111 report alternative blank 2025

1. Click ‘Get Form’ to open the 111 report alternative blank in the editor.
2. Begin by entering the referee's name, state bar number (if applicable), and address in the designated fields at the top of the form.
3. Fill in the contact information, including telephone number and optional fax number and email address.
4. Complete the court information section by providing the superior court name, street address, mailing address, city, zip code, and branch name.
5. In the 'Report of Referee' section, indicate the appointment date and check the appropriate statutory authority under which you were appointed.
6. Document submission details by entering the date when the hearing was concluded.
7. If appointed under section 639, complete all items regarding total hours spent and fees charged by the referee.
8. Provide your recommendations on any disputed issues in the specified area or attach additional documentation as needed.
9. Finally, ensure to sign and date where indicated at the bottom of the form before saving or printing your completed document.

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