Request To Vacate Civil Assessment
Imperial Superior Court · Court Local Forms
Verified current as of September 10, 2026
Used by a defendant who was charged a $300 civil assessment for missing a payment or court date to explain the failure and ask the court to cancel (vacate) that assessment, with proof such as hospitalization or incarceration records attached.
This form must be printed and filled by hand, or opened in Adobe Acrobat.