ATTACHMENT FM-1136
FM-1136 REV 01/01/16
ELDER ABUSE DOMESTIC VIOLENCE
FACSIMILE TRANSMISSION COVER SHEET
(FAX FILING)
Page 1 of 1
AUTHORIZED FAX FILER
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
191 Nort
h First Street
191 North First Street
San José, California 95113
Downtown Courthouse – Probate Division
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
FOR COURT USE ONLY
ELDER ABUSE FACSIMILE TRANSMISSION COVER SHEET
CASE NUMBER:
TO THE COURT:
Please find the following transmitted documents marked below:
Document Name Form No.
Request for Order to Stop Elder or Adult Abuse (Elder or Dependent Adult Abuse Prevention) EA-100
Confidential CLETS Information (Domestic Violence, Civil Harassment, Elder Abuse, Juvenile Law) EA-102
Response to Request for Orders to Stop Elder or Dependent Adult Abuse EA-110
Notice of Hearing and Temporary Restraining Order (CLETS-TEA or TEF) (Elder or Dependent
Adult Abuse Protection) EA-120
Request and Order for Reissuance of Temporary Restraining Order (CLETS-TEA or TEF) EA-125
Order after Hearing Restraining Elder or Dependent Adult Abuse (CLETS-EAR or EAF)
(Elder or Dependent Abuse Protection) EA-130
Proof of Personal Service - CLETS EA-140
Proof of Service by Mail - CLETS EA-141
Proof of Firearms Turned in or Sold EA-145
Declaration in Support of Ex Parte Application for Orders FM-1013
Request for Sheriff to Serve and Sheriff’s Fee Statement FM-1041
How to Safely Turn in Firearms and Ammunition SC-1047
How Can I Respond to a Request for Orders to Stop Elder or Dependent Adult Abuse? EA-151 INFO
Substitution of Attorney FM-1041
Other:
CHECK HERE IF RESUBMITTING DOCUMENTS MC-050
NUMBER OF PAGES ATTACHED:
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