19559 [Rev. September 9, 2019]
NOTICE OF SPECIAL HEARING
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ATTORNEY OR AGENCY SUBMITTING NOTICE (Name, Department, State Bar number and address):
TELEPHONE NO:
FAX NO (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (name):
For Court Use Only
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
STREET ADDRESS:
860 EAST GILBERT STREET
MAILING ADDRESS:
860 EAST GILBERT STREET
CITY AND ZIP CODE:
SAN BERNARDINO, CA 92415-0955
BRANCH NAME:
JUVENILE DEPENDENCY COURT
CASE NAME:
NOTICE OF SPECIAL HEARING
JUVENILE DEPENDENCY PROCEEDING
Welfare & Institutions Code § 300
CASE NUMBER:
RELATED CASE (if any):
1. A hearing will be held:
on (date): at (time): in Dept.:
located at: 860 EAST GILBERT STREET, SAN BERNARDINO, CA. 92415-0955
2. Hearing date approved by courtroom on (date):
3. This hearing is for the purpose of:
I served a copy of the NOTICE OF SPECIAL HEARING on (date) on the following persons or entities (indicate name of
person served and method of service):
☐ County Counsel:
☐ Attorney - other:
☐ Attorney - other:
☐ Dept. of Children and Family Services:
☐ Children’s Advocacy Group:
☐ Friedman & Cazares:
☐
Clark & Le, LLP:
☐ Friedland & Associates:
☐
CFS Court Officer:
☐ Other:
At the time of service I was at least 18 years of age and not a party to this cause. I am a resident of or employed in the county where the
service occurred. My residence or business address is (specify):
I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE)
