ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): Telephone No.: E-Mail Address (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY Fax No. (Optional): Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER:  Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045  Harbor-Laguna Hills Facility - 23141 Moulton Pkwy., Laguna Hills, CA 92653-1251  North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 th  West - 8141 13 Street, Westminster, CA 92683-4593 PLAINTIFF / PETITIONER: DEFENDANT / RESPONDENT: DECLARATION RE: NOTICE Temporary Restraining Order Civil Harassment, Workplace Violence, Transitional Housing and Postsecondary Educational Institution  On (date) CASE NUMBER: 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. “against violence”): 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) Approved for Optional Use L-0889 (Rev. July 1, 2010) (SIGNATURE OF DECLARANT) DECLARATION RE: NOTICE Temporary Restraining Order Civil Harassment, Workplace Violence, Transitional Housing and Postsecondary Educational Institution California Rules of Court, Rule 3.1204(b) American LegalNet, Inc. www.FormsWorkFlow.com