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Madera Superior Court Form Adopted for Optional Use MAD - JUV - 00 02 (Rev. 3/1 9 /19) REQUEST FOR CALENDAR SETTING (JUVENILE) Page 1 of 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : TELEPHONE NO: FAX NO. (Optional): E - MAIL ADDRESS (Optional) : ATTORNEY FOR (Name) : FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: 200 South G Street 200 South G Street Madera, CA 93637 Juvenile Division PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: REQUEST FOR CALENDAR SETTING (JUVENILE) CASE NUMBER: 1. I request that this case be placed on calendar for the following reason: Modification Other: 2. Estimated time for hearing: 3. Requested Hearing Date: I AGREE TO NOTIFY THE CALENDAR OFFICE IMMEDIATELY IN WRITING IF I WISH TO TAKE THIS MATTER OFF CALENDAR. I ALSO UNDERSTAND THAT IF I CALENDAR A MATTER AND DO NOT APPEAR AT THE HEARING OR NOTIFY THE CALENDAR DESK IN WRITING THAT I WOULD LIKE THIS MATTER OFF CALENDAR, THE COURT WILL TAKE THE MATTER OFF CALENDAR ON ITS OWN MOTION. Date: Print/Type Name of Moving Party Signature of Moving Party CALENDARING: Hearing Date: Dept. : Time: a.m./p.m. PROOF OF NOTIFICATION: Name of Party Notified: Date: Notified by: Phone Mail Will - Call Box Email Mailing Address: Name of Party Notified: Date: Notified by: Phone Mail Will - Call Box Email Mailing Address: Name of Party Notified: Date: Notified by: Phone Mail Will - Call Box Email Mailing Address: Name of Party Notified: Date: Notified by: Phone Mail Will - Call Box Email Mailing Address: Name of Party Notified: Date: Notified by: Phone Mail Will - Call Box Email Mailing Address: American LegalNet, Inc. www.FormsWorkFlow.com