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Declaration Form Regarding Ex Parte Notice To Opposing Party - Superior Court Of California, County Of San Bernardino

Attorney or Party Without An Attorney (Name, State Bar No. & Address)

For Court Use Only

Telephone No.

Attorney for:

Superior Court of California, County of San Bernardino

Petitioner:

Respondent:

CASE NUMBER

DECLARATION REGARDING EX PARTE NOTICE

TO OPPOSING PARTY

-BLACK INK ONLY –

The undersigned hereby declares that I gave notice to the opposing party about

where and when the application for the emergency order would be made as follows:

Name of Party Notified/Served: _________________________________________________________

Date of Notice: ___________________ Time Notice Was Given: __________ ▭ A.M.

▭ P.M.

▭ Oral

▭ Written ▭ Other: _______________________

Form of Notice:

Information Given: That at ______ ▭A.M. ▭ P.M., on _______________________ (court date), the

moving party would appear at the Superior Court, located at:

_______________________________________________________________________________ California, in

Department _______ to ask for immediate temporary orders regarding:

▭ Custody

▭ Visitation ▭ Temporary Guardianship ▭ Restraining Order

▭ Residence Exclusion

▭ Property Control

▭ Other: _______________________________________________________________________

I have received the following response to this notice:

________________________________________________________________________________________________

_________________________________________________________________________________________________

CONTINUED ON BACK SIDE

See Rules of Court, Rule 5.165 for notice requirements -- no later than 10:00 am on the court day before the

matter is to be considered by the court or provide written explanation of exceptional circumstances.

SB-19447 Revised 3.11.13

Declaration Form Regarding Ex Parte Notice To Opposing Party - Superior Court Of California, County Of San Bernardino