Request for Dismissal (California)
This form is to request to dismiss. The form provided here is simply a sample of what the actual form looks like.
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FOR COURT USE ONLY
Case Number: __________________________________
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
__________________________________
TELEPHONE NO.: __________________________________
ATTORNEY FOR (Name): __________________________________
Insert name of court and name of judicial district and branch court, if any:
__________________________________
PLAINTIFF/PETITIONER: __________________________________
DEFENDANT/RESPONDENT: __________________________________
REQUEST FOR DISMISSAL
Personal Injury, Property Damage, or Wrongful Death: ____ Motor Vehicle ____ Other
____ Family Law
____ Eminent Domain
____ Other (specify): __________________________________
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-- A conformed copy will not be returned by the clerk unless a method of return is provided with the document. --
1. TO THE CLERK: Please dismiss this action as follows:
a. (1) ____ With prejudice (2)____ Without prejudice
b. (1) ____ Complaint (2) ____ Petition
(3) ____ Cross-complaint filed by (name): _________________________
on (date): __________________________________
(4) ____ Cross-complaint filed by
(name): __________________________________
on (date): __________________________________
(5) Entire action of all parties and all causes of action
(6) Other (specify):* __________________________________
Date: __________________________________
____________________________ (TYPE OR PRINT NAME OF ____ ATTORNEY ____ PARTY WITHOUT ATTORNEY)
*If dismissal requested is of specified parties only, of specified causes of action only, or of specified cross-complaints only, so state and identify the parties, causes of action, or cross-complaints to be dismissed.
__________________________________ (SIGNATURE)
Attorney or party without attorney for:
____ Plaintiff/Petitioner
____ Defendant/Respondent
____ Cross-complainant
2. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date: __________________________________
______________________________ (TYPE OR PRINT NAME OF ____ ATTORNEY ____ PARTY WITHOUT ATTORNEY)
**If a cross-complaint--or Response (Family Law) seeking affirmative relief--is on file, the attorney for cross-complainant (respondent) must sign this consent if required by Code of Civil Procedure section 581(i) or (j).
__________________________________ (SIGNATURE)
Attorney or party without attorney for:
____ Plaintiff/Petitioner
____ Defendant/Respondent
____ Cross-complainant
(To be completed by clerk)
3. ____ Dismissal entered as requested on (date):
4. ____ Dismissal entered
on (date): __________________________________ as to only
(name): __________________________________
5. ____ Dismissal not entered as requested for the following reasons
(specify): __________________________________
6. ____ a. Attorney or party without attorney notified
on (date): __________________________________
b. Attorney or party without attorney not notified. Filing party failed to provide
____ a copy to conform ____ means to return conformed copy
Date: __________________________________
Clerk, by __________________________________, Deputy