ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET SUITE 200 MARYSVILLE CA 95901 (530) 749-7600 THE PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: REQUEST TO BE PLACED ON COURT'S CALENDAR (Felony/Misdemeanor) CASE NUMBER: Interpreter required: Defendant in custody: No No Yes, Language: Yes, Location: Yuba County jail Other (specify): Request to be placed on calendar for the following reason(s): Surrender on warrant Arrest warrant Bench warrant Warrant ordered but not issued NOTE: Defendant may be remanded into custody at time of hearing. Misdemeanor Modification Re-referral DUI program BTP program SB-38 DUI program Other: (specify): Misdemeanor Modification of Sentence/Terms and Conditions of Probation Date to report to jail Requirement for interlock device Other: Opposing Counsel Notified (specify name, date and time): Information in support of this request (attach additional sheets as necessary). Convert fine to jail time/SWAP Other: (specify): -------------------------------------------------------------------------------------------------------------------------------------------------------- COURT'S USE ONLY The request to be placed on the court's calendar is denied. The request to be placed on the court's calendar is granted and a hearing is scheduled as follows: Hearing Date: Time: Dept.: Date: ______________ Deputy Clerk ____________________ Approved by Dept 1 Form Adopted for Optional Use Yuba County Superior Court 9/23/14: Rev 10/10/14 2 3 4 5 CM14058 RWI REQUEST TO BE PLACED ON COURT'S CALENDAR (Felony/Misdemeanor) American LegalNet, Inc. www.FormsWorkFlow.com