ATTORNEY OF PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA Limited Civil Case
800 SOUTH VICTORIA AVE. VENTURA, CA 93009
4353 VINEYARD AVE., OXNARD, CA 93036
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
DECLARATION RE EX PARTE NOTICE
Dom. Violence Restraining Order Civil Harassment Restraining order
Other Family Law / Custody Other Civil / Probate
CASE NUMBER:
Instructions: The person giving the notice must state how notice was given, where the hearing is to be held, and what
orders are requested. If notice is not being given, please advance to page two of this form.
I, , declare:
1. I informed the person listed above that an order would be sought in the Superior Court of Ventura County at
800 South Victoria Ave., Ventura 4353 Vineyard Ave., Oxnard
on: Date: Time: Courtroom:
Person informed: (Name) Date and time informed:
How Informed:
By telephone to the party attorney at (Telephone Number)
By leaving a message with (Name) relationship to party:
at (Telephone Number) In person
By leaving a message on voicemail of the party at (Telephone Number)
By personally informing: party attorney
In writing (copy must be attached).
2. I told him/her that the orders requested included, but were not limited to:
Domestic Violence Restraining Orders with move-out orders custody orders
Civil Harassment Restraining Orders
Custody / visitation orders, specifically:
Other:
and that he/she should appear at the above time and place if he/she wished to be heard by the court.
3. I do do not expect the other party to oppose my request.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated:
Signature of Declarant
DECLARATION RE EXPARTE NOTICE
VN028
Optional form
VN028 (Rev.01/14)
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