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.
FILL
 
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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