This form contains 30 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attorney or Party Information
Attorney or Party Information Text
Enter the name, State Bar number (if applicable), and full address of the attorney or party without an attorney.
Telephone Number Text
Provide the telephone number of the attorney or party.
Fax Number Text
(Optional) Enter the fax number of the attorney or party.
Email Address Text
(Optional) Provide the email address of the attorney or party.
Attorney For Name Text
Enter the name of the party the attorney represents.
Case Information
Case Number Text
Please provide the unique identifying number assigned to this case.
Short Title Text
Please provide the abbreviated title of the case.
Court Information
County Text
Enter the name of the county where the Superior Court of California is located.
Street Address Text
Enter the street address of the court.
Mailing Address Text
Enter the mailing address of the court.
City and Zip Code Text
Enter the city and zip code of the court.
Branch Name Text
Enter the specific branch name of the court.
Declaration
Date of Declaration Date
Enter the date this declaration is signed.
Declarant's Signature Text
Enter the printed name of the person making this declaration.
Max length: 20 characters
Documents for Admission
Each of the following facts is true Checkbox
Check this box if you are admitting that each of the following facts is true. Fill only if 'Genuineness of Documents' is 'Yes'.
Depends on: Genuineness of Documents
Document Number Text
Please enter the consecutive number for the document you are requesting to be admitted as genuine. Fill only if 'Genuineness of Documents' is 'Yes'.
Depends on: Genuineness of Documents
Original of documents is genuine Checkbox
Check this box if you are admitting that the original of each of the attached documents is genuine. Fill only if 'Genuineness of Documents' is 'Yes'.
Depends on: Genuineness of Documents
Facts for Admission
Facts are True Checkbox
Check this box if you admit that each of the facts listed in item 1 is true. Fill only if 'Truth of Facts' is 'Yes'.
Depends on: Truth of Facts
Facts to Admit Text
Provide a list of facts that the user is requested to admit as true. If there is more than one fact, number each fact consecutively. Fill only if 'Truth of Facts' is 'Yes'.
Depends on: Truth of Facts
Continued on Attachment 1 Checkbox
Check this box if the facts for admission listed under item 1 continue on an attached page. Fill only if 'Truth of Facts' is 'Yes'.
Depends on: Truth of Facts
General
Print this form Button
Save this form Button
Clear this form Button
For your protection and privacy, please press the Clear This Form button after you have printed the form Button
Request Details
Requesting Party Text
Provide the name of the party making the request for admission.
Answering Party Text
Provide the name of the party who will be answering the request for admission.
Set Number Number
Enter the set number for these requests for admission.
Request Type
Truth of Facts Checkbox
Check this box if the requests for admission concern the truthfulness of specific facts.
Genuineness of Documents Checkbox
Check this box if the requests for admission concern the authenticity or genuineness of specific documents.
Signatory Name
Signatory Name Text
Provide the full name of the party or attorney signing the document, either typed or printed.