Get Fl-478. Fillable Editable And Saveable California Judicial Council Forms

The FL-478 form is essential for individuals seeking a hearing regarding health insurance assignments in California. This guide provides step-by-step instructions for completing this form online, ensuring users can navigate the process with ease.

Follow the steps to fill out the FL-478 form accurately.

1. Click the ‘Get Form’ button to obtain the FL-478 form and open it in the editor.
2. In the first section, enter the contact details of the attorney or the party without an attorney, including their name, State Bar number, and address, as well as their telephone number and optional fax number.
3. Fill in the section for the attorney or party representing the case, indicating who they are representing, such as petitioner or respondent.
4. In the case details section, provide the street address, mailing address, city, and zip code of the court, as well as the branch name.
5. Complete the case number field, which will typically be provided by the court. This is crucial for the processing of your request.
6. Specify the details regarding the requested hearing, including the division, time, room, department, and the date of the hearing. You may also need to provide additional details as necessary.
7. Indicate the reasons for requesting that the application and order for health insurance coverage be quashed. Each reason requires a clear statement, and you can select multiple options by marking them appropriately.
8. At the end of the form, ensure that you sign and date the document, confirming that the information is accurate under penalty of perjury.
9. After filling out the form, review all entries for accuracy. Once verified, you can save your changes, download a copy, print the form, or share it as necessary.

Start filling out your FL-478 form online today to effectively manage your requests.