Free SC1002 - California

Choose a location
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (NAME):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF:

DEFENDANT:

CASE NUMBER:

DECLARATION OF PREJUDICE CCP 170.6 (PEREMPTORY CHALLENGE)

________________________________________________________________________________ declares
(NAME OF DECLARANT)

that he/ she is _____________________________________________ a party to the within action hereinafter
(INSERT "ATTORNEY FOR" OR LEAVE BLANK)

called "case" therein as follows: ________________________________________________________________________________________
(NAME OR NAMES OF PARTIES)

that _______________________________________________, the Judge, Court Commissioner or Referee to
(NAME OF JUDGE/COMMISSIONER/REFEREE BEING DISQUALIFIED)

whom the case has been assigned is prejudiced against the ____________________________ or the interest
(PLAINTIFF OR DEFENDANT)

of the _____________________________ so that Declarant cannot or believes that he/she cannot have a fair
(PLAINTIFF OR DEFENDANT)

and impartial trial or hearing before such Judge, Court Commissioner or Referee. I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

Dated: _________________________________

________________________________________
(SIGNATURE OF DECLARANT)

SC-1002 [Rev. July 1 ,1999]

DECLARATION OF PREJUDICE CCP 170.6 (PEREMPTORY CHALLENGE)
Clear Fields

CCP 170.6

Print Form