Free Request to be Transported (PC § 2625) - California

FOR COURT USE ONLY NAME OF COURT: STREET ADDRESS: CITY AND ZIP: MAILING ADDRESS: BRANCH NAME:

PETITIONER:

: CASE NUMBER:

RESPONDENT:

REQUEST TO BE TRANSPORTED PURSUANT TO PENAL CODE 2625

To the Superior Court of California, County of Mendocino:

I am a party in the above entitled case (name and identification number) _____________________ _____________________________________________________ and I am requesting to be transported to Department __________ for a hearing that is scheduled on ______________________________________ at __________________ a.m./p.m. for the purpose of __________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________.

Date: _________________________________

_____________________________________ Requesting Party's Signature

MMC-122-Local (new 0209)