COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA : 7 5 1 PIN E S T RE E T P.O. BOX 911 MARTINEZ, CA 94553 Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA PETITIONER/PLAINTIFF:__________________________________________________________ -against- : _______________________________________________________________________________ : Street _______________________________________________________________________________ City /Sta te/Z ip : _______________________________________________________________________________ Telephone Num ber Defendant(s) : ...................................................... RES PONDENT / DEFENDANT:______________________________________________________ _______________________________________________________________________________ Street THE PEOPLE OF THE STATE OF NEW YORK _______________________________________________________________________________ TO City /Sta te/Z ip _______________________________________________________________________________ Telephone Num ber GREETINGS: ORDER FOR SUBSTANCE ABUSE ASSESSMENT / TESTING CASE NO.: ________________________ WE COMMAND YOU, that all business and excuses being laid custody dispute between the parents poses Based on the entire court record in this matter, the court hereby finds that theaside, you and each of you attend before a substantial danger to the best interest of the child and that aat the counseling order directing a substance abuse assessment/testing,, the Honorable Court is in the best interest of the child, and that the financial burden for such does not jeopardize the party’s other financial obligations. located at the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the ____________________________________________________________________________________________________ County of It in hereby ordered that: is room , on First N am e Las t Na m e Stre et City State Zip is hereby appointed as the Court’s expert pursuant to Evidence Code Section 730 and FC 3190 to: Your failure to comply with this subpoena is punishable as a contempt respondent G prepare a written substance abuse assessment report regarding: G petitioner G of court and will make you liable to the shall on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a The report party have a particular focus on _______________________________________________________________________ result of your failure to G conduct random testing G comply. only G alcohol and all other drugs regarding: G petitioner G respondent alcohol G conduct hair follicle test with a written report regarding: G petitioner G respondent the Justices of the Witness, Honorable , one of Court in County, The cost of the report shall be advanced by: G Petitioner G Petitioner day of , 20 G Respondent. G Jurisdiction over final allocation of payment is reserved. G Respondent (Attorney must sign above and type name below) SHALL IMMEDIATELY SERVE THE COURT’S EXPERT WITH A COPY OF THIS ORDER AND SHALL CONTACT THE EXPERT FOR AN APPOINTMENT WITHIN FIVE (5) DAYS OF THE FILING OF THIS ORDER. The next court date in this matter is on __________________________. The expert shall submit a report within 30 days of payment. Should payment be late, the expert will notify the court in writing. The expert shallAttorney(s) for of the report to: distribute copies G Petitioner G Respondent G Petitioner’s Counsel G Respondent’s Counsel G Family Court Services (751 Pine St., Martinez, CA 94553) G Custody Evaluator ____________________________________________________________________________________________ Office and P.O. Address Name Address G Minor’s Counsel ______________________________________________________________________________________________ Name SO ORDERED: Dated: ___________________________ DISTRIBUTION: FAMLAW-13/DT/Rev. 6-13-03 W H I T E (Original) - Petitioner Address Telephone No.: Facsimile No.: _______________________________________________________ Judge/Com missioner-Judge Pro Tem E-Mail Address: G R EEN - Resp ond ent AN AR Y - Family Court Services MobileCTel. No.: P IN K - Sub stance Abus e Exp ert G O L D E N R O D - Private E valua tor (if any ) American LegalNet, Inc. www.USCourtForms.com