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This is a California form that can be used for Juvenile within Local County, Riverside.
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE INDIO 47-671 Oasis St., Indio, CA 92201 MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) RIVERSIDE 9991 County Farm Rd., Riverside, CA 92503 RI-J21 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): CHILD'S NAME: CASE NUMBER: REQUEST FOR HEARING ON JUVENILE RESTITUTION Dispute Hearing Modification Hearing 1. A restitution dispute hearing is being requested by: Minor Minor's Counsel Other: A restitution modification hearing is being requested by: Minor Probation Minor's Counsel Victim(s) District Attorney Other: Reason for dispute/modification of restitution: 2. 3. I understand that I must serve a copy of this request on all parties associated with the case at least 10 days prior to the hearing date. Form JV-510 Proof of Service Juvenile - must be filed with the clerk's office prior to the hearing date. Date: (TYPE OR PRINT NAME) (SIGNATURE) A Restitution Hearing has been scheduled as follows: Date of Hearing: Location: Time: Department: Clerk's Certificate of Service I certify that I am currently employed by the Superior Court of California, County of Riverside, and I am not a party to this action or proceeding. I handed a copy of this request to the requestor, listed in 1 and/or 2, at the Court on the date below. I certify that I am currently employed by the Superior Court of California, County of Riverside, and I am not a party to this action or proceeding. In my capacity, I am familiar with the practices and procedures used in connection with the mailing of correspondence. Such correspondence is deposited in the outgoing mail of the Superior Court. Outgoing mail is delivered to and mailed by the United States Postal Service, postage prepaid, the same day in the ordinary course of business. I certify that I mailed the requestor, listed in 1 and/or 2, a copy of the foregoing notice on this date, by depositing said copy as stated above. Date: Court Executive Officer/Clerk By: ,Deputy Clerk Page 1 of 1 Approved for Optional Use Riverside Superior Court RI-J21 [Rev. 11/30/09] Rev.format [11/25/14] REQUEST FOR HEARING ON JUVENILE RESTITUTION riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com