DECLARATION REGARDING NOTICE OF EX-PARTE APPLICATION Name, Address, and Telephone Number Superior Court of California County of San Francisco 400 McAllister St. San Francisco, CA 94102 In the Matter of: Declaration Regarding Notice of Ex-Parte Application Hearing Date: Time: Dept: For court use only Case # I, the undersigned, declare: 1. I gave notice of the Application to: Mother's Atty By telephone In Person At a.m./p.m. on Alleged Father's Atty By telephone In Person At a.m./p.m. on Presumed Father's Atty By telephone In Person At a.m./p.m. on Birth Father's Atty By telephone In Person At a.m./p.m. on Minor's Atty By telephone In Person At a.m./p.m. on DHS' Atty By telephone In Person At a.m./p.m. on De Facto Parent(s) Atty By telephone In Person At a.m./p.m. on Legal Guardian's Atty By telephone In person At a.m./p.m. on I provided a copy of the Application, Declaration and Proposed Order by: Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on Personal delivery on Overnight mail/carrier on Fax transmission on American LegalNet, Inc. www.FormsWorkFlow.com DECLARATION REGARDING NOTICE OF EX-PARTE APPLICATION Attorney for Other: By telephone In person At a.m./p.m. on Personal delivery on Overnight mail/carrier on Fax transmission on 2. At the time of the notice I informed him/her that the application for ex-parte orders contained requests for the following orders: 3. I have received the following response: 4. 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:267 (explain) B. I made reasonable, good faith efforts to give notice, as follows: 5. 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) American LegalNet, Inc. www.FormsWorkFlow.com