PRB-PCN-004Local

Proof of Payment of Assessment Fees

San Francisco Superior Court · All Local Forms

Verified current as of July 19, 2026

This form is used to show that someone has paid the required court fees or assessments that San Francisco Superior Court charges for filing cases or using court services. A person would need this form if they've paid court fees and need official documentation proving they made the payment, such as for their records or to show the court that their financial obligation has been satisfied.

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