Optional Form VN028 at a glance
What it is: Optional form VN028 is the Declaration re Ex Parte Notice of the Superior Court of California, County of Ventura, Limited Civil Case.
Who signs: Enter the date after Dated and sign as Signature of Declarant. Sign as Signature of Declarant and enter the date after Dated.
The person giving the notice must state how notice was given, where the hearing is to be held, and what orders are requested. If notice is not being given, please advance to page two of this form.
A filled-in Optional Form VN028 example: a petitioner reports telephone notice

How to fill out Optional Form VN028, box by box
ATTORNEY OF PARTY WITHOUT ATTORNEY, ATTORNEY FOR, PLAINTIFF/PETITIONER and DEFENDANT/RESPONDENT
Dom. Violence Restraining Order, Civil Harassment Restraining order, Other Family Law / Custody, Other Civil / Probate and CASE NUMBER
Superior Court of Ventura County at 800 South Victoria Ave., Ventura or 4353 Vineyard Ave., Oxnard: Date, Time, Courtroom
How Informed

Enter the Person informed (Name) and the Date and time informed.
How Informed: Check By telephone to the party attorney at (Telephone Number)
Check By leaving a message with (Name) relationship to party: at (Telephone Number) In person
Check By leaving a message on voicemail of the party at (Telephone Number)
Check party or attorney for By personally informing.
Check In writing (copy must be attached).
Orders requested, and do or do not expect the other party to oppose my request

Check the orders I told him/her about, which included, but were not limited to: Domestic Violence Restraining Orders with move-out orders custody orders, Civil Harassment Restraining Orders, Custody / visitation orders, specifically:, or Other:
and that he/she should appear at the time and place if he/she wished to be heard by the court.
3. Check I do or do not expect the other party to oppose my request.
Declare under penalty of perjury, Dated and Signature of Declarant
NO NOTICE GIVEN

NO NOTICE GIVEN: Notice must be given for all Ex Parte requests unless the person requesting the order can establish exceptional circumstances to excuse notice.
Fill in the blank after I,. You are requesting Ex Parte orders and requesting that notice be excused in this matter.
Ex Parte hearing is set at 800 South Victoria Ave., Ventura 3855-F Alamo St., Simi Valley 4353 Vineyard Ave., Oxnard. Enter the Date, then the Time, then the Courtroom.
3. I am requesting the following orders: check the box for the order you are requesting: Domestic Violence Restraining Orders with move-out orders custody orders, Civil Harassment Restraining Orders, Custody / visitation orders, specifically, or Other Civil/Probate orders, specifically.
Notice should be excused because: provide details as to why the other party should not be told, in advance, of your request for emergency orders. Check I do not have any way to give notice to the other party because:, If notice is given, I, or the children, will suffer immediate harm, specifically:, or Giving notice would frustrate the purpose of this order because:
Sign as Signature of Declarant and enter the date after Dated.
Sources
[1] Optional Form VN028 (Rev.01/14), Declaration re Ex Parte Notice, Superior Court of California, County of Ventura (the Official source link on this page).




