Form LACIV 015 at a glance
What it is: LACIV 015 is the Peremptory Challenge to Judicial Officer (Code Civ. Proc., § 170.6).
Who signs: Sign on the Signature of Declarant line.
A filled-in Form LACIV 015 example: a plaintiff without an attorney challenges a judge
How to fill out Form LACIV 015, box by box
State bar number, courthouse address and case number
Enter the STATE BAR NUMBER.
Enter the COURTHOUSE ADDRESS of the SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES, then the PLAINTIFF/PETITIONER and the DEFENDANT/RESPONDENT.
Enter the CASE NUMBER.
The judicial officer
Print the Name of Judicial Officer.
Enter the Dept. Number.
Mark Judge, Commissioner or Referee.
Declaration and who it is filed on behalf of
Under Filed on behalf of, mark Plaintiff/Petitioner, Cross Complainant, Defendant/Respondent, Cross Defendant or Other:, and enter the Name of Party.
Enter the Dated date and the Printed Name.
You declare under penalty of perjury, under the laws of the State of California, that the information entered on this form is true and correct.
More rules for Form LACIV 015
You declare that you are a party (or attorney for a party) to this action or special proceeding.
You declare that the judicial officer named, before whom the trial of, or a hearing in, this case is pending, or to whom it has been assigned, is prejudiced against the party (or his or her attorney) or the interest of the party (or his or her attorney), so that declarant cannot, or believes that he or she cannot, have a fair and impartial trial or hearing before the judicial officer.
Sources
[1] Form LACIV 015, Peremptory Challenge to Judicial Officer, Superior Court of California, County of Los Angeles (the Official source link on this page).