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: Declaration Regarding Notice of Application for Telephonic Appearance Hearing Date: Time: Dept: Case #: I, the undersigned, declare: 1. I gave notice of the ex parte Application for Telephonic Appearance: a. TO: Petitioner Petitioner’s Attorney Respondent Respondent’s Attorney Other Parent:_____________________ Other:___________________________ b. HOW AND WHEN: By a telephone call at_______________ a.m. or p.m. on ____________________(date). By personally informing at _____________a.m. or p.m. on _________________(date). By giving copy of the Application and Declaration for Telephonic Appearance by: Personal delivery at _____________a.m. or p.m. on _________________(date). Overnight mail or other overnight carrier, sent at _____________a.m. or p.m. on _________________(date). American LegalNet, Inc. www.USCourtForms.com Fax transmission at__________a.m. or p.m. on ____________________(date). OTHER: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 2. At the time of the notice I informed him/her that the application for ex-parte orders contained requests for the following orders: Request to appear by a phone at my court hearing or mediation appointment. 3. I have received the following response: _____________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. Date: _____________________________ Print Name _______________________________________ Signature American LegalNet, Inc. www.USCourtForms.com