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Request For Separate CCRC - California
| Request For Separate CCRC Form. This is a California form and can be used in Family Court Merced Local County . |
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and state bar number) FOR COURT USE ONLY Telephone No: E-Mail Address: Attorney for: (Name) Fax No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: 2260 N Street MAILING ADDRESS: 627 W. 21ST Street CITY AND ZIP CODE: Merced, CA 95340 Branch Name: Family Law Division, Courtroom 6 REQUEST FOR SEPARATE CCRC CASE NUMBER: Per Family Code ยง3181, a request for SEPARATE CCRC is available only to a party that is alleging a history of domestic violence between the parties in a written declaration under penalty of perjury or where the party is the protected person within a protective order. I, , submit this written request for SEPARATE CCRC. I understand that SEPARATE CCRC is granted by a verbal request to the CCRC and/or the filing of this form ONLY in cases where there is a history of domestic violence between the parties in a written declaration under penalty of perjury, or where I, as a party to this action, am the protected party in a protective order. Date: ______________________ ______________________________________________________ Signature of Party American LegalNet, Inc. www.FormsWorkFlow.com
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