Attorney or Party without attorney (Name and Address) Telephone No.: Attorney for: NAME OF COURT: SUPERIOR COURT OF CALIFORNIA Mailing Address Street Address 1500 Court Street, Room 319 Redding, CA 96001 Branch Name: Redding PEOPLE OF THE STATE OF CALIFORNIA PLAINTIFF/RESPONDENT: vs. DEFENDANT/APPELLANT: APPLICATION FOR ORDER FOR REHEARING, MODIFICATION OR SET ASIDE ORDER OF TRAFFIC HEARING OFFICER Case Number: I, ______________________________________________________ declare: I am the ______________________________________for __________________________________________ minor/parent/guardian/attorney minor/parent/guardian In the above mentioned case. I hereby apply for an order: To modify To Set Aside For a Rehearing of the following order of the traffic hearing officer, made at the conclusion of the hearing in this case. __________________________________________________________________________________________ __________________________________________________________________________________________ This application is made pursuant to Welfare and Institutions Code Section 262. Dated: ___________________________________________ Signature of applicant ORDER IT IS SO ORDERED Modify Set Aside Set for Rehearing as follows: Date Time Dept. Courthouse, 1500 Court Street, Redding, CA 96001 Juvenile Justice Center, 2680 Radio Lane, Redding, CA 96001 Date __________________________________________________ Judicial Officer _____________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-0029 [rev May 28, 2010] APPLICATION FOR ORDER FOR REHEARING, MODIFICATION OR SET ASIDE ORDER OF TRAFFIC HEARING OFFICER Cal Rules of Court, Rule 5.542 Welfare & Institutions Code §252, §262 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com