ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS):
TELEPHONE NO.:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL
STREET ADDRESS: 939 Main Street MAILING ADDRESS: 939 Main Street CITY AND ZIP CODE: El Centro, CA 92243 BRANCH NAME:
PLAINTIFF: DEFENDANT:
CASE NUMBER:
REQUEST FOR HEARING
Default Dissolution
Default Civil
Issue: _____________________________________________________________________________ Restoration upon Completion of Mediation Adoption Summons has been served and filed with Clerk Minor's Compromise _______ Other __________________________________________________________________________________
HEARING DATE & TIME:
_________________________________________________________________________________________________ Signature of Party or Attorney
_________________________________________________________________________________________________ Type or Print Name
Form Approved for Optional Use GN-01 (adopted 7/1/07)