Stanislaus — In Propria Persona

Source: https://www.stanislaus.courts.ca.gov/system/files/notice_to_dcss.pdf

1 Name: Address: 2 City/State/Zip: Telephone:

3

4 In Propria Persona

5

6 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS

7

8 Case No.:

9 Petitioner, DCSS No.:

10 Vs. NOTICE TO DEPARTMENT OF CHILD SUPPORT SERVICES 11

12 Respondent.

13

14 NOTICE IS HEREBY GIVEN by the ______________________,

15 in the above entitled matter, that:

16 1. The ________________________is presently receiving some

17 form of public assistance from the County of Stanislaus.

18 2. The within action is set for hearing on _______________,

19 20____, at the hour of 8:30 a.m., Department to Be Assigned.

20 Attached hereto and incorporated herein by this reference are

21 true copies of the Order to Show Cause/Notice of Motion,

22 Application for Orders and Supporting Declaration and Income and

23 Expense Declaration filed by ____________________ herein.

24

25 Dated:______________ _____________________________

26 Petitioner/Plaintiff Respondent/Defendant 27 FL001(Optional Form) Rev 02/04 28