Case Number Ft
2
item
Date Tf
Department Tf
Judicialofficer Tf
Courtclerk Tf
Courtreporter Tf
Bailiff Tf
Interpreter Tf
Child Tf
Field 9
Attorney
Present
Apptoday
Mother Tf
Present
Attoneyname
Present
Apptoday
Fatherpresumed Tf
Present
Attname
Presnet
Apptoday
Fatherbiological Tf
Present
Attorneyname
Present
Appttoday
Fatheralleged Tf
Present
Attorn
Present
Apptoday
Legalguardian Tf
Present
Attname
Present
Appttoday
Indiancustodian Tf
Present
Attorneyname
Present
Appttoday
Defactoparent Cb
$
Present
Attname
Present
Appttoday
Socialworker Cb
Present
Attname
Present
Appttoday
Tribalrep Cb
Present
Attorney
Present
Appttoday
Otherspecify Cb
Present
Attname
Present
Appttoday
Otherspecify Cb
Present
Attname
Present
Appttoday
Casa Cb
Othername Cbi
Othername Cb
Socialworkerreport Cb
Socialworkerreport Df
Casareport Cb
Casa Df
Caseplan Cb
Caseplan Df
Otherspecify D
Specify D
Otherspecify Cb
Otherspecify Tf
Item3a Cb
Item3b Cb
Thechild3b
Item4a Cb
Ismaybe4a
Ismaybe4a
Item4b Cb
Item5 Cb
Item6a Cb
Item6b Cb
Item6b1 Tf
Item6b2 Tf
Item6b3 Cb
Mother Cb
Biologicalfather Cb
Legalguardian Cb
Child Cb
Presumedfather Cb
Allegedfather Cb
Indiancustodian Cb
Otherspecify Cb
Otherspecify Tf
Otherspecify Cb
Otherspecify Tf
Mother Cb
Biologicalfather Cb
Legalguardian Cb
Child Cb
Presumedfather Cb
Allegedfather Cb
Indiancustodian Cb
Otherspecify Cb
Otherspecify Tf
Otherspecify Cb
Otherspecify Tf
Item9a Cb
Child Cb
Mother Cb
Father Cb
Representative Cb
Otherspecify Cb
Specify
Other B
Specify Tf
Item9b Cb
Child Cb
Mother Cb
Father Cb
Representative Cb
Other Cb
Specify Tf
Otherspecify Cb
Otherspecify Tf
Hashasnot10ab
Hashasnot10ab
Item12 Cb
Have Cb
Have Cb
Did Cb
Did Cb
Were Cb
Were Cb
Have Cb11d
Have Cb11d
Successful Cb
Successful Cb
Mother Cb
Levelprogress12a
Levelprogress12a
Levelprogress12a
Levelprogress12a
Levelprogress12a
Presumedfather Cb
Levelprogress12b
Levelprogress12b
Levelprogress12b
Levelprogress12b
Levelprogress12b
Biologicalfather Cb
Levelprogress12c
Levelprogress12c
Levelprogress12c
Levelprogress12c
Levelprogress12c
Legalguardian Cb
Levelprogress12d
Levelprogress12d
Levelprogress12d
Levelprogress12d
Levelprogress12d
Indiancustodian Cb
Levelprogress12e
Levelprogress12e
Levelprogress12e
Levelprogress12e
Levelprogress12e
Otherspecify Cb
Otherspecify Tf
Levelprogress12f
Levelprogress12f
Levelprogress12f
Levelprogress12f
Levelprogress12f
Otherspecify Cb
Otherspecify Tf
Levelprogress12g
Levelprogress12g
Levelprogress12g
Levelprogress12g
Levelprogress12g
Item14 Cb
Item15 Cb
Item16a Cb
Item16b Cb
Are Arenot A
Are Arenot A
Are Arenot B
Are Arenot B
Are Arenot C
Are Arenot C
Are Arenot D
Are Arenot D
Does Cb
Does Cb
Date Field
Item19 Cb
Item19a Cb
Item19b Cb
Textfield Tf
Item20 Cb
Socialworker Cb
Parent Cb
$
Parent Tf
$
Surrogate Cb
Surrogate Tf
Edcationalrep Cb
Edcationalrep Tf
Other Cb
Other Tf
Item21 Cb
Item21a Cb
Item21b Cb
Item21c Cb
Item22 Cb
Item22a Cb
Item22a Cb
Item22c Cb
Item22c1 Cb
Item22c2 Cb
Other Specify Tf
Item22 Cb
Item22 Cb
Cb23a
Cb23a
Name
Relationname
Cb23a
Twentyfour
Twentyfour
Item24 Cb
Item24a Cb
Item24b Cb
Item24c Cb
Item26 Cb
Item26a Cb
Item26b Cb
Other Specify Tf
Item27 Cb
Hearingdate Tf
Time Tf
Dept Tf
Room Tf
Item27a Cb
Item27b Cb
Hearingdate Tf
Time Tf
Dept Tf
Room Tf
Postperm
Item27c Cb
Otherspecify Cb
Otherspecify Tf
Item28 Cb
Item29 Tf
3
p1_footer_sf
Court Link
4
px_caption_sf
Party1 Ft
Case Number Ft
Party1 Ft
Case Number Ft
Party1 Ft
Case Number Ft
5
item3b
Thechild3b
Thereisgood3b
Thereisgood3b
6
header
Party1 Ft
Case Number Ft
7
item9c
Item9c Cb
Child Cb
Mother Cb
Father Cb
Representative Cb
Otherspecify Cb
Otherspecify Tf
Otherspecify Tf
Otherspecify Cb
8
item23a
Toassist
Stated
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Asfollows
Text Field
Item22 Cb
9
datesig
On Date Ff
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