Placer — Request for Default Setting

Source: https://www.placer.courts.ca.gov/sites/default/files/pl-fl001.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

ATTORNEY OR PARTY WITHOUT ATTORNEY FOR COURT USE ONLY (Name, State Bar Number, and Address):

TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER 10820 Justice Center Drive 2501 N. Lake Blvd. P.O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145

PETITIONER:

RESPONDENT: CASE NUMBER: FAMILY LAW – REQUEST FOR DEFAULT SETTING DEPARTMENT:

TO THE CLERK OF THE COURT:

I request that this case be set for a default hearing. The hearing is estimated to take:

15 minutes or less More than 15 minutes

Date: Signed: __________________________ Attorney Party

FOR CLERK’S USE ONLY

Set for Hearing:

DATE: TIME: DEPT.

Notice mailed to party or attorney at address shown above on: ______________________

Party waives service by mail.

Party was provided a copy of this Request for Default Setting at the counter on:

/ /20

Jake Chatters, Clerk of the Placer County Superior Court

By: _________________________, Deputy Clerk

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Form No. PL-FL001 Effective 10-01-2018