Disability Accommodation Request

Cal. Form ADM-410

California Superior Local Rules

CONFIDENTIAL SDSC ADM-410 (Rev. 10/23) DISABILITY ACCOMMODATION REQUEST Cal. Rules of Court, rule 1.100 Optional Form (CONFIDENTIAL) APPLICANT (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA CENTRAL DIVISION, HALL OF JUSTICE, 330 W.

BROADWAY, SAN DIEGO, CA CENTRAL DIVISION, KEARNY MESA, 8950 CLAIREMONT MESA BLVD., SAN DIEGO, CA CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA CASE TITLE JUDGE DISABILITY ACCOMMODATION REQUEST (CONFIDENTIAL) CASE NUMBER This form is to be used to make a request for accommodation under rule 1.100 of the California Rules of Court .

Requests for accommodation should be submitted at least five court days before the accommodation is needed. 1. I, , am a party an attorney a witness a juror Other: (specify) 2. I am requesting accommodation(

s) under rule 1.100 of the California Rules of Court for a civil criminal family law juvenile probate small claims traffic case jury service other (specify) . 3. I am requesting accommodation(

s) at the court location I checked at the top of the form on: Date: at a.m. p.m. in Department/Office Date: at a.m. p.m. in Department/Office 4. I am requesting the following accommodation(

s) at the court: Additional information attached. 5. I am requesting accommodation(

s) because: (specify the medical condition(

s) requiring accommodation) Additional information attached. Date: Signature CASE TITLE CASE NUMBER SDSC ADM-410 (Rev. 10/23) DISABILITY ACCOMMODATION REQUEST Cal. Rules of Court, rule 1.100 (CONFIDENTIAL) RESPONSE The request for accommodation(

s) is GRANTED. The request for accommodation(

s) is GRANTED IN PART. The court will provide the following accommodation(s): The request for accommodation(

s) is DENIED IN WHOLE IN PART for the following reasons: fails to satisfy the requirements of Cal. Rules of Court, rule 1.100. creates an undue financial or administrative burden on the court. fundamentally alters the nature of the service, program, or activity. as set forth in the attachment. The court will provide the following alternative accommodation(s): See attachment. Accommodation(

s) will be provided: for the date(

s) and time(

s) requested. on . indefinitely. Date: Type or print name Judge/Commissioner of the Superior Court Non-Judicial Court Personnel Response provided to applicant in person by phone by mail by email on:

Document details

Collection	California Superior Local Rules
Citation	Cal. Form ADM-410
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	9744f7dfbed33586a9dfa6ad6f141c2e8b7cfdb4

Source file is stored in the law ingest library (pdf).