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Application In Support Of Ex Parte Request Form. This is a California form and can be use in Imperial Local County.
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Tags: Application In Support Of Ex Parte Request, FL-06B, California Local County, Imperial
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
FOR COURT USE ONLY
FAX NO. (Optional):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
CASE NUMBER:
Application in Support of Ex Parte Request
RELIEF REQUESTED:
1. ________________________________________________________________________________________________
2. ________________________________________________________________________________________________
3. ________________________________________________________________________________________________
REASONS FOR EX PARTE RELIEF
(You must specify why this request cannot be heard on the court’s regular motion calendar. Only include factual
information within your personal knowledge, and not conclusions, feelings or fears. IF CUSTODY OR
VISITION IS AT ISSUE, YOU MUST CLEARLY SHOW WHY THERE IS A RISK OF IMMEDIATE
HARM TO YOUR CHILD OR CHILDREN, OR WHY THERE IS AN IMMEDIATE RISK THAT
YOUR CHILD WILL BE REMOVED FROM CALIFORNIA.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and
correct, and that this declaration was signed at_____________, California.
Date:
Time:
Signature:________________________
Print Name: _________________________________
Please submit your proposed order as an attachment to this declaration in clear written or typewritten form.
INTERPRETER’S DECLARATION
I certify under penalty of perjury under the laws of the State of California that I have, to the best of my ability,
read or translated for the declarant above this Declaration for Ex Parte Hearing. The declarant above has
expressly indicated that he or she understood this document before signing it.
Date: __________
Signature: ________________________
Print Name: ______________________
Form Approved for Optional Use
FL-06 B (01/01/10)
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