Name: Address: City, State, Zip Code: Telephone Number: For court use only Superior Court of California County of San Francisco 400 McAllister Street San Francisco, CA 94102 Petitioner: Respondent: Other Parent: Application and Declaration for Telephonic Appearance The ex-parte application came on for hearing as indicated in the above caption.Case #: Hearing Date: Time: Dept: APPLICATION AND DECLARATION 1. I am the Petitioner Respondent Other Parent in this case. I am requesting that the Court allow me to appear by telephone to testify regarding my case. 2. I request that the Court allow me to appear by phone at the above court hearing at the following telephone number: _______________________________ . This number accepts collect calls, and I will be available at this number between 9:00 a.m. and 12:00 p.m. on the day of the hearing. 3. I need to appear by telephone for the following reasons: (Check all that apply) I am not a California resident. I reside in the state of _______________________________. I work outside of the state of California. I work in _________________________________. I live outside of the nine bay area counties (Alameda, Contra Costa, Marin, Napa, San Mateo, San Francisco, Santa Clara, Solano, Sonoma). I live in _______________________ county. I am incarcerated at _______________________ jail/prison and will be incarcerated at the time of the court hearing. Other Extraordinary Circumstances: American LegalNet, Inc. www.USCourtForms.com 4. I agree to be responsible for the costs and arrangements of this telephonic appearance if it is ordered by the Court. 5. If my request to appear by telephone is granted, the court may notify me at the following telephone number: _______________________________. This number accepts collect calls and messages. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATE: Print Name Signature American LegalNet, Inc. www.USCourtForms.com