SDSC JUV-238 (Rev. 12/12) APPLICATION FOR ORDER AND ORDER (EX PARTE) ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101 CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DRIVE., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN STREET, EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DRIVE, SUITE 130, VISTA, CA 92083 SOUTH COUNTY DIVISION, 500 IN THE MATTER OF A MINOR APPLICATION FOR ORDER AND ORDER (EX PARTE) CASE NUMBER A petition was filed on , under Welf. & Inst. Code 247 . The minor was declared / continued a dependent of the San Diego County Juvenile Court on . The permanent plan is proposed to be Next scheduled hearing date: NOTICE: COUNSEL NAME DATE/TIME N OTIFIED METHOD Child222s Attorney YES NO SUBMIT Mother222s Attorney YES NO SUBMIT Father222s Attorney YES NO SUBMIT Father222s Attorney YES NO SUBMIT County Cou nsel YES NO Social Worker YES NO SUBMIT CASA YES NO SUBMIT Other YES NO SUBMIT See attached for additional notice. Continued on attachment. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct to the best of my knowledge. Date: Type or print name Signature ORDER Granted Denied Hearing set for . Comments: Date: Judge/Referee of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com