San Bernardino — 19559

Source: https://sanbernardino.courts.ca.gov/system/files/19559noticeofspecialhearingdependency.pdf

ATTORNEY OR AGENCY SUBMITTING NOTICE (Name, Department, State Bar number and address): For Court Use Only

TELEPHONE NO: FAX NO (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: 860 EAST GILBERT STREET MAILING ADDRESS: 860 EAST GILBERT STREET CITY AND ZIP CODE: SAN BERNARDINO, CA 92415-0955 BRANCH NAME: JUVENILE DEPENDENCY COURT CASE NAME:

CASE NUMBER:
NOTICE OF SPECIAL HEARING
JUVENILE DEPENDENCY PROCEEDING
Welfare & Institutions Code § 300 RELATED CASE (if any):

1. A hearing will be held:

on (date): at (time): in Dept.:

located at: 860 EAST GILBERT STREET, SAN BERNARDINO, CA. 92415-0955

2. Hearing date approved by courtroom on (date):

3. This hearing is for the purpose of:

I served a copy of the NOTICE OF SPECIAL HEARING on (date) on the following persons or entities (indicate name of person served and method of service): ☐ County Counsel: ☐ Attorney - other:

☐ Children’s Advocacy Group: ☐ Attorney - other:

☐ Juvenile Court Attorneys of SB: ☐ Dept. of Children and Family Services: ☐ Clark & Le, LLP: ☐ CFS Court Officer: ☐ Friedland & Associates: ☐ Other:

At the time of service I was at least 18 years of age and not a party to this cause. I am a resident of or employed in the county where the

service occurred. My residence or business address is (specify):

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

Date:

(TYPE OR PRINT NAME) (SIGNATURE)

19559 [Rev. January 1, 2023] NOTICE OF SPECIAL HEARING Page 1 of 1