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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO

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Page 1 of 2
DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS
Local Form FL-8 [Rev. 04/18] [Calif. Rules of Court 3.1200 to 3.1207,
Local Rules of Court 5.6]
www.sanmateocourt.org
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, Address)
TELEPHONE NO: FAX NO.(Optional):
MOBILE NO:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
Reserved for Clerk’s Office Stamp
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO
Southern Division, 400 County Center, Redwood City, CA 94063
Northern Division, 1050 Mission Road, South San Francisco, CA 94080
PETITIONER:
RESPONDENT:
DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS
CASE NUMBER:
I, the undersigned declare:
1. I am in this case the (choose one):
A. attorney for Petitioner attorney for respondent attorney for child(ren)
B. self-represented Petitioner self-represented Respondent
C. other (explain):
2. The opposing party is represented by an attorney: Yes No
The minor child(ren) is/are represented by an attorney: Yes No
[If you checked “Yes”, fill in the attorney’s name, address, and telephone number. If you checked “No”, fill in the
other party’s name, address and telephone number.]
Party/Attorney Name:
Address and Telephone number:
Child(ren)’s attorney name:
Address and Telephone number:
3. NOTICE TO OPPOSING PARTY REQUIREMENT
A. I gave reasonable notice of my Ex Parte Application for Orders (see CRC 5.151) to the opposing
party and/or their attorney of record on Date: Time:
in the following manner:
Personal delivery Fax (by prior agreement) In person By telephone
Other:
B. I served copies of the Ex Parte Application and supporting papers to the opposing party
and/or their attorney of record on Date: Time:
in the following manner:
Personal delivery Fax (by prior agreement) In person By telephone
Other:
Page 2 of 2
DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS
Local Form FL-8 [Rev. 01/2019] [Calif. Rules of Court 3.1200 to 3.1207,
Local Rules of Court 5.6]
www.sanmateocourt.org
CASE NAME:
CASE NUMBER:
C. I have been informed that the opposing party has received my Application and supporting
papers and will be opposing my request for Ex Parte Orders. (describe):
D. I HAVE NOT given notice of the ex parte request for orders because (Check all that apply. You must
explain below):
This is an application for Domestic Violence Prevention Act (DVPA) restraining orders.
Great or irreparable injury will result to me before the matter can be heard on notice (explain below).
A good faith effort was made to notify the opposing party but notice was unable to be given (explain
below).
The other party agrees to the orders requested.
No significant direct burden or inconvenience to the adverse party will be likely to result from the
orders sought herein(explain below.)
I fear for my physical safety (and that of my children, if applicable).
Other:
Explanation:
E. A hearing between the parties is already set on , 20 at AM PM
and I am asking that this motion be heard at the same time.
4. There are the following (temporary) (permanent) orders currently in effect (list orders and dates issued):
5. The parties have have not been to Family Court Services for mediation.
If yes, mediation was held on , 20 , and the mediator was .
The recommendation of the mediator was:
I declare under penalty of perjury that the foregoing is true and correct.
Date:
[Type or Print Name] [Signature]
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO

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Completed 7 December 2020

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