ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

MC-030

TELEPHONE NO.:

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

DECLARATION

CASE NUMBER:

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)

Attorney for

Plaintiff

Petitioner

Defendant

Respondent

Other (Specify):

Form Approved for Optional Use 
Judicial Council of California 
MC-030 [Rev. January 1, 2006]

DECLARATION

Page 1 of 1



Declaration

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

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About This Form:

• Sourced from selfhelp.courts.ca.gov (2023-03)
• Page(s): 1
• Fields(s): 21
• Average fields per page: 21
• Reading Level: Grade 8
• LIST Grouping(s): CO-00-00-00-00.

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