From the 'Lectric Law Library
Petition for Leave to File Civil Action
Against Public Entity (CA) Form

[Attorney name]
[Address]
[Telephone number]

Attorney for Petitioner, [name]


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


_ _ _ _ _ _ _ _ _ _ _ _ _   )   No. _ _ _ _ _ _
            Petitioner      )   
  v.                        )   PETITION FOR LEAVE TO FILE CIVIL
                            )   ACTION AGAINST PUBLIC ENTITY
_ _ _ _ _ _ _ _ _ _ _ _ _   )   (Govt C §946.6)
            Respondent      )   [POINTS AND AUTHORITIES;
____________________________)   DECLARATION(S)]
                                Hearing: [date; time]
                                Department: _ _ _ _ _ _
                                [Estimated length:_ _]

[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].

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
___________ that the foregoing is true and correct.


Date: _ _ _ _ _ _    [Signature]
                     ____________
                     [Typed name]
                     Attorney for _ _ _ _ _ _ _ 

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[Last Revised 3/02]