FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar.number, and address): TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD'S NAME: CHILD'S DATE OF BIRTH: JUVENILE DEPENDENCY EX PARTE APPLICATION (Rule 17.14 of the Local Rules for the Superior Court of California, County of Sacramento) CASE NUMBER: Original Application Subsequent Application RELATED CASES (Many): Date: Time: Department: 1. This ex parte application by (identify moving party) is made, pursuant to Rule 17-14, of the Local Rules for the Superior Court of California, County of Sacramento, for an order: (OR) 1. This subsequent application by (identify moving party) is made, because a previous ex parte application of the same character was denied in whole or in part by the court. (Describe the character of the previous application and the court's action in regards to the prior application.) This subsequent application is made, pursuant to Rule 17-14, of the Local Rules for the Superior Court of California, County of Sacramento, for an order: shortening time for hearing on Welfare and Institutions Code Section 388 motion. authorizing out of county placement. Other (specify). This motion is made for the reason that (explain why the requested order is needed). 2. 3. In support of this motion the declaration of (name of declarant) is attached hereto and incorporated herein by this reference. Dated: Signature line Name of attorney for party In Re: ______________________ Case No.: ________________________ JC\E-335 (4.11.07) Juvenile Dependency ExParte Application Dated: ___________________________ American LegalNet, Inc. www.FormsWorkflow.com DECLARATION REGARDING NOTICE 1. I _______________________________________ , (name) declare: 2. I am the attorney of record herein for (name of moving party). 3. On the dates and times and at the addresses and telephone numbers indicated below I have noticed the following people of the ex parte appearance as required by Rule 17.14 of the Local Rules for the Superior Court of California, County of Sacramento. I have checked the appropriate boxes to show notice status and whether or not these people agree or disagree with my ex parte application. Noticed Not Noticed Agree Disagree Attorney for (name/relationship to child): ___________________________________________ Attorney's Name: Address: Telephone number: Attorney for (name/relationship to child): ___________________________________________ Attorney's Name: Address: Telephone number: Attorney for (name/relationship to child): ___________________________________________ Attorney's Name: Address: Telephone number: County counsel (name): ___________________________________________ Attorney's Name: Address: Telephone number: Other (name):________________________________ Name: Address: Telephone number: Other (name):________________________________ Name: Address: Telephone number: Court Appointed Special Advocate Indian tribe 4. I attempted in good faith, to inform (name) attorney for (name of party) of the time and place that the above application for an order (specify type of order) would be made. I was unable to do so even though (Describe efforts to notice this person. If more than one person was not noticed for each person, describe efforts to notice that person and use separately numbered paragraphs if necessary. If you noticed all the required people you may delete this paragraph). In Re: ______________________ Case No.: ________________________ JC\E-335 (4.11.07) Juvenile Dependency ExParte Application Dated: ___________________________ American LegalNet, Inc. www.FormsWorkflow.com 5. Notice to (name of party or party's attorney) of the above application for order (specify order sought) should not be required because (specify reason or reasons and if more than one person should not be noticed for each person specify the reason or reasons that person should not be noticed and use separately numbered paragraphs if necessary. If you are not requesting a no notice order you may delete this paragraph). 6. I noticed the people named in paragraph 3 herein by no later than 10:00 a.m. the court day before the ex parte appearance. (If notice was provided to any person later than 10:00 a.m. the court day before the ex parte appearance, explain why the shorter notice period for that person is justified. A separate explanation must be provided for each person provided shorter notice and use separately numbered paragraphs if necessary). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: Signature line ORDER GRANTING EX PARTE MOTION Application having been made (by or on behalf of) name of moving party, and good cause appearing therefore, IT IS ORDERED that [specify, including any limitations on order, conditions, or terms]. Date: ________________________________ __________________________________ Referee ______________________ In Re: ______________________ Case No.: ________________________ JC\E-335 (4.11.07) Juvenile Dependency ExParte Application Dated: ___________________________ American LegalNet, Inc. www.FormsWorkflow.com