Merced — MSC-FL-023

Source: https://www.merced.courts.ca.gov/system/files/forms-and-filings/msc-fl-023-declaration-support-ex-parte-application-orders-ada-comp.pdf

MSC-FL-023 Attorney or Party Without Attorney (Name, Address, SB #) Reserved for Clerk’s File Stamp

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Petitioner,

v.

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Respondent.

Declaration in Support of Ex Parte Application for Orders Case No. _____________

Hearing Date: _______________ Time: ___________________ Dept: ___________

I the: Petitioner Respondent Other Parent Other ______________ declare the following:

1. I would like the Judicial Officer to order:

Emergency Custody Order

Domestic Violence Restraining Order

Order Shortening Time

Other: _______________________

2. Reason ex parte relief is necessary:
________________________________________________________________________
________________________________________________________________________

3. Name of opposing party (or attorney):
________________________________________________________________________

4. Was notice of the Ex Parte Request given to the other party? YES NO

5. NOTICE WAS GIVEN: The opposing parties were notified of the relief requested
and that an Ex-Parte Hearing would be heard by the Court on (date) _______________ at
8:45 a.m. as indicated below:

For Optional Use Page 1 of 2 MSC-FL-023 [Rev. July 1, 2018]

MSC-FL-023 PLAINTIFF: CASE NUMBER: RESPONDENT:

a. Notice was given to : Attorney for: Plaintiff/Petitioner Defendant/Respondent

Other Parent Other ___________________________

b. Notification occurred on (date):_________________ at (time) _______________.
Note: notice must be given AT LEAST the day before the hearing by 10:00 a.m.

c. Manner of notification as per CRC 5.165(a) : By Phone In Writing

By Voicemail Message

6. NOTICE NOT GIVEN: Notice of this request was not given to the other party because:
a. This is a request for a Domestic Violence Restraining Order.

b. Notice of this request would frustrate the purpose of the order sought for the
following reason:
__________________________________________________________________.

c. Applicant would suffer immediate and irreparable harm before this matter could be
heard. (explain in detail)
____________________________________________________________________.

d. A reasonable and good faith effort to notify the opposing party was made but
notification was unsuccessful. (Describe in detail attempts made)
____________________________________________________________________.

Notice: After providing notice each party is to be served with the documents at the first reasonable opportunity.

I declare under penalty of perjury under the laws of the State of California that the above information is true and correct. Dated: _______________

By:

Printed Name Signature

For Optional Use Page 2 of 2 MSC-FL-023 [Rev. July 1, 2018]