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CIVIL HARASSMENT

BOOKLET

PART 1

HOW TO FILE A

CIVIL HARASSMENT CASE

SUPERIOR COURT OF CALIFORNIA

COUNTY OF ORANGE

To request a civil restraining order, refer to and fill out the attached forms.

• Information such as names, physical description, police departments, etc. must be the

same on all of the forms.

L-1204 (Rev. July 2013)

If you are in

immediate danger,

you may need an

EMERGENCY

PROTECTIVE ORDER

Emergency Protective Order

This order may

be appropriate

for you if:

You are in immediate

danger.

If granted, the

court can order

someone to:

• Stay away from you,

your home, and your

work.

• Immediately move

from your residence.

• Not own or possess a

gun.

The Court may also order:

Temporary care and control

of a minor child to the

protected person.

The order lasts:

Up to 7 days.

You may get

help from:

Any Law Enforcement

Officer can help you with

an Emergency Protective

Order.

If you need protection for

longer than 7 days, you

must come to court and

ask for another type of

restraining order.

YOU MAY GET HELP FROM:

Superior Court of Orange County

Self-Help Center

Central Justice Center

700 Civic Center Drive West, 1

Floor

Santa Ana, CA 92701

(657) 622-7577

Harbor Justice Center – Newport Beach

6401 Jamboree Rd, Newport Beach, CA 93660

(657) 622-5756

Lamoreaux Justice Center

341 The City Drive, 1

Floor

Orange, CA 92868

(657) 622-5079

North Justice Center

1275 N. Berkeley Ave

Fullerton, CA 92832

(657) 622-6623

West Justice Center

8141 13

Street

Westminster, CA 92683

(657) 622-6970

Domestic Violence Assistance

Lamoreaux Justice Center

341 The City Drive, 6

Floor

Orange, CA 92868

(714) 935-7956

Adult Protective Services (APS)

Social Services Agency

PO Box 22006

Santa Ana, CA 92702-2006

(800) 451-5155

Legal Aid Society

2101 N. Tustin Ave

Santa Ana, CA 92705

(714) 571-5200

Orange County Bar Association’s Lawyer Referral

Service

(877) 257-4762

SUPERIOR COURT

OF CALIFORNIA

COUNTY OF ORANGE

GUIDE

PROTECTIVE

ORDERS

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE

CIVIL PROTECTIVE ORDERS

Elder or Dependent Adult

Abuse Protective Order

Domestic Violence

Restraining Order

Civil Harassment

Restraining Order

Workplace Violence

This order may be

appropriate for

you if:

You are:

• A person 65 years of age or older

• A person between 18 and 64 years of

age and who has a mental or physical

condition that prevents you from

carrying out normal activities (a

dependent adult)

And you have been:

• Physically or financially abused

• Mentally or emotionally abused

• Neglected, abandoned or abducted

• Isolated

• Deprived by a caregiver of goods or

services needed to avoid harm or

suffering

You have one of the following relationships

with the restrained person:

• Spouse or former spouse

• Cohabitant or former cohabitant

(with a

romantic or close

relationship)

• Current or past dating relationship

• Parent or child

• Brother, sister, grandparent or grandchild

• Step-parent, step-child, step-brother, step-

sister, step-grandchild, step-grandparent (if

blood parent of step-parent)

• In-laws: Any relationship to a spouse’s blood

relatives (parent, son, daughter, brother,

sister, grandparent, grandchild)

And you have been:

• Abused

(physical, spoken or written)

The order may also protect other family or

household members.

You and the restrained person:

• Do not have a Domestic

Violence case open

And you have been:

• Stalked

• Harassed

• Sexually Assaulted

• Threatened with violence

The order may also protect

other family or household

members.

You are:

• An employer of employee

(including volunteer or

independent contractor who

performs services at the

worksite, member of the board

of directors or public officer)

And employee has:

• Suffered violence at the

workplace

• Received threats of violence at

the workplace

The order may also protect other

family or household members.

