DAL-006 - Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference

Summary

Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference

Text

Form ID: DAL-006
Title: Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference
Effective Date: 2013-07-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DAL-006
Primary Download URL: https://www.courts.ca.gov/documents/dal006.pdf
Form Detail Page:
Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference
(DAL-006)
Tell the court clerk that documents you are filing with your Application for Stay of Proceedings and Early Evaluation Conference, Joint Inspection (DAL-005) are confidential.
Get form DAL-006
Effective: July 1, 2013
PDF Text:
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Form Adopted for Mandatory Use  
Judicial Council of California  
DAL-006 [Rev. July 1, 2013]
CONFIDENTIAL COVER SHEET AND DECLARATION RE DOCUMENTS 
FOR STAY AND EARLY EVALUATION CONFERENCE 
(Disability Access Litigation)
Civil Code, § 55.54 
CONFIDENTIAL DAL-006
FOR COURT USE ONLY
CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number of attorney, and address):
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS (Optional):
      ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF:
DEFENDANT:
CONFIDENTIAL COVER SHEET AND DECLARATION RE DOCUMENTS 
FOR STAY AND EARLY EVALUATION CONFERENCE
This Confidential Cover Sheet and Declaration should be affixed to the first page of any of the documents listed  
below. It may not be used with other documents.
INSTRUCTIONS TO CLERK: Certain supporting documents to be filed along with or following an Application for Stay of 
Proceedings and Early Evaluation Conference are to be kept confidential, as provided by Civil Code sections 55.54(c)(6) and  
(d)(4)(A) and (5). Such document are not to be made part of the public record except to the extent provided in Civil Code   
section 55.54(e)(4).   
Attached hereto is a true and correct copy of one or more of the following documents  (check all that apply): 
1. Report issued by a Certified Access Specialist on a site that is the subject of this litigation. (This document may  
become publicly accessible at some point, under Civil Code section 55.54(e)(4).)
2. Wage report forms filed by defendant with the Employment  Development Department.
3. State or federal income tax returns filed by defendant.
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 OF DECLARANT)
 (SIGNATURE OF DECLARANT)
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  Form ID: DAL-006 Title: Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference Effective Date: 2013-07-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/DAL-006 Primary Download URL: https://www.courts.ca.gov/documents/dal006.pdf Form Detail Page: …

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  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 OF DECLARANT) (SIGNATURE OF DECLARANT) Page 1 of 1