APPLICATION AND DECLARATION FOR EX-PARTE HEARING Name, Address, and Telephone Number Superior Court of California County of San Francisco 400 McAllister St. San Francisco, CA 94102 In the Matter of: Application and Declaration for Ex Parte Hearing Hearing Date: Time: Dept: For court use only Case #: I, the undersigned, declare: 1. I would like the Judge/Commissioner to order: Order Shortening time for Service and Hearing Emergency Order re: Placement Continuation of Hearing Date Other (please explain): 2. This is an emergency because: (be specific) 3. I need this order because: (be specific) American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION AND DECLARATION FOR EX-PARTE HEARING 4. 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: ) 5. I have made this request to the court in the past, and the court has refused (in whole or I have not in part) to grant my request. If so, explain: 6. I would like the Judge/Commissioner 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) American LegalNet, Inc. www.FormsWorkFlow.com