Ri Fl 004 at a glance
What it is: Declaration Regarding Notice of Request for Emergency Orders (Family Law - Non-Domestic Violence) is an optional-use Riverside Superior Court form.
Who signs: The ATTORNEY or PARTY MAKING DECLARATION marks ATTORNEY or PARTY and enters the TYPE OR PRINT NAME and the SIGNATURE.
A filled-in Ri Fl 004 example: a party gives notice by telephone
How to fill out Ri Fl 004, box by box
Attorney or party without attorney, and case
At the top of the form, under SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE, mark BLYTHE, INDIO, MENIFEE or RIVERSIDE.
Under ATTORNEY OR PARTY WITHOUT ATTORNEY, enter the Name, State Bar Number and Address.
Enter the TELEPHONE NO. The FAX NO. and E-MAIL ADDRESS are marked (Optional). If there is an attorney, under ATTORNEY FOR, enter the Name.
Enter the PETITIONER, the RESPONDENT and the CASE NUMBER.
A. Notice
Under A. NOTICE, box 1: enter the PARTY'S NAME OR THEIR ATTORNEY OF RECORD, the DATE and the TIME of the notice, with a.m. or p.m.
Mark one of these: I spoke to the party in person; I spoke to the party by telephone at the following number; I left a message on voicemail of the party at the following number.
Box 2: enter the DATE, the TIME with a.m. or p.m. and the COURTHOUSE LOCATION where the emergency order would be presented to the court, then list the emergency orders requested.
Box 3: enter the DATE, the TIME with a.m. or p.m. and the DEPT. where the other party should appear to be heard, then mark where it is located at: Indio, Riverside, Menifee or Blythe.
Boxes 4 to 6, the other party's responses
Boxes 4, 5 and 6: write how the other party responded when asked if they intended to appear at the hearing, if they would be opposing the request, and if they would file a written opposition.
B. Service
Under B. SERVICE, mark: Service of the documents requesting emergency orders has been completed. Proof of Service has been filed with the court.
Or mark: Service of the documents requesting emergency orders has not been completed because, then mark: I am requesting that service of the documents be waived by the court (Complete Section C), or Other.
C. Request to waive notice and service
Under C. REQUEST TO WAIVE NOTICE AND SERVICE, 1. mark: I ask the court to waive, then mark notice or service to all parties and their attorneys of the request for emergency order. Choose the option(s) that are applicable. Under a. Attempted Notice, describe efforts made to give notice.
Under b. Waiver of Notice and/or Service, Notice: Giving notice would frustrate the purpose of the order; Giving notice would result in immediate and irreparable harm to me or the children who may be affected by the requested order; Giving notice would result in immediate and irreparable damage to or loss of property; We agreed in advance that notice was not necessary.
Under Service, mark: There are extraordinary circumstances that imminent harm is likely if I serve (deliver) the documents to the other party before the hearing. Provide the reasons why the court should waive, and mark notice or service.
Declaration and signature
"I declare under penalty of perjury under the laws of the State of California that the information in the declaration is true and correct." Enter the Date.
More rules for Ri Fl 004
The court cannot consider your request for emergency orders unless you have given notice as required by California Rules of Court, rules 5.151, 5.165 and 5.167.
If you or a family member needs domestic violence or child abuse protection, use the Domestic Violence Protection Act forms (DV-100, DV-109 and DV-110).
After providing notice, you must serve your documents requesting emergency orders on all parties or their attorneys at the first reasonable opportunity.
Your proof of service should be filed separately from this declaration.
You may ask the court to waive service under Rule 5.167(a) or notice under Rule 5.165(b)(2) by filling out Section C of this form.
Common questions about Ri Fl 004
Is there a deadline?
You must give notice to all parties or their attorneys no later than 10:00 a.m. on the court day before the emergency hearing.
Sources
[1] Form RI-FL004 (Rev. 09/23), Declaration Regarding Notice of Request for Emergency Orders, Riverside Superior Court (the Official source link on this page).