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MC-420Optional

Request for Accommodation to Pump or Express Breast Milk

California · Judicial Council of California · Effective January 1, 2026

This form is used to ask the court for permission to pump or express breast milk while you are at court. It also serves as the court's official paper to let you know if your request was approved, partially approved, or denied.

The court describes it as: Ask the court for an accommodation to pump or express milk for your baby while you are in court. Is also used to state the court’s decision (order) on your request for an accommodation.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This form is used when a person needs to take breaks to pump or express breast milk while attending a court event. It is recommended to submit this request before the date the accommodation is needed.

Either party may file.

Common questions

Who should fill out this form?
The form asks for your personal information, so the person needing the accommodation fills it out. The court fills out the decision part. The form is confidential.
Does this form become part of my case file?
No, the form is confidential and must not be placed in the court file. You must give it to the ADA coordinator or a designated person at the court.
What happens after I file this form?
The court will fill out the form to let you know if your request is granted, granted in part, or denied, and it will explain the reasons for their decision.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2026.

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