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

 ____________________________________________________________________________________________________

Jeanine D. Tucker
Court Executive Officer - Jury Commissioner
(209) 533-5556 FAX (209) 533-5618

LOCAL APPROVED FORMS BY NUMBER

               Form No.                                           Name of Form                                                                                 Effective Date          Mandatory or Optional

  1.

  TUO-CR-100

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

Revised Oct. 1, 2009 Mandatory

  2.

  TUO-CR-125

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

Revised Oct. 1, 2009 Mandatory

  3.

  TUO-CR-150

Advisement and Waiver of Rights (Felony)

Revised Oct. 1, 2009 Mandatory

  4.

  TUO-CR-200

Misdemeanor Advisement of Rights, Waiver of Plea Form

Revised Oct. 1, 2009 Mandatory

  5.

  TUO-CR-225

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

Revised Oct. 1, 2009 Mandatory

  6.

  TUO-CR-250

Affidavit re Ignition Interlock

Revised Oct. 1, 2009 Mandatory

  7.

  TUO-CR-275

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

Revised Oct. 1, 2009 Mandatory

  8.

  TUO-CR-300

Petition for Restricted License and Order Thereon

Revised May 23, 2011 Mandatory

  9.

  TUO-CR-325

Petition to Proceed in Propria Persona

Revised Oct. 1, 2009 Mandatory

10.

  TUO-CR-350

Agreement to Appear on Release of Defendant on Own Recognizance

Revised Oct. 1, 2009 Mandatory

11.

  TUO-CR-375

Waiver of Time

Revised Oct. 1, 2009 Mandatory

12.

  TUO-CR-400

Probationer’s Request for Probation Modification

Revised Feb 2015 Mandatory

13.

  TUO-CR-425

Conditions on Release on Own Recognizance

Revised Oct. 1, 2009 Mandatory
14. TUO-CR-450 Summary Judgment and Notice Thereof New Jan. 21, 2011 Mandatory
15. TUO-CR-475 Acknowledgment of Terms and Conditions of Post Sentence Release and Waiver of Due Process Rights   New Oct. 1, 2011 Mandatory
16. TUO-CR-500 Advisement and Waiver of Rights (Felony) P.C. § 1170(h)  New Oct. 1, 2011 Mandatory
17. TUO-CR-525 Advisement and Waiver of Rights (Felony) NON P.C. § 1170(h)  New Oct. 1, 2011 Mandatory
18. TUO-CR-550 Clerk’s Modification of Sentence or Probation Conditions New June, 2014 Mandatory
19. TUO-CR-575 Order for Ex-Parte Appointment of Expert or Investigator New August, 2012 Mandatory
20. TUO-CR-600 Book and Release Revised April, 2013 Mandatory
21. TUO-CR-625 Petition for Resentencing or Reduction to Misdemanor (P.C. § 1170.18) Revised Jan. 12, 2015 Mandatory
22. TUO-CR-650 Response for Resentencing or Reduction to Misdemeanor (P.C. § 1170.18) Revised Jan. 12, 2015 Mandatory
23. TUO-CR-675 Order on Petition for Resentencing (PC § 1170.18) Revised Jan. 12, 2015 Mandatory
24. TUO-CR-700 Notification of Military Status New Dec., 2014 Mandatory
25.

TUO-CS-CRF25b

Certificate of Court Executive Officer for Extension of Time [Rules of Court 35(a)] (Court Use) Revised Sept. 1, 2009

Mandatory

26.

  TUO-CS-100

Application for Ex-Parte Hearing and Order

Revised Oct. 1, 2009 Mandatory
27.

  TUO-CS-125

Request for Preparation of Transcript

Revised Oct. 1, 2009 Mandatory
28.

  TUO-CS-150

Request for Court Reporter

Revised Oct. 1, 2009 Mandatory
29.

  TUO-CV-100

Delay Reduction Program Information and Setting

Revised Oct 4, 2012 Mandatory
30.

  TUO-CV-125

Request to Set Default or Uncontested Matter for Hearing

Revised Oct. 1, 2009 Mandatory
31. TUO-CV-150 At Issue Memorandum - Civil New Oct. 1, 2009 Mandatory
32. TUO-CV-150(a) Notice of Termination of Protective Order in Civil/Family (CLETS) Revised Sept. 1, 2009 Mandatory
33. TUO-CV-175 Trial Management Orders New May 28, 2014 Mandatory
34.

  TUO-FL-100

At Issue Memorandum

Revised Oct. 1, 2009 Mandatory
35.

  TUO-FL-125

Petitioner or Respondent’s Pre-Trial Statement – Family Law

Revised Oct. 1, 2009 Optional
36. TUO-FL-150 Report on Mediation Revised June 23, 2014 Mandatory
37. TUO-FL-175 Certificate of Attendance of Cooperative Parenting Workshop Revised April, 2015 Mandatory
38. TUO-FL-200 Declaration Re: Notice of Request of Temporary Emergency Court Orders Revised April, 2015 Mandatory
39.

  TUO-FSC-100

Claim and Order for Compensation of Court-Appointed Professional Services

Revised Oct. 1, 2009 Mandatory
40.

  TUO-JV-100

Waiver of Constitutional Rights and Plea of Guilty to Contempt

[C.C.P. § 1209 (a)(5)] (First Plea) and Order Thereon

Revised Oct. 1, 2009 Mandatory
41.

  TUO-JV-125

Waiver of Constitutional Rights and Plea of Guilty to Contempt

[C.C.P. § 1209 (a)(5)] (Subsequent Plea) and Order Thereon

Revised Oct. 1, 2009 Mandatory
42.

  TUO-JV-150

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

Revised Oct. 1, 2009 Mandatory
43. TUO-JV-175(a) Notification of Violation Pursuant to W & I Code § 827(b)(2) Revised Oct. 1, 2009 Mandatory
44. TUO-PR-100 Order Appointing Counsel [Probate Code § 1471, 2356.5] New February, 2014 Mandatory
45.

  TUO-TRF-100

Plea and Request for Court Trial (CVC S 40519)

New Oct. 1, 2009 Mandatory