ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, AND ADDRESS): FOR COURT USE ONLY BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE Street Address: Mailing Address: City & zip code: Petitioner: CASE NUMBER: Respondent: DECLARATION REGARDING NOTICE OF EX PARTE APPLICATION The parties to this action have not or Probate court case: Case numbers have been involved in another Family Law, Juvenile or 1. I informed the other party in this action that an emergency order would be sought as follows: Person Informed: (name) Date: By telephone to the How Informed: other party and Time Informed: other party’s attorney at (Telephone No.) By leaving a message on the voicemail of the party at (Telephone No.) 2. A copy of the Application and Declaration for Ex-Parte Hearing and the Proposed Order was given: other party The TO: (Name) Other Personal delivery HOW: other party’s attorney at (Address) Overnight mail or other overnight carrier Fax Transmission Other 3. I have not given notice of this request for the following reason(s): 4. At the time of the notice, I informed him/her that the application for ex-parte orders contained requests for the following orders: and that he/she should appear at the Family Law Court if he/she wished to be heard by the court on the following date and time: Date: Time: Department Number: At the Family Law Court located at: Riverside Court, 4175 Main Street, Riverside, CA Blythe Court, 265 N. Broadway, Blythe, CA 46-200 Oasis St., Indio, CA Hemet Court, 880 N. State Street, Hemet, CA 5. I received the following response I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. DATE SIGNATURE OF DECLARANT DECLARATION REGARDING NOTICE OF EX PARTE APPLICATION Local Rule 5.0065 Optional Form (Rev. 04/01/2009) RI-F30 American LegalNet, Inc. www.FormsWorkflow.com