__[Attorney name]__
__[Address]__
__[Telephone number]__

Attorney for __[e.g., Defendant]__, __[name]__


            _ _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__

_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
                                               Petitioner)
vs.                                                        )PETITION FOR LEAVE TO FILE CIVIL
                                                                          )ACTION AGAINST PUBLIC ENTITY
__[Name of entity]__       )   (Govt C 946.6);
                                               Respondent)__[POINTS AND AUTHORITIES;]__
_________________________  )   __[DECLARATION(S);]__
                                                                                                         __[PROPOSED ORDER]__

                                                                                                         Hearing: __[date; time]__
                                                                                                         Department: _ _ _ _ _ _
                                                                                                         __[Estimated length:_ _]__
                                                                                                         Trial Date: __[if set]__

__[Name]__ declares:
     1.   Claimant, __[name]__, petitions the Court for an order
permitting __[her/him/it]__ to commence and pursue a civil action
against respondent, __[name of entity]__.
     2.   On __[date cause of action accrued]__, claimant
acquired causes of action against respondent under the
circumstances described in the attached claim, a copy of which,
marked Exhibit _ _, is incorporated in this petition.
     3.   On __[date late claim application was presented to
entity]__, claimant presented to respondent, by __[means by which
application was made]__, the attached claim and the attached
application for leave to present late claim, a copy of which,
marked Exhibit _ _, is incorporated in this petition. This
application was denied by respondent on __[date]__, by __[e.g.,
notice of rejection dated __[specify]__/failure to act on the
claim or the application]__.
     4.   The grounds for issuance of the order sought by this
petition are: __[Specify grounds; see 17.26]__.
     5.   __[Continue declarant's statements]__.
     This petition is based on the attached documents and
exhibits including __[specify any not already described by title
and date, e.g., the declaration of __[name]__, dated
__[specify]__, and on any evidence received at the hearing]__.
     I declare under penalty of perjury under the laws of the
State of California that the foregoing is true and correct.

Date: _ _ _ _ _ _                                          [Signature]
                                                                                                                                            _________________________
                                                                                                                                                                                    __[Typed name]__
                                                                                                                                            Attorney for _ _ _ _ _ _ _ _ _

      

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Legal Forms : Set Two