Thov rau Tus Kws Txhais Lus (Pej Xeem) · Koj los kuj nug tau seb thaum twg lub tsev hais plaub li mam muab lus teb rau qhov koj thov. • Cov tsev hais plaub yuav muab ib tus kws

Form Approved for MODEL Use effective 7/1/2016 Form Approved for OPTIONAL Use effective 1/1/2018 Judicial Council of California, www.courts.ca.gov

INT-300 H, Nplooj ntawv 1 ntawm 2Thov rau Tus Kws Txhais Lus (Pej Xeem)

INT-300 H Thov rau Tus Kws Txhais Lus (Pej Xeem)

Tus tuav ntaub ntawv ntaus thwj muaj hnub tim rau ntawm no thaum sau daim foos tiav lawm.

Rau ua kev paub nkaus xwb

Txhob xa mus rau hauv tsev

hais plaubSau lub npe tsev hais plaub thiab chaw nyob ntawm txoj kev:

Tus Thawj Kav Tswj Lub Tsev Hais Plaub hauv California, Lub Cheeb Nroog

Tsev hais plaub sau tus nab npawb rooj plaub thaum daim foos sau tiav lawm.

Tus Nab Npawb Rooj Plaub:Txhob xa mus rau

hauv tsev hais plaub

Sau daim foos no yog tias koj los sis tus ua tim khwv rau koj rooj plaub xav tau ib tus kws txhais lus thaum nyob hauv tsev hais plaub.

Saib cov lus qhia nyob rau nplooj ntawv 2 ntawm daim foos no rau kev paub ntxiv.

1 Koj Li Ntaub Ntawv (tus neeg thov rau tus kws txhais lus). Yog tias koj muaj ib tus kws lij choj, muab ntaub ntawv txog ntawm koj tus kws lij choj.

Lub Npe: Lub Xeev Tus Nab Npawb Bar: Lub Npe Tuam Txhab: Chaw Nyob: Lub Nroog: Lub Xeev: Tus Zip: Xov Tooj: Chaw Nyob E-Mail:

2 Kuv yog ib tog neeg ntawm rooj plaub no (kos cim ib yam hauv qab no):

Tus Raug Foob/Tus Foob Tus Tiv Thaiv Plaub Ntug/Tus Muab Lus Teb Lwm Yam (piav qhia):

3 Kuv xav tau ib tus kws txhais lus rau yam lus hauv qab no thaum kuv nyob hauv lub tsev hais plaub:

español (Lus Xab Pees Niv)   Tiếng Việt (Lus Nyab Laj)  한국어 (Lus Kaus Lim) 普通话 (Lus Mandarin)

 广东话 (Lus Cantonese)  فارسی (Lus Farsi/Persian)  русский (Lus Xav Xias)   Tagalog (Lus Tagalog)

 :ਪੰਜਾਬੀ (Lus Punjabi)  Lwm Yam  (Lus As Las Npiv) العربية 

Xam nrog rau lub nroog uas ib txwm nyob, yog tias koj hais ib hom lus uas yog haiv neeg me:

4 Kuv muaj ib tus ua tim khawv uas xav tau ib tus kws pab txhais lus nyob hauv tsev hais plaub rau hnub tim:(Nyias ua nyias daim foos rau txhua tus tim khawv.)

a. Hnub Tim: Sij Hawm: Lub chav hauj lwm thiab tus kws txiav txim plaub ntug, yog paub:

Tsis tau teeb hnub tim.

b. Tus tim khawv xav tau ib tus kws txhais lus (kos cim ib qho): Hom lus uas tau cim sab sauv LOS SIS Lwm Yam (sau hom lus uas tus ua tim khawv hais):

Hnub Tim:

Txhob xa mus rau hauv tsev hais plau

Tog neeg los sis tus kws lij choj kos npe

INT-300 H, Nplooj ntawv 2 ntawm 2

COV LUS QHIA

• Kev lis rooj plaub hauv tsev hais plaub siv lus As Kiv. Yog tias tog neeg los sis tus tim khawv tsis paub lus los sis tsis nkag siab lus As Kiv zoo, tus txiv neej los sis tus poj niam ntawd yuav tau siv ib tus kws txhais lus. Tus kws txhais lus mam cia rau tus txiv neej los sis tus poj niam los muab tim khawv, hais rau tus kws txiav txim plaub ntug, thiab txhais kom nkag siab qhov uas lwm tog neeg hais nyob rau hauv tsev hais plaub. Cov kws txhais lus muaj ntawv tso cai thiab tau teev npe nyob hauv tsev hais plaub yeej tau xyaum txhais lus hauv tsev hais plaub zoo lawm. Yog tias koj xav tau kev pab txog lus hais, koj tuaj yeem nug rau kom lub tsev hais plaub muab ib tus kws txhais lus los pab koj uas yog sau daim foos nyob rau nplooj ntawv thib ib.

• Koj yuav tau sau daim foos no yog tias koj los sis tus ua tim khwv rau koj qhov xwm txheej xav tau ib tus kws txhais lus. Tus ua tim khawv yog tus neeg uas muab lus qhia rau hauv lub tsev hais plaub, rau qhov los sib lav. Koj yuav tau nyias sau nyias daim foos rau txhua tus ua tim khawv uas xav tau kev pab txhais lus. Sau kom tiav thawj nplooj ntawv thiab muab xa mus rau hauv tsev hais plaub. Nug lub tsev hais plaub hauv zos seb yuav siv sij hawm ntev li cas uas koj yuav tau xa ntawv thov rau tus kws txhais lus. Koj los kuj nug tau seb thaum twg lub tsev hais plaub li mam muab lus teb rau qhov koj thov.

• Cov tsev hais plaub yuav muab ib tus kws txhais lus rau txhua yam lus hais thiab pej xeem txhua rooj plaub ntug. Lub tsev hais plaub yuav muab lus teb rau koj los qhia koj tias koj qhov kev thov tau kev tso cai lawm. Qee zaus, lub tsev hais plaub yuav tsis muab ib tus kws txhais lus rau txhua rooj plaub thiab.

Kev Thov Rau Cov Chaw Nyob

Kev ua hauj lwm pab kom hnov lus, siv tshuab khoos phis tawj pab tswj, los sis muab cov kws txhais lus piav tes tab sis koj yuav tau thov yam tsawg kawg yog tsib hnub ua ntej yuav pib sib hais rooj plaub. Txuas lus nrog tus tuav ntaub ntawv lub chaw ua hauj lwm los sis mus rau www.courts.ca.gov/forms los Request for Accommodations by Persons With Disabilities and Response (Thov rau Cov Chaw Nyob los ntawm siv Daim Foos Muab Lus Teb thiab Rau Cov Neeg Uas Xiam Oob Qhab) (Daim Foos MC-410). (Civ. Code, § 54.8.)

Thov rau Tus Kws Txhais Lus (Pej Xeem)

Tus Nab Npawb Rooj Plaub:Txhob xa mus rau hauv tsev hais plaub

Koj Lub Npe:

Form Approved for MODEL Use effective 7/1/2016Form Approved for OPTIONAL Use effective 1/1/2018