Name, Address, and Telephone Number For court use only Superior Court of California County of San Francisco 400 McAllister Street San Francisco, CA 94102 Petitioner: Respondent: Declaration Regarding Notice of Ex-Parte Application Hearing Date: I, the undersigned, declare: 1. I gave notice of the present application: a. TO: Petitioner Petitioner's Attorney Respondent Respondent's Attorney Other:_____________________ By a telephone call at_________ a.m. on ______________, __________. By personally informing at _________ a.m. on _______________, ________. 2. A copy of the Application and Declaration for Ex-Parte Hearing and the Proposed Order was given: a. TO: Petitioner Petitioner's Attorney Respondent Respondent's Attorney Other: ___________________ Personal delivery Overnight mail or other overnight carrier Fax transmission at_______ a.m. on ________________, ________. Time: Dept: Case #: ________________________ b. HOW: b. HOW: 3. At the time of the notice I informed him/her that the application for ex-parte orders contained requests for the following orders: DECLARATION REGARDING NOTICE OF EX-PARTE APPLICATION American LegalNet, Inc. www.FormsWorkFlow.com 4. I have received the following response: 5. I have not given notice to the present application for ex parte orders because: A. Applicant would suffer immediate and irreparable harm before the orders could issue: (explain) B. I made reasonable, good faith efforts to give notice, as follows: 6. I have 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 have not made this request before. I declare under penalty of perjury that the foregoing is true and correct. Date:________________________ _______________________________________ (Signature of Declarant) Print Form Clear Form To protect your privacy always clear a form after you are finished printing. DECLARATION REGARDING NOTICE OF EX-PARTE APPLICATION American LegalNet, Inc. www.FormsWorkFlow.com