Tuolumne — TUO-CS-175

Source: https://www.tuolumne.courts.ca.gov/system/files/forms-and-filings/tuo-cs-175.pdf

TUO-CS-175

Attorney or Unrepresented Party (name, address, e-mail and phone no.): California Bar No.: Space below for use of Court Clerk only

Attorney for (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF TUOLUMNE 12855 Justice Center Drive Sonora, CA 95370 Civil/Family: (209) 533-5555 or Criminal/Traffic (209) 533-5563 Petitioner/Plaintiff: Department:

Judicial Officer: Respondent/Defendant:

Case Number:

DECLARATION IN SUPPORT OF MOTION RE DISQUALIFICATION OF JUDICIAL OFFICER PURSUANT TO C.C.P. § 170.6

I am ____ a party ____ the attorney for a party in the above-entitled case and declare that:

_________________________________________, the judicial officer whom the trial or hearing in this action or special proceeding is pending, or to whom the case is assigned, is prejudiced against the party or the party’s attorney, or the interest of the party or the party’s attorney, such that the declarant cannot, or believes that he/she/they cannot, have a fair and impartial trial or hearing before the judicial officer.

This judicial officer ____ has ____ has not presided over a hearing, motion, or other proceeding in the past in this case.

Pursuant to the provisions of Code of Civil Procedure section 170.6, I request that this case be assigned to another judicial officer for further proceedings.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at ______________________, California, on __________________________.

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Type or Print Name of Declarant Signature of Declarant

DECLARATION IN SUPPORT OF MOTION RE DISQUALIFICATION OF JUDICIAL OFFICER PURSUANT TO C.C.P. § 170.6

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Form Adopted for Optional Use Page 1 of 1 TUO-CS-175 (New June, 2022)