LOCAL RULES OF THE SISKIYOU COUNTY SUPERIOR COURT APPENDIX 9: DECLARATION RE EX PARTE NOTICE (SC-FL-2) ATTORNEY OR SELF-REPRESENTED PARTY (Name, State Bar No., and Address) Telephone No.: E-Mail Address: ATTORNEY FOR (Name): FAX No.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SISKIYOU 311 Fourth Street, Yreka, CA 96097 BRANCH: FAMILY LAW DEPARTMENT 9 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: INTERVENOR/OTHER PARENT: DECLARATION RE EX PARTE NOTICE (EMERGENCY APPLICATION FOR ORDERS) CASE NO: DEPT: 1. I, __________________________________________________________________, am the [ ] Attorney for [ ] Petitioner/Plaintiff [ ] Respondent/Defendant [ ] Intervener/Other Parent [ ] Local Child Support Agency [ ] Other (specify): _____________________________________ in this case. 2. a. [ ] I told the opposing party the date, time, and place of this emergency hearing and what I would be asking the Court to order. I told the opposing party that I would be appearing on (date) __________________________ at 1:15 p.m. in Department 9 of the above-entitled Court, located at 510 N. Main Street, Yreka, CA 96097. b. [ ] This notice was given by: (1) [ ] telephone on (date): telephone no.: at a.m/p.m. (2) [ ] personal service on (date): at (location): , Calif., at a.m/p.m. (3) [ ] fax on (date): fax no.: at a.m/p.m. (4) [ ] e-mail on (date): to e-mail address: at a.m/p.m. c. (1) [ ] I gave this notice by 10:00 a.m. of the court day before this emergency hearing. (2) [ ] I gave this notice after 10:00 a.m. of the court day before this emergency hearing because of the following exceptional circumstances (specify): d. The opposing party responded to my notice in the following manner (specify): e. [ ] I believe the opposing party will come to court to oppose this request. 3. [ ] I used my best efforts to tell the opposing party when and where this hearing would take place but was unable to do so. The efforts I made to inform the other person were (specify): 4. [ ] I did not try to tell the opposing party about this emergency request for orders because (check all that apply): a. [ ] This is an application for Domestic Violence Prevention Act (DVPA) restraining orders. b. [ ] I, or my client, would suffer great or irreparable injury before the other party could be heard in opposition. c. [ ] Other (specify): Please explain your answer(s) to a-c: 5. [ ] The parties to this case are involved in another family, probate, juvenile or criminal court case. That case number is: 6. [ ] I have asked for these orders before. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ______________________________________________ _____________________________________________ [TYPE OR PRINT NAME] [SIGNATURE] Mandatory Form Rev. 7/1/13 APPENDIX 9 PAGE 1 OF 1 American LegalNet, Inc. www.FormsWorkFlow.com