Request for Hearing on Order for Reimbursement

El Dorado Superior Court · Local Forms Required

Verified current as of July 25, 2026

The F-104 form is used when someone wants to challenge or dispute an order requiring them to pay money back to the court or government agency, typically for costs related to their case like public defender fees or court costs. A person would need this form if they received a reimbursement order they believe is wrong or if they cannot afford to pay what was ordered and want a chance to explain their situation to a judge.