Superior Court of California, County of Tuolumne
Donald Segerstrom, Presiding Judge

 ____________________________________________________________________________________________________

Jeanine D. Tucker, Court Executive Officer - Jury Commissioner
(209) 533-6984 FAX (209) 533-5618

LOCAL APPROVED FORMS BY NAME


                         Name of Form                                                                        Form No.                 Effective Date         Mandatory or Optional

  1.

Acknowledgment of Terms and Conditions of Drug Court Participation and Waiver of Due Process Rights

TUO-CR-100

Revised Oct. 1, 2009

Mandatory

  2.

Acknowledgment of Terms and Conditions of Post Sentence Release and Waiver of Due Process Rights TUO-CR-475   New Oct. 1, 2011          Mandatory

  3.

Addendum to Advisement, Waiver and Plea Form/Defendant Under 21 Years of Age (Vehicle Code § 13202.5)

TUO-CR-275

Revised Oct. 1, 2009

Mandatory

  4.

Advisement of Rights, Waiver of Plea Form for Felonies and/or Misdemeanors/Proposition 36 [Penal Code § 1210, et seq.]

TUO-CR-125

Revised Oct. 1, 2009

Mandatory

  5.

Advisement and Waiver of Rights (Felony)

TUO-CR-150

Revised Oct. 1, 2009

Mandatory

  6. Advisement and Waiver of Rights (Felony) P.C. § 1170(h) TUO-CR-500  New Oct. 1, 2011         Mandatory
  7. Advisement and Waiver of Rights (Felony) NON P.C. § 1170(h) TUO-CR-525  New Oct. 1, 2011         Mandatory

  8.

Affidavit re Ignition Interlock

TUO-CR-250

Revised Oct. 1, 2009

Mandatory

  9.

Agreement to Appear on Release of Defendant on Own Recognizance

TUO-CR-350

Revised Oct. 1, 2009

Mandatory

10.

Application for Ex-Parte Hearing and Order

TUO-CS-100

Revised Nov. 1, 2014

Mandatory

11. At Issue Memorandum - Civil TUO-CV-150 New Oct. 1, 2009         Mandatory

12.

At Issue Memorandum - Family Law

TUO-FL-100

  Revised July, 2010

        Mandatory

13. Book and Release TUO-CR-600 Revised April, 2013         Mandatory
14. Certificate of Attendance of Cooperative Parenting Workshop TUO-FL-175 Revised April, 2015         Mandatory
15. Certificate of Court Executive Officer for Extension of Time [Rules of Court 35(a)] (Court Use)

TUO-CS-CRF25b

Revised Sept. 1, 2009

Mandatory

16.

Claim and Order for Compensation of Court-Appointed Professional Services

TUO-FSC-100

Revised Oct. 1, 2009

Mandatory

17. Clerk’s Modification of Sentence or Probation Conditions TUO-CR-550 New June, 2014 Mandatory

18.

Conditions on Release on Own Recognizance

TUO-CR-425

Revised Oct. 1, 2009

Mandatory

19

Declaration Re: Notice of Request of Temporary Emergency Court Orders

TUO-FL-200 Revised July, 2015 Mandatory

20.

Delay Reduction Program Information and Setting

TUO-CV-100

Revised October, 2012

Mandatory

21.

Misdemeanor Advisement of Rights, Waiver of Plea Form

TUO-CR-200

Revised Oct. 1, 2009

Mandatory

22. Notice of Termination of Protective Order in Civil/Family (CLETS) TUO-CV-150(a) Revised Sept. 1, 2009 Mandatory
23. Notification of Military Status TUO-CR-700 New Dec., 2014 Mandatory
24. Notification of Violation Pursuant to W & I Code § 827(b)(2) TUO-JV-175(a) Revised Oct. 1, 2009 Mandatory
25. Order Appointing Counsel [Probate Code § 1471, 2356.5] TUO-PR-100 New February, 2014 Mandatory
26. Order for Ex-Parte Appointment of Expert or Investigator TUO-CR-575 New August, 2012 Mandatory
27. Order on Petition for Resentencing (PC § 1170.18) TUO-CR-675 Revised Jan. 12, 2015 Mandatory
28. Petition for Resentencing or Reduction to Misdemanor (P.C. § 1170.18) TUO-CR-625 Revised Jan. 12, 2015 Mandatory

29.

Petition for Restricted License and Order Thereon

TUO-CR-300

Revised May 23, 2011

Mandatory

30.

Petition to Proceed in Propria Persona

TUO-CR-325

Revised Oct. 1, 2009

Mandatory

31.

Petitioner or Respondent’s Pre-Trial Statement

TUO-FL-125 New Oct. 1, 2009 Optional

32.

Plea and Request for Court Trial (CVC S 40519)

 TUO-TRF-100

      New Jun. 9, 2015

Mandatory

33. Probationer's Request for Probation Modification

TUO-CR-400

Revised Feb., 2015 Mandatory
34.

Report on Mediation

TUO-FL-150 Revised June 23, 2014 Mandatory

35.

Request for Court Reporter

TUO-CS-150

Revised Oct. 1, 2009

Mandatory

36.

Request for Preparation of Court Reporter's Transcript

TUO-CS-125

Revised Oct. 1, 2009

Mandatory

37.

Request to Set Default or Uncontested Matter for Hearing

TUO-CV-125

Revised Oct. 1, 2009

Mandatory

38.

Response for Resentencing or Reduction to Misdemeanor (P.C. § 1170.18)

TUO-CR-650 Revised Jan. 12, 2015 Mandatory
39.

Summary Judgment and Notice Thereof

TUO-CR-450 New Jan. 21, 2011 Mandatory
40.

Trial Management Orders

TUO-CV-175 New May 28, 2014 Mandatory

41.

Waiver of Constitutional Rights and Plea of Guilty to Contempt [C.C.P. § 1209 (a)(5)] (First Plea) and Order Thereon

TUO-JV-100

Revised Oct. 1, 2009

Mandatoy

42.

Waiver of Constitutional Rights and Plea of Guilty to Contempt [C.C.P. § 1209 (a)(5)] (Subsequent Plea) and Order Thereon

TUO-JV-125

Revised Oct. 1, 2009

Mandatory

43.

Waiver of Due Process Rights and Right to Segregated Housing After Contested Hearing and Order Thereon

TUO-JV-150

 

Revised Oct. 1, 2009

Mandatory

 

44.

Waiver of Personal Appearance; Consent to Entry of Plea of Guilty by Counsel; Waiver if Rights and Plea of Guilty/Not Guilty

TUO-CR-225

Revised Oct. 1, 2009

Mandatory

45.

Waiver of Time

TUO-CR-375

Revised Oct. 1, 2009

Mandatory