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Page 1 of 2 Declaration Regarding Notice of Application for Telephonic Appearance (LR 12.14) A TTORNEY OR PARTY WITHOUT ATTORNEY ( name, state bar number, and address ): TELEPHONE NO.: FAX NO. ( optional ): E - MAIL ADDRESS ( optional ): ATTORNEY FOR ( name ): FOR COURT USE ONLY Superior Court of California County of San Francisco 400 McAllister Street San Francisco, CA 94102 IN THE MATTER OF: Minor(s ) Declaration Regarding Notice of Application for Telephonic Appearance (LR 12.14) Hearing Date: Time: Dept: CASE NUMBER: I, the undersigned, declare: 1. I gave notice of the ex parte Application for Telephonic Appearance: a. TO: Mother City attorney Other: b. HOW AND WHEN: By a telephone call at a.m. p.m. on . (date) By personally informing at a.m. p.m. on . (date) By giving copy of the Application and Declaration for Telephonic Appearance by: Personal delivery at a.m. p.m. on . (date) Overnight mail/other overnight carrier, sent at a.m. p.m. on . (date) Fax transmission at a.m. p.m. on . (date) OTHER: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Declaration Regarding Notice of Application for Telephonic Appearance (LR 12.14) 2. At the time of the notice I informed him/her that the application for ex-parte orders contained requests for the following order: Request to appear by a telephone at my court hearing. 3. I have received the following response: 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.FormsWorkFlow.com