PB-4073
PB- 4073 7/01/19
EX PARTE APPLICATION AND ORDER TO BE RELIEVED
AS COUNSEL FOR MINOR CHILD
Page 1 of 1
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
FOR COURT USE ONLY
STREET ADDRESS:
201 North First Street, San José, CA 95113
MAILING ADDRESS:
191 North First Street
CITY AND ZIP CODE:
San José, California 95113
BRANCH NAME:
Family Justice Center
PETITIONER:
RESPONDENT:
EX PARTE APPLICATION AND ORDER TO BE RELIEVED
AS COUNSEL FOR MINOR CHILD
CASE NUMBER:
I, , declare as follows:
(ATTORNEY’S NAME)
On the court appointed me to represent the minor(s) in this matter.
This matter as it pertains to my client(s) is complete.
I request an order to be relieved as counsel for the minor(s) in this matter.
I served a copy of this application to the parties or their attorneys of record on:
by: mail personal service other _______________________________
I declare under penalty of perjury, under the law of the State of California that the foregoing is true and correct.
Date:
Attorney’s Name
Attorney’s Signature
NOTICE TO PARTIES
If you wish to respond, complete the Response to Application to be Relieved as Counsel for Minor Child. Your
response must be filed and served on all parties (including the Counsel for Minor Child) within 21 calendar days
of the date of this application. If you do not submit a response, the court may make an order relieving the counsel
for minor child without your input.
ORDER:
GRANTED. It appears from the application that the matter of appointment, as it pertains to the minor(s), is
completed. Good cause having been shown, it is ordered that
is relieved as attorney for the minor(s).
DENIED.
A Status Conference shall be calendared on in Dept. .
Date:
Judicial Officer of the Superior Court
(ATTORNEY’S NAME)
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