Ex Parte Stay of Proceedings Request Form

Court Name

Case Number

Case Title

Jurisdiction

Assigned Judge

Case Type / Matter

Full Name

First NameMiddle NameLast Name

Role in Case

Law Firm or Organization Name

Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Opposing Party Name(s)

Prior Notice Given?

If yes, when and how was notice provided?

Method Used to Notify or Serve the Opposing Side

Proceedings to Be Stayed

Requested Stay Start Date

Date

Requested Stay End Date

Date

Emergency Temporary Stay Requested?

Reason for Stay

Factual Summary Supporting the Stay Request

Immediate Harm or Urgency if Stay Is Not Granted

Relief Requested from the Court

Supporting Documents

Certification

I certify that the information provided is true and complete to the best of my knowledge.

Signature or Typed Name

Date Signed

Date

Preferred Delivery Method for Filing Confirmation or Court Notices