Superior Court of California County of San Bernardino NAME, ADDRESS AND TELEPHONE NUMBER FOR COURT USE ONLY TITLE OF CASE PLAINTIFF VS DEFENDANT CASE NUMBER CONSENT TO BRING PROHIBITED ITEMS INTO THE COURTHOUSE AS EXHIBITS I_ ______________________, do hereby declare that I am Plaintiff/Petitioner Defendant/Respondent Attorney for _ __________________ and that I am lawfully entitled to possess the following items and to request permission to bring the following items into the courthouse as proposed exhibits or exhibits in this case: Describe: I declare under penalty of perjury that the foregoing is true and correct. Dated: _ __________ By: _____________________________________________ Signature The Court grants permission for the above listed party to bring items listed above into the courthouse. Upon completion of this case items shall be returned to the offering party according to the "Exhibits with Special Storage Requirements" policy. Special instructions (optional): _______________________________________________________________________________ ____________________________________________________________________ _____________________________________________________________________________ Dated: ________________________ By: Judge CONSENT TO BRING PROHIBITED ITEMS INTO THE COURTHOUSE AS EXHIBITS SBSC Form #13-20930-360 (Rev. 10-2014) American LegalNet, Inc. www.FormsWorkFlow.com