Free Declaration Notice Upon Ex Parte Application for Orders (FL/E-LP-604) - California

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:
CASE NUMBER:

DECLARATION NOTICE UPON EX PARTE APPLICATION FOR ORDERS

I, _______________________________________________, declare: 1. 2. I am counsel for Petitioner/Plaintiff Respondent/Defendant in this action. Pursuant to Rule 14.13 of the Local Rules of Court I have informed of this ex parte request by: [Complete either (a), (b) or (c)] (a) (b) (c) 3. I told Telephone call on In Person on Other (Describe):
Name of person you notified

________________________________
Name of person you notified

_____________________ at
Date

_____________ (a.m.)(p.m.)
Time

_____________________ at
Date

_____________ (a.m.)(p.m.)
Time

_________________________________________________________________

_________________________________ I would be bringing this ex parte request to on _____________________ at
Date to appear

Department ________

____________ (a.m.)(p.m.) and that he/she
Time to appear

will have to come to court at that time if he/she objects to this ex parte request. 4. I received the following response to above notice (Describe):

5.

I have not given notice of this application for ex parte orders for the following reason(s) indicated: Giving notice would frustrate the purpose of the order (Explain in detail): I will suffer immediate and irreparable injury if notice is given (Explain in detail):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATED:__________________________ __________________________________________ TYPE OR PRINT NAME _________________________________________________ SIGNATURE OF DECLARANT

FL/E-LP-604 (Rev. 1/29/2009)

NOTICE UPON EX PARTE APPLICATION FOR ORDERS

Page 1 CRC 3.1204 (b)