FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN Metropolitan Division: 1415 Truxtun Avenue, Bakersfield, CA 93301 Metropolitan Division: 1215 Truxtun Avenue, Bakersfield, CA 93301 East Division: Mojave Branch 1773 Highway 58, Mojave, CA 93501 East: Division: Ridgecrest Branch 132 E. Coso Street, Ridgecrest, CA 93555 North Division: Delano/McFarland Branch 1122 Jefferson Street, Delano, CA 93215 North Division: Shafter/Wasco Branch 325 Central Valley Highway, Shafter, CA 93263 South Division: Arvin//Lamont Branch 12022 Main Street, Lamont, CA 93241 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: CASE NUMBER: COURT INTERPRETER SERVICES (CIVIL/PROBATE/FAMILY LAW) HEARING DATE: ___/___/___ TIME: __________ DEPT/DIV: __________ 1. PETITIONER/PLAINTIFF:______________________________________________ WILL THIS PERSON REQUEST OR NEED AN INTERPRETER? YES- LANGUAGE:______________ NO 2. RESPONDENT/DEFENDANT:_____________________________________________ WILL THIS PERSON REQUEST OR NEED AN INTERPRETER? YES- LANGUAGE:______________ NO 3. WITNESSES: DO ANY OF THE WITNESSES REQUIRE AN INTERPRETER? YES- LANGUAGE:______________ NO 4. TYPE OF CASE: DOMESTIC VIOLENCE CIVIL HARASSMENT (VIOLENCE) TERMINATION OF PARENTAL RIGHTS ELDER ABUSE UNLAWFUL DETAINER CONSERVATORSHIP/GUARDIANSHIP DATE:_______________________ ___________________________________________ SIGNATURE Court Use Only Request transmitted _____/_____/_____ By ____________________ 2390C � Civil 2390F � Family Law 2390P � Probate COURT INTERPRETER SERVICES Revised 1/21/15;3/23/15 American LegalNet, Inc. www.FormsWorkFlow.com