(This document must be filed by noon on the day of the ex parte hearing) NAME, ADDRESS & TELEPHONE NUMBER FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901-5737 (530) 749-7600 PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT: PROOF OF SERVICE OF NOTICE OF EX-PARTE APPLICATION FOR EMERGENCY COURT ORDERS (Non-Domestic Violence) CASE NUMBER: I, ____________________________________residing at _______________________________________: Person giving notice (cannot be a party) person notified date mailing address time 1. Gave notice to _______________________on _________________at _____________________ by (select manner of notification): Telephone number Voicemail In Person In writing By facsimile By text message By e-mail Social media 2. I stated that __________________________is seeking temporary ex parte orders for _______________________ party's name temporary custody, other ex parte order 3. I also gave the date, time and place of the ex parte hearing. 4. I asked whether the opposing party would appear or file responsive pleadings and was advised that _______________________________________________________________________________. 5. I thereafter served the papers at the first reasonable opportunity before the hearing. 6. Exceptional circumstances justify that shorter notice given as follows_____________________________ _______________________________________________________________________________________. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ________________________________________ Printed Name _____________________________________________ Signature of Declarant Form Adopted for Mandatory Use Yuba County Superior Court Effective 3/1/14 PROOF OF SERVICE OF NOTICE OF EX-PARTE APPLICATION FOR EMERGENCY COURT ORDERS (Non-Domestic Violence) FL14077 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com