San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
REQUEST FOR HEARING
Form RFH 01 5/19
Page 1 of 2
I, __________________________________________________, request a hearing in the above referenced case
because of the following reasons:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
The undersigned swears or afrms that the statements set forth above are true and correct, subject to penalties
of making a false afdavit or declaration.
Date: ________________________ _____________________________________________________
Requesting Party’s Signature
Subscribed and sworn before me this _______ day of _________________________________, 20_____.
My commission expires: ____________________________ ________________________________________
Notary Public/Court Clerk
Petitioners Name and Address:
_____________________________
Case Number
Respondent’s Name and Address:
*If you need more space, please check this box to indicate
an additional document is attached.
San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
ORDER RE: REQUEST FOR HEARING
Page 2 of 2
The Court having considered a Request for a hearing the above captioned matter, orders as follows:
Grants a hearing to the requesting party. Date and time scheduled below.
Denies a hearing for the following reasons and dismisses this request.
________________________________________________________________________________________________
________________________________________________________________________________________________
THEREFORE IT IS THE ORDER OF THIS COURT that (if you have been granted a hearing,) this matter is scheduled for
a hearing on _________________________, 20____ at the hour of _________________. The hearing will be held in the
Tribal Court at 3214 Victoria Ave., Highland, CA 92346.
WARNING: IF YOU FAIL TO APPEAR OR RESPOND, THE COURT MAY GRANT JUDGMENT TO THE PARTIES
APPEARING.
Dated this _____ day of ___________________, 20____. ______________________________________
Judge of the Tribal Court
Petitioners Name and Address:
_____________________________
Case Number
Respondent’s Name and Address:
Form RFH 01 • 5/19
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