CIV-110 - Request for Dismissal

Summary

Request for Dismissal

Text

Form ID: CIV-110
Title: Request for Dismissal
Effective Date: 2025-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CIV-110
Primary Download URL: https://www.courts.ca.gov/documents/civ110.pdf
Form Detail Page:
Request for Dismissal
(CIV-110)
Tell the court and the parties that you do not want to go forward with the case.  You also need to use Notice of Entry of Dismissal and Proof of Service (form CIV-120).
Get form CIV-110
Effective: January 1, 2025
PDF Text:
Form Adopted for Mandatory Use 
Judicial Council of California 
CIV-110 [Rev. January 1, 2025]
Code of Civil Procedure, § 581 et seq.; 
Government Code, § 68637(c); Cal. Rules of Court, rule 3.1390 REQUEST FOR DISMISSAL
CIV-110
FOR COURT USE ONLY
CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
REQUEST FOR DISMISSAL
A conformed copy will not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a 
class action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
a. (1) With prejudice (2) Without prejudice Without prejudice and with the court retaining 
jurisdiction (Code Civ. Proc., § 664.6)
(3)
b. (1) Complaint (2) Petition
(3) Cross-complaint filed by (name):on (date):
(4) Cross-complaint filed on (date): by (name):
(5) Entire action of all parties and all causes of action
(6) Other (specify)*:
Date:
2. (Complete in all cases except family law cases.)
The court                                              waive court fees and costs for a party in this case. (This information may be obtained from 
the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed.)
did did not
(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
3. TO THE CLERK: Consent to the above dismissal is hereby given.†
Date:
(TYPE OR PRINT NAME OF PARTY WITHOUT ATTORNEY)ATTORNEY
† If item 1a(3) is checked, all parties must sign.  
If a cross-complaint—or Response—Marriage/Domestic Partnership  (form FL-120) 
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
Check here and use form MC-025 or a separate page for additional signatures. Include date, printed name, and party information.
4. Dismissal entered as requested on (date):
5. Dismissal entered on (date): as to only (name):
6. Dismissal not entered as requested for the following reasons (specify):
7. 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 be conformed means to return conformed copy
Date: Clerk, by , Deputy
Page 1 of 2

CIV-110 [Rev. January 1, 2025] REQUEST FOR DISMISSAL
CIV-110
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS 
If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or 
more in value by way of settlement, compromise, arbitration award, mediation settlement, or other 
means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until 
the lien is satisfied. (Gov. Code, § 68637.)
Declaration Concerning Waived Court Fees
1. The court waived court fees and costs in this action for (name):
2. The person named in item 1 is (check one below)
a. not recovering anything of value by this action.
b. recovering less than $10,000 in value by this action.
c. recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.)
3. All court fees and court costs that were waived in this action have been paid to the court (check one): NoYes
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
(TYPE OR PRINT NAME OF PARTY MAKING DECLARATION)ATTORNEY
 (SIGNATURE)
Page 2 of 2

Retrieval chunks

• #1

  Form ID: CIV-110 Title: Request for Dismissal Effective Date: 2025-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CIV-110 Primary Download URL: https://www.courts.ca.gov/documents/civ110.pdf Form Detail Page: Request for Dismissal (CIV-110) Tell the court and the parties that you…

• #2

  Plaintiff/Petitioner Defendant/Respondent Cross-Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.† Date: (TYPE OR PRINT NAME OF PARTY WITHOUT ATTORNEY)ATTORNEY † If item 1a(3) is checked, all parties must sign. If a cross-complaint—or Response—Marriage/Domestic Partnership (form FL-12…