APPLICATION
AND DECLARATION FOR EX-PARTE
HEARING
Name,
Address,
and
Telephone
Number
Superior Court of California
County of San Francisco
400 McAllister St.
San Francisco, CA 94102
In the Matter of:
Application and Declaration for Ex Parte Hearing
Hearing Date: Time: Dept:
For court use only
Case #:
I, the undersigned, declare:
1. I would like the Judge/Commissioner to order:
Order Shortening time for Service and Hearing
Emergency Order re: Placement
Continuation of Hearing Date
Other (please explain):
2. This is an emergency because: (be specific)
3. I need this order because: (be specific)
APPLICATION
AND DECLARATION FOR EX-PARTE
HEARING
4. The parties to this action have not been involved in another Family, Probate, or Juvenile Court
Case. (If there has been another case, provide case number: _______________)
5. I have made this request to the court in the past, and the court has refused (in whole or
I have not in part) to grant my request. If so, explain: ____________________________
6. I would like the Judge/Commissioner to enter the following order in my favor:
I declare under penalty of perjury that the foregoing is true and correct.
Date (Signature of Declarant)
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signature
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