JV-11Local

Notice of Responsibility for Reimbursement for Court Appointed Counsel in Dependency Proceedings

San Mateo Superior Court · Adoption

Verified current as of September 10, 2026

This form notifies parents or guardians in child dependency cases that they may be required to pay back the county for the cost of a court-appointed lawyer if they have the financial ability to do so. Parents or guardians involved in cases where the court removed a child from their home would need to receive and respond to this form.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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