ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: E - MAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045Harbor-Newport Beach Faclility-4601 Jamboree Rd., Newport Beach, CA 92660-2595North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West 226 8141 13 th Street, We stminster, CA 92683 - 4593 PLAINTIFF / PETITIONER: DEFENDANT / RESPONDENT: DECLARATION RE: NOTICE Temporary Restraining Order Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary Educational Institution, Elder or Dependent Adult Abuse, Gun Violence Restraining Order CASE NUMBER: On (date) at (time), I telephoned Plaintiff/Petitioner or Defendant/Respondent (name) I said that on (date) at (time), I would ask the Court for a Temporary Restraining Order (describe order, e.g. 223against violence224): I gave the location of the Courthouse as Dept. at (address) I have been unable to give notice to the Plaintiff/Petitioner or Defendant/Respondent for the following reasons: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) Approved for Optional Use L-0889 (Rev. 201)DECLARATION RE: NOTICE Temporary Restraining Order Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary Educational Institution and Elder or Dependent Adult Abuse, Gun Violence Restraining Order California Rules of Court, Rule 3.1204(b) For your protection and privacy, please press the Clear This Form button after you are done printing the form. American LegalNet, Inc. www.FormsWorkFlow.com