Free LOCAL FORMS - California

Superior Court of California, County of Imperial

NAME AND ADDRESS OF PARTY OR ATTORNEY FOR PARTY: TELEPHONE NUMBER:

FOR COURT USE ONLY

ATTORNEY FOR (NAME):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL
MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PETITIONER: RESPONDENT:

Case Number: Department Number:

DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR ORDERS
I, the undersigned, declare: 1. I am (choose one): (1) attorney for Petitioner attorney for Respondent attorney for child(ren) (2) self-represented Petitioner self-represented Respondent (3) other (explain): 2. The opposing party or minor child(ren) is represented by an attorney: Yes No (If you checked "yes", fill in the attorney's name, address, and telephone number. If you checked "no", fill in the other party's name, address, and telephone number. Party/Attorney name: Address/Telephone number: Child's attorney name and address: 3. OTHER CASES: Have the parties to this case been involved in another Family, Probate, Juvenile, or Criminal Court Case? Yes No If there has been another case, fill in the case number: 4. NOTICE A. I HAVE given notice to the opposing party and/or their attorney by the following method:
Personal delivery Fax Overnight Courier First Class Mail Other:

Date:

Time:

Form Approved for Mandatory Use FL-06 (1 of 2) (adopted 7/1/07)

Superior Court of California, County of Imperial

DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR ORDERS

I have received confirmation that the other party has received my papers as follows (Check one below) In person/telephone (describe): Confirmation of receipt. I HAVE NOT given notice of the ex parte request for orders because (Check all that apply. You must explain below): This is an application for Domestic Violence Prevention Act (DVPA) restraining orders. Great or irreparable injury will result to me before the matter can be heard on notice. It is impossible to give notice. The other party agrees to the orders requested. No significant burden or inconvenience to the responding party will result from the orders requested. Other: EXPLANATION: A hearing between the parties is already set. I am asking that this motion be heard at the same time. I am unable to serve the other party 21 days before the hearing. I fear for my physical safety (and that of my child(ren), is applicable). Other:

B.

C.

I declare under penalty of perjury that the foregoing is true and correct.

Date:

Signature of Declarant

Print Name

Form Approved for Mandatory Use FL-06 (2 of 2) (adopted 7/1/07)