Court Hearing form

Cal. Form CH-109

California Superior Local Rules

ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: 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  Costa Mesa - 3390 Harbor Blvd., Costa Mesa, CA 92626-1554  Harbor - Newport Beach Facility-4601 Jamboree Rd., Newport Beach, CA 92660-2595  North - 1275 N. Berkeley Ave., P. O.

Box 5000, Fullerton, CA 92838-0500  West - 8141 th Street, Westminster, CA 92683-4593 PETITIONER: RESPONDENT: DECLARATION OF DEFAULT/NON-COMPLIANCE  Civil Harassment  Workplace Violence  Elder or Dependent Adult Abuse  Private Postsecondary School Violence CASE NUMBER: I am the petitioner/respondent in this case, and on (date): the above mentioned parties filed a stipulation in this case.

Parties agreed to the terms of the stipulation, but the other party failed to comply with the stipulation as follows: Attached is a completed Order to Show Cause or Notice of Court Hearing form (CH-109, WV-109, SV-109, or EA-109), and I request a hearing within 21 days. I understand that I must have the new Notice of Hearing or Order to Show Cause personally served on the respondent. 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 Form #L-0839 (Rev.

April. 2023) DECLARATION OF DEFAULT/NON-COMPLIANCE CIVIL HARASSMENT/WORKPLACE VIOLENCE/ ELDER OR DEPENDENT ADULT ABUSE/PRIVATE POST-SECONDARY SCHOOL VIOLENCE www.occourts.org For your protection and privacy, please press the Clear This Form button after you are done printing the form.

Document details

Collection	California Superior Local Rules
Citation	Cal. Form CH-109
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	074f5a627ca41e1e735b3246979ebf7d451d5cc2

Source file is stored in the law ingest library (pdf).