Fillable ATTACHMENT FM-1124 (The Superior Court of California, County of Santa Clara)

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ATTACHMENT FM-1124 (The Superior Court of California, County of Santa Clara)

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ATTACHMENT FM-1124
FM-1124 REV 03/23/2021
For Mandatory Use
FINDINGS RE NON-COMPLIANCE WITH ORDER TO RELINQUISH
GUNS, FIREARMS OR AMMUNITION
Page 1 of 1
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PROTECTED PERSON:
RESTRAINED PERSON:
FINDINGS RE NON-COMPLIANCE WITH ORDER TO RELINQUISH
GUNS, FIREARMS OR AMMUNITION
CASE NUMBER:
This form is related to: DV-110/130 CH-110/130 EA-110/130 WV-110/130
JV-250/255 Other:
1. The above matter came before the Court on in Department of the
Superior Court, the Honorable , presiding.
2. The Court makes ALL the following findings by a preponderance of the evidence:
a. The Restrained Person received proper notice of the hearing.
b. The Restrained Person appeared did not appear for the hearing.
c. The Court issued a restraining order against the Restrained Person on (date) ,
which prohibits possession and requires the relinquishment of guns, firearms or ammunition, by
surrender to Law Enforcement, or sale to or storage with a licensed gun dealer, as required by law.
d. The Restrained Person owns or has access to guns, firearms or ammunition.
e. The Restrained Person has failed to offer satisfactory proof that he or she has relinquished the
following guns, firearms or ammunition as required by law:
_________________________________________________________________________________.
3. The Protected Person should give this form to the Santa Clara County District Attorney’s Office or the law
enforcement agency where he or she lives, along with a copy of the restraining order, to request help to enforce
the order to relinquish guns or other firearms or ammunition.
Date:
Judicial Officer
Instructions to Protected Person
You may contact the Santa Clara County District Attorney’s Office at prohibitedpersons@dao.sccgov.org, or
call the non-emergency telephone number for the law enforcement agency where you live, to request help in
enforcing the order to relinquish the gun, firearms or ammunition.
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ATTACHMENT FM-1124 (The Superior Court of California, County of Santa Clara)

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Completed 29 June 2021

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