ATTACHMENT JV-2000 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NUMBER: FOR COURT USE ONLY ATTORNEY FOR: (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH: 191 North First Street San Jose, CA 95113 Name of Child: DECLARATION RE NOTICE OF EX PARTE APPLICATION (JUVENILE) CASE NUMBER: DEPT. NUMBER: I, the undersigned, declare: 1. I am counsel social worker mother father minor Department of Family and Children's in this juvenile matter. Services probation officer or other (explain) 2. Pursuant to Juvenile Court Rules I have given notice of, and a copy of this application for ex parte orders, to the following persons: Notice to the above name persons was given in the following manner: a. b. By telephone at By letter mailed or ( AM PM) , 20 . hand delivered to (insert name and address): 3. I have received the following response: 4. I have not given notice of this application for ex parte orders for the following reason(s): a. b. c. d. Would frustrate the purpose of the orders requested. Minor child would suffer immediate and irreparable harm before the orders could issue. No significant burden or inconvenience to the responding party will result from the orders requested. I made reasonable, good faith efforts to give notice, as follows: e. Other: I declare under penalty of perjury the laws of the State of California the foregoing is true and correct, at , California this day of 20 , at ( AM PM) Signature of Declarant DECLARATION RE NOTICE OF EX PARTE APPLICATION (JUVENILE) JV-2000 REV 1/01/09 Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com