Madera Superior Court Form Adopted for Optional Use MAD - CRM - 0002 (Rev. 3/09/19) MODIFICATION REQUEST FORM - CRIMINAL DIVISION Page 1 of 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) (Telephone Number) COURT USE ONLY ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA 225 COUNTY OF MADERA Criminal Division 200 South G Street Madera, CA 93637 (559) 416 - 555 5 CASE TITLE: MODIFICATION REQUEST FORM 226 CRIMINAL DIVISION CASE NUMBER: 1. Modification Request: 2 . Reason for Modification: Date: Print Name Signature (FOR COURT USE ONLY) Judge: Schedule For Hearing: Yes No Hearing Date: Time: Dept. : Additional Information: American LegalNet, Inc. www.FormsWorkFlow.com