Vernon's Texas Rules Annotated - VTRA TX R PARENT NOT Form 2E . CERTIFICATE OF DEEMED DENIAL OF APPLICATION IN PROCEEDING TO WAIVE PARENTAL NOTIFICATION AND CONSENT

This will certify that on the ___ day of __________, 20 ___, Jane Doe filed an application for a court order authorizing her to consent to an abortion without the parental notice and consent required by Sections 33.002 and 33.0021, Family Code. The court did not rule on the application by 5 p.m. on the fifth business day after the day the application was filed. Accordingly, under Rule 2.5(g) of the Rules for a Judicial Bypass of Parental Notice and Consent Under Chapter 33, Family Code, the application is deemed to be DENIED.

Signed this ___ day of __________, __________.