ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NO.:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
JUSTICE CENTER:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
Harbor-Newport Beach Faclility-4601 Jamboree Rd., Newport Beach, CA 92660-2595
North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500
West 8141 13
th
Street, Westminster, CA 92683-4593
PLAINTIFF / PETITIONER:
DEFENDANT / RESPONDENT:
DECLARATION RE: NOTICE
Temporary Restraining Order
Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary
Educational Institution, Elder or Dependent Adult Abuse, Gun Violence
Restraining Order
CASE NUMBER:
On (date) at (time) ,
I telephoned Plaintiff/Petitioner or Defendant/Respondent (name)
I said that on (date) at (time) , I would ask the Court for a Temporary
Restraining Order (describe order, e.g. “against violence”):
I gave the location of the Courthouse as Dept. at (address)
I have been unable to give notice to the Plaintiff/Petitioner or Defendant/Respondent for the following reasons:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
Approved for Optional Use
L-0889 (Rev. March 2019)
DECLARATION RE: NOTICE
Temporary Restraining Order
Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary
Educational Institution and Elder or Dependent Adult Abuse, Gun Violence
Restraining Order
California Rules of Court,
Rule 3.1204(b)
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