Superior Court of California
County of San Bernardino
CONSENT TO BRING PROHIBITED ITEMS INTO THE COURTHOUSE AS EXHIBITS
SBSC Form #13-20930-360 (Rev. 10-2014)
NAME, ADDRESS AND TELEPHONE NUMBER
FOR COURT USE ONLY
TITLE OF CASE
PLAINTIFF
VS
DEFENDANT
CONSENT TO BRING PROHIBITED ITEMS INTO THE
COURTHOUSE AS EXHIBITS
CASE NUMBER
I _ ______________________, do hereby declare that I am Plaintiff/Petitioner
Defendant/Respondent Attorney for _ __________________ and that I am lawfully
entitled to possess the following items and to request permission to bring the following items into
the courthouse as proposed exhibits or exhibits in this case:
Describe:
I declare under penalty of perjury that the foregoing is true and correct.
Dated: _ __________ By: _____________________________________________
Signature
The Court grants permission for the above listed party to bring items listed above into the
courthouse. Upon completion of this case items shall be returned to the offering party according to
the “Exhibits with Special Storage Requirements” policy.
Special instructions (optional):
_______________________________________________________________________________
____________________________________________________________________
_____________________________________________________________________________
Dated: ________________________ By:
Judge
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