PETITION AND ORDER TO REDUCE OR VACATE CIVIL ASSESSMENT
PETITION AND ORDER FOR ABILITY TO PAY DETERMINATION
Cal. Rules of Court,
Rules, 4.106 & 4.335
TRAF 051 (Rev. 10/17)
LASC Approved 3/17
For Optional Use
Page 1 of 2
NAME, ADDRESS, AND TELEPHONE NUMBER OF DEFENDANT OR DEFENDANT’S ATTORNEY:
ATTORNEY FOR (Name):
STATE BAR NUMBER Reserved for Clerk’s File Stamp
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
DEFENDANT/PETITIONER:
PETITION AND ORDER TO REDUCE OR VACATE CIVIL ASSESSMENT
PETITION AND ORDER FOR AN ABILITY-TO-PAY DETERMINATION
CITATION NUMBER/ LEA:
Petition to Reduce or Vacate Civil Assessment – California Rules of Court, Rule 4.106
If you receive a notice that the court has placed a hold on your license and a civil assessment has been added to
your citation, you may request that the court reduce or vacate the assessment.
To make the request, you must file a petition with the court to lower or vacate the civil assessment.
You must file a petition within 20 calendar days from the action date on the notice the court sent you.
You do not need to pay anything to file this petition.
Note: A petition to reduce or vacate an assessment does not stay any order requiring payment of bail, fines, penalties,
fees, or assessments unless specifically ordered by a judicial officer.
Petition for Ability-to-
Pay Determination California Rules of Court, Rule 4.335
If you cannot pay your ticket, you may request that the court consider your ability to pay, lower your payment, vacate
the amount you owe, get on a payment plan, and/or do community service (fees may apply).
You are eligible if: (1) you are currently on an installment plan, (2) you are performing community service to satisfy your
judgment, or (3) your judgment remains unpaid, including when your case is delinquent or in collections.
You have the right to a review by a judicial officer. This request must be in writing and include any information you
want the court to consider in making a decision.
If an ability-to-pay determination has already occurred, another ability-to-pay determination on the same fines or
penalties can be requested when there is a change in your circumstances.
Instructions: Complete and file this form and attach any additional information or documentation you wish the court to
consider. (See Page 2 for more information.)
Check one: This is my first petition. I have submitted a petition before. (Please explain below.)
Reason for Petition/Change in circumstance:
Additional sheets attached to
this document.
I want the court to make a determination based upon my declaration and supporting documents.
I am requesting to go to court to appear before a judicial officer to be heard on this matter.
Reason you want to appear in court:
Additional sheets attached to
this document.
DECLARATION
I declare under penalty of perjury, under the laws of the State of California,
that the information I have provided with this petition is true and correct.
Petitioner’s Name (PRINT)
Petitioner’s Signature
(choose a courthouse)
PETITION AND ORDER TO REDUCE OR VACATE CIVIL ASSESSMENT
PETITION AND ORDER FOR ABILITY TO PAY DETERMINATION
Cal. Rules of Court,
Rules, 4.106 & 4.335
TRAF 051 (Rev. 10/17)
LASC Approved 3/17
For Optional Use
Page 2 of 2
I
NFORMATION
If you submitted the petition by written declaration, the court will respond to your petition in writing. Please allow up to
four weeks for a response.
If the court requires more information to make its determination, you will be notified in writing of the information neede
d
o
r if necessary, a hearing date where you will be required to appear in court.
For Petition to Red
uce or Vacate Civil Assessment:
Provide the reason(s) and documentation for your failure to appear on the due date.
For Petition for Ability-to-Pay Determination:
Provide the reason(s) and any documentation to support your request for an ability-to-pay determination.
Provide any documentation to support your request, such as:
Proof of receiving any public benefits, such as CalWORKSs, General Relief, CalFresh (food stamps), IHSS, SSI, etc.
Any recent statements for fixed monthly payments
(car, rent, utilities, credit card/student/personal loans, child support, etc.)
Pay stubs, disability/retirement income, or any other source of income
Bank statements, W-2’s, and/or income tax returns
Bankruptcy information
Work or family obligations or a disability that prevents you from completing community service
IMPORTANT: Once the judicial officer has made a ruling on your petition, the court will throw away any additional
documentation you submit with this petition unless you request to have the documentation returned and provide a self-
addressed stamped envelope with the proper postage attached.
ORDER
The Court has reviewed and considered the:
Petition to Reduce or Vacate Civil Assessment. The court does does not find good cause for the failure to appear.
Petition for Ability-to-Pay Determination.
The Court Now Orders:
Good cause shown, the civil assessment is $ ________________ total. Civil assessment is vacated.
The court reduces the fine to $ _______________. Due by _____________.
As to count(s): 1. _____________ 2. _____________ 3. ______________ 4. ______________ 5. _____________.
It is determined that the defendant’s ability to pay is $ _______________ per month.
C
ollections vendor/court staff to set up a payment plan with the defendant.
Defendant may complete community service in lieu of paying $ _____________________.
Driver’s license hold released for this citation.
Sentence suspended. As to counts: __________________________________________________ All counts.
Petition is denied. All previous orders remain in full force and effect. No further proceedings on this issue.
Matter is ordered set for an Ability-to-Pay hearing by the Clerk’s Office. Defendant ordered to appear as directed. More
information is needed regarding _________________________________________________________________________.
_____________________________________________________________________________________________________
Judicial Officer
For Court Use
Ability-to-Pay Hearing: Your court hearing has been set as follows:
Date:
Time:
Dept.:
Court Location:
PROOF OF SERVICE
I certify that I am not a party to this case and that I served a true copy of the Order upon the defendant/counsel at the address shown
above: by placing it in a sealed envelope with postage fully paid for collection and mailing, by the United States Postal Service, at the
courthouse in ____________________________________, California. by personally providing a copy to the defendant.
SHERRI R. CARTER, Executive Officer/Clerk
By Deputy
SCAN THIS FORM AS: PETG (Granted) PETD (Denied) PETH (Hearing Set)
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