SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF CONTRA COSTA Petitioner: ) ) vs. ) ) Respondent: ) ) Other Parent/Claimant: ) ________________________________________ ) Case No: Declaration Re Notice Upon Ex Parte Application For Orders I, ________________________________________, declare: 1. That I am (Counsel for) (Petitioner) (Respondent) (Other: ___________________) in the within action. The application for ex parte orders will be submitted to the Family Law Department in Martinez, (751 Pine Street, Martinez, CA) on __________________ (date) at ___________ (time.) 2. That pursuant to local rules of court, I have given notice of this Ex Parte request by having copies of the Declaration and all supporting documentation along with the proposed order delivered to the opposing party(ies) in the following manner: Notice was sent to: _____________________________________ (name of party) ____ (a) By personal service on (date) ________________, 201___ at (location) ___________________________________, California at _______ a.m. /p.m. ____ ____ (b) (c) By mail on ________________________, 201___; addressed as follows: ___________________________________________ (provide mailing address.) By facsimile (fax) on ____________________, 201__, at ________ a.m. /p.m., sent to fax number ( 3. ) ___________________. The opposing party has responded to my notice in the following manner: ____________________________________________________________________________________ 4. indicated: ____ ____ ____ ____ I have not given notice of the present application for Ex Parte Orders for the following reason(s) Notice of this application would frustrate the purpose of the order sought herein. EXPLAIN: _____________________________________________________________ (b) The applicant would suffer immediate and irreparable harm before the other party could be heard in opposition. EXPLAIN: ____________________________________________ (c) No significant direct burden or inconvenience to the other party is likely to result from the orders sought. EXPLAIN: ________________________________________________ (d) I made the following reasonable and good faith effort to notify the other party and further efforts to give notice would probably be futile or unduly burdensome. EXPLAIN: _____________________________________________________________ Other: (a) ____ I declare under penalty of perjury that the foregoing is true and correct. Dated: __________________ Sign: ____________________________________ Local Court Form ­ Mandatory FamLaw-107 Rev 11/18/13 American LegalNet, Inc. www.FormsWorkFlow.com