Name, Address, and Telephone Number For court use only Superior Court of California County of San Francisco 400 McAllister St. San Francisco, CA 94102 Petitioner: Respondent: Application and Declaration for Ex Parte Hearing Hearing Date: Time: Dept: Case #: I, the undersigned, declare: 1. I would like the judge to order: Order Shortening time for Service and Hearing Emergency Order re: Child(ren) Continuation of Hearing Date Wage Assignment/Stay of Wage Assignment Other (please explain): _____________________________________________________ __________________________________________________________________________________________ 2. This is an emergency because: (be specific) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 3. I need this order because: (be specific) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ APPLICATION AND DECLARATION FOR EX-PARTE HEARING American LegalNet, Inc. www.FormsWorkflow.com 4. The other party is represented by an attorney: No Yes (If “yes”, fill in attorney’s name, address, and telephone number) ________________________________________________________________________________ 5. The parties to this action have not been involved in another Family, Probate, or Juvenile Court Case. (If there has been another case, provide case number: ___________________________) 6. 7. I have I have not made this request to the court in the past, and the court has refused (in whole or in part) to grant my request. If so, explain: _______________________________ __________________________________________________________________ __________________________________________________________________ I would like the judge to enter the following order in my favor: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. _________________________________ Date _________________________________ (Signature of Declarant) APPLICATION AND DECLARATION FOR EX-PARTE HEARING American LegalNet, Inc. www.FormsWorkflow.com