FOR COURT USE ONLY ATTORNEY (Name, State Bar number, and address): TELEPHONE NO: (916) E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): Fax no (Optional): (916) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: JUVENILE CHILD'S NAME: SACRAMENTO, 95826 COURT DECLARATION AND NOTICE UPON EX PARTE APPLICATION FOR RESTRAINING ORDER I, 1. 2. I am the attorney for Petitioner declare: Respondent in this action. CASE NUMBER: Pursuant to 3.1203-3.1204 of the California Rules of Court I have informed: of this ex parte request and the nature of the relief sought by: (select one) (a) Telephone call on Date Name of person you notified at Time a.m. a.m. Time p.m. p.m. (b) In person on Date at (c) Other (describe): 3. I told the person named in section 2 above that I would be bringing this ex parte request to Department on at a.m. p.m. Date to appear Time to appear and that he/she will have to come to court at that time if he/she objects to this ex parte request. 4. I received the following response to the above notice (describe and specify whether opposition is expected): 5. What orders are being requested (be specific): 6. I have not given notice of this application for ex parte orders for the following reason(s) indicated: I will suffer great or irreparable injury if notice is given (explain in detail): AND (if you did not give notice you must check the box above and also select a, b, or c below) (a) I notified the opposing party or opposing party's attorney within a reasonable time prior to the application. (explain in detail) JC/E-330 8-2-07 DECLARATION AND NOTICE UPON EX PARTE APPLICATION FOR RESTRAINING ORDER Page 1 of 2 Welf. & Inst. Code § 213.5 Code of Civ. Pro. § 527 Cal. Rules of Ct., rules 5.630, 3.1203, 3.1204 American LegalNet, Inc. www.FormsWorkflow.com (b) I attempted in good faith to give notice but was unable to inform the opposing party. (specify efforts) (c) For the following reasons, I should not be required to give notice. (explain in detail) 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) JC/E-330 8-2-07 DECLARATION AND NOTICE UPON EX PARTE APPLICATION FOR RESTRAINING ORDER Page 2 of 2 Welf. & Inst. Code § 213.5 Code of Civ. Pro. § 527 Cal. Rules of Ct., rules 5.630, 3.1203, 3.1204 American LegalNet, Inc. www.FormsWorkflow.com