OFFICE OF ADMINISTRATIVE HEARINGS STATE OF CALIFORNIA GENERAL JURISDICTION DIVISION Filing Instructions: File Electronically at TeacherDismissalMotions @dgs.ca.gov or by Fax to (916) 376-6324 For more information visit www.dgs.ca.gov/oah Request to Set: Motion For Immediate Reversal Of Suspension (Ed. Code, § 44939, subd. (c)) (Cal. Code Regs., tit. 1, § 1018) Name of Person Submitting Request Respondent Name: Address: Email: Telephone: Fax: Preferred Method of Service: Email Fax School District Name: Address: Email: Telephone: Fax: Preferred Method of Service: Email Fax Date Respondent Attorney Name: Address: Email: Telephone: Fax: Preferred Method of Service: Email Fax School District Attorney Name: Address: Email: Telephone: Fax: Preferred Method of Service: Email Fax OAH Case Number U.S. Mail U.S. Mail U.S. Mail U.S. Mail PLEASE NOTE: SERVICE OF DOCUMENTS SHALL BE BY EMAIL UNLESS OTHERWISE REQUESTED Attached are: Notice Of Motion Statement Of Charges Memorandum Of Points & Authorities Proof Of Service Date by which Motion must be heard Date Respondent served with Statement of Charges Oral Argument Dates/Times Preferred For Next 30 Days By All Parties (FRIDAYS ONLY) Dates unavailable for the next 30 days for all parties Additional comments and/or instructions, Request for Accommodation NOTICE: This is not a reservation of dates. Completion of this form does not guarantee that you will receive the hearing dates requested. Dates are subject to availability at the time a Request to Set or other calendar request is processed by OAH. 2349 GATEWAY OAKS DR., SUITE 200 SACRAMENTO, CA 95833 Phone 916-263-0550 FAX 916-376-6349 sacfilings@dgs.ca.gov 1515 CLAY STREET, SUITE 206 OAKLAND, CA 94612 Phone 510-622-2722 FAX 916-376-6323 oakfilings@dgs.ca.gov 320 WEST FOURTH STREET, SUITE 630 LOS ANGELES, CA 90013 Phone 213-576-7200 FAX 916-376-6324 teacherdismissalmotions@dgs.ca.gov 1350 FRONT STREET, ROOM 3005 SAN DIEGO, CA 92101 Phone 619-525-4475 FAX 916-376-6325 sanfilings@dgs.ca.gov DGS-OAH 21G Rev. 5/15 American LegalNet, Inc. www.FormsWorkFlow.com