San Luis Obispo — DQ-001

Source: https://www.slo.courts.ca.gov/documents/san-luis-obispo/DQ-001.pdf

(For Court use only)

Name, Address & Telephone Number of Attorney:

Attorney for:

SUPERIOR COURT OF SAN LUIS OBISPO COUNTY San Luis Obispo, 1035 Palm Street, Rm 385, San Luis Obispo, CA 93408 Paso Robles Branch, 901 Park Street, Paso Robles, CA 93446

Plaintiff(s):

vs.

Defendant(s):

AFFIDAVIT OF PREJUDICE
CASE NO: PEREMPTORY CHALLENGE TO JUDICIAL OFFICER
(CCP §170.6)

Name of Assigned Judicial Officer:

Department No:

Declarant Name: Print Name

I, the above named declarant, am a party (or attorney for a party) to this action. The judicial officer named above, before whom the trial of, or a hearing in, this matter is pending or to whom it has been assigned, is prejudiced against the party (or their attorney) or the interest of the party (or their attorney), so that the declarant believes they cannot have a fair and impartial trial or hearing before the judicial officer.

I declare under penalty of perjury, under the laws of the State of California that the foregoing is true and correct.

Dated: Signature of Declarant

Affidavit of Prejudice
Peremptory Challenge to Judicial Officer Page 1 of 1
(CCP §170.6)

Optional Use SLO form #

DQ 001 (Rev 9/13)