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) 4. The other party is represented by an attorney: † No † Yes (If “yes”, fill in attorney’s name, address, and telephone number) APPLICATION AND DECLARATION FOR EX-PARTE HEARING American LegalNet, Inc. www.FormsWorkFlow.com 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: ___________________________) 7. † I have made this request to the court in the past, and the court has refused (in whole or † I have not 6. 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 Print Form _________________________________ (Signature of Declarant) Clear Form To protect your privacy, always clear a form after you are finished printing. APPLICATION AND DECLARATION FOR EX-PARTE HEARING American LegalNet, Inc. www.FormsWorkFlow.com