JV-135 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD(REN)'S NAME(S): CASE NUMBER: ORDER FOR REPAYMENT OF COST OF LEGAL SERVICES To (name): 1. , a person responsible for the support of the child(ren) named above (the responsible person). The court orders the responsible person to repay to the court the cost of legal services rendered directly to him or her in this case in the amount of $ The court orders the responsible person to repay to the court the cost of legal services rendered to the child(ren) named above in this case in the amount of $ The court orders the responsible person to pay the court $ on the (1st, 2nd, etc.): beginning on (date): until the amount is paid in full. day of every month, 2. 3. 4. The court finds that the responsible person is unable to repay the cost of legal services rendered directly to him or her or to the child(ren) named above in the case above and is not ordered to repay these costs. 5. Notwithstanding any determination of his or her ability to pay, the court does not order the responsible person to repay that cost for the following reason: a. He or she is receiving reunification services, and repayment will pose a barrier to reunification because it will limit his or her ability to comply with the requirements of the reunification plan or harm his or her ability to support the child(ren); or Requiring repayment would be unjust under the circumstances of the case. b. This order is based on (check all that apply): 6. 7. 8. The court's review of the financial evaluation officer's recommendation as set forth on Recommendation Regarding Ability to Repay Cost of Legal Services. The court's review of the responsible person's agreement and waiver as set forth on Response to Recommendation Regarding Ability to Repay Cost of Legal Services. The court's review of the evidence presented at a contested hearing held on (date): Date: JUDICIAL OFFICER Page 1 of 1 Form Approved for Alternative Optional Use Instead of Form JV-136 Judicial Council of California JV-135 [New January 1, 2013] ORDER FOR REPAYMENT OF COST OF LEGAL SERVICES Welfare and Institutions Code, §§ 903.1, 903.45(b), 903.47 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com