An employee cannot ask for a

workplace violence restraining order.

Only an employer

may request this

type of protective order.

If granted, the

court

can order

someone to:

• Not contact you

• Stay away from you and your home

• Move out of your home

• Not own or possess a gun

• Not molest, attack, strike, stalk, assault,

batter, threaten, sexually assault, or harass

(personally or by telephone) you

• Not destroy your personal property

• Not come within a specified distance

• Not own or possess a gun

• Move from the home you share

The Court may also order:

Child custody, visitation, supervised visitation or no

visitation; child support, spousal support, and

repayment of monies lost due to the violence or

threats

• Not contact you

• Stay away from you, your

home (unless you are

roommates) and your work

• Not assault, batter, threaten,

stalk, or harass (personally

or by telephone) you

• Not own or posses a gun

• Not assault, batter or stalk you

• Not telephone or send

correspondence to you

• Not enter the workplace

• Stay a specific distance away

from you

• Not own or possess a gun

You may get additional help from the resources listed on the back of this pamphlet.

Form# L-0779 (Revised 7/1/2013)

A cohabitant is a person who regularly resides in the household. Tenants or roommates subletting rooms in the same house do not meet the relationship requirement for a Domestic Violence

Restraining Order unless they have a romantic or close relationship.

A close relationship is one where the persons share a common goal and mutual interests beyond that of roommates.

Abuse means to hit, kick, grab, choke, hurt, scare, throw things, pull hair, push, follow, harass, assault with a weapon, force to participate in unwanted, unsafe or degrading sexual activity, or

threaten to do any of these things.

Employer is defined as the following:

 Every person engaged in any business or enterprise in this state that has one or more persons in service under any appointment, contract of hire, or apprenticeship, express or implied, oral or

written, irrespective of whether such person is the owner of the business or is operating on a concessionaire or other basis. Labor Code 350(a)

 A federal agency, the state, a state agency, a city, county, or district, and a private, public or quasi-public corporation, or any public agency thereof or therein. Code of Civil Procedure 527.8(d)

SUPERIOR COURT OF CALIFORNIA

COUNTY OF ORANGE

CIVIL HARASSMENT CHECKLIST

Family Law and Domestic Violence matters are filed at the Lamoreaux Justice Center.

If issued, a temporary civil harassment restraining order will remain in effect until a hearing can be held to determine

whether you should have a permanent

restraining

order.

civil harassment

restraining

order cannot be used to prevent a

person from entering or remaining in his or her own residence. Before the initial hearing can be held, there are certain

steps that must be followed.

FILE AT THE CORRECT JUSTICE CENTER . Where you can file your case is determined by where the

defendant lives or where the alleged violence took place, if this area is:

 Fountain Valley, Garden Grove, Huntington Beach, Orange, Santa Ana, Seal Beach, Tustin, Villa Park,

Westminster or other surrounding unincorporated areas you will file at the Central Justice Center.

 Anaheim, Brea, Buena Park, Fullerton, La Habra, La Palma, Placentia, Yorba Linda, or other

surrounding unincorporated areas you will file at the North Justice Center.

 Aliso Viejo, Dana Point, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest,

Mission Viejo, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Costa Mesa, Irvine,

Newport Beach, or other surrounding unincorporated areas you will file at the Harbor Justice Center –

Newport Beach Facility.

COMPLETE FORMS - The forms are contained in the “Civil Harassment Booklet.” Included in the booklet are

step-by-step instructions. You must complete all paragraphs on each form used.

NOTICE OF THE HEARING - You must give written or

telephonic “notice”

to the defendant of when and where

you will be seeking a Temporary Restraining Order, or give the court a good reason why you could not give such

notice. (Section 527.6 of the California Code of Civil Procedure)

WHAT DAY AND TIME WILL THE TEMPORARY RESTRAINING ORDER BE HEARD?

Central Justice Center: Monday – Friday

North Justice Center: Monday – Friday

Harbor Justice Center – Newport Beach Monday – Friday

Final check-in at Clerk’s Office is 4:00 PM. All parties should appear in the Clerk’s Office no later than 3:30 PM

to complete the paperwork.

INTERPRETERS - Court proceedings are conducted in

English.

The Court cannot always provide interpreters for

civil harassment proceedings. If you will need an interpreter to understand the proceedings and assure that

the

judicial officer will be able to understand what you have to say, you should arrange to have an interpreter present.

 COST - Payment may be cash, personal check made payable to “Clerk of the Court,” or by one of the following

credit cards: MasterCard, Visa, American Express, or Discover. This fee may be excused. See #16 of the Request

for Orders to Stop Harassment.

Information

L-1075 (Rev. July 2013)

Information

L-1075 (Rev. Jan. 2012) Page 2 of 2

INSTRUCTIONS TO FOLLOW AFTER THE INITIAL TEMPORARY RESTRAINING

ORDER HEARING

 Give Copies of the Following Forms to Each Law

Enforcement Agency Listed on the Order by

Midnight of the Day on Which the Order Was

Issued.

9 Certified copy of the Temporary Restraining

Order

 Have a Copy of the Court Papers Delivered to the

Other Party.

You must arrange to have the court papers delivered

to the defendant at least 5 days prior to the hearing,

unless the Judge has shortened the time for service.

This is commonly called “service.” The scheduled

hearing cannot proceed unless the other side has

received copies of all documents.

You cannot give the papers to the defendant

yourself. The court papers may be delivered

(served) by a licensed process server, the Sheriff, or

person not a party to the action who is at least 18

years of age. This service is not done by local police

departments.

Sheriff’s Office, for service of documents:

(714) 569-3700; 909 N. Main Street, Santa Ana

 What Papers Are Delivered?

There are a total of six papers that the defendant

must receive.

9 Notice of Court Hearing

9 Certified copy of Temporary Restraining Order

9 Request for Civil Harassment Restraining

Orders

9 Response to Request for Civil Harassment

Restraining Orders (blank form)

9 How Can I Respond to a Request for Civil

Harassment Restraining Orders

9 Proof of Firearms Turned in or Sold (blank form).

 After Having the Defendant Served, Return the

Completed Proof of Personal Service to the

Court before the Hearing Date.

9 Give a copy of the completed proof of service for

each law enforcement agency listed on your

order.

9 File the original Proof of Personal Service with

the clerk’s office any time BEFORE the hearing

date.

 Keep a Certified Copy of the Temporary

Restraining Order with You at All Times in Case

You Need to Show it to a Law Enforcement

Officer.

Any other protected persons that are listed on the

order should also keep a copy with them. If you are

unable to serve the defendant, you may complete a

Request to Continue Court Hearing and to Reissue

Temporary Restraining Order.

 Be Prepared for the Hearing!

You must arrange to have all witnesses and

evidence present at the hearing. It is your

responsibility to have a subpoena served on any

witness in order to guarantee the witness’s presence

at the hearing.

Court proceedings are conducted in English. The

Court cannot always provide interpreters for civil

proceedings. If you will need an interpreter to

understand the proceedings and assure that the

judicial officer will be able to understand what you

have to say, you must arrange to have an interpreter

present.

If you do not know an interpreter, you are welcome

to use the list of qualified interpreters maintained by

the Court. The list is available in the 3

floor offices

of Court Reporter and Interpreter Services at Central

Justice Center. The list contains interpreter names

and telephone numbers so you may contact them

directly and arrange to pay them for their services.

 Instructions to Follow after the Hearing for

Permanent Restraining Order.

9 If the defendant was not present at the hearing,

serve the defendant with a certified copy of the

Restraining

Order. Remember, you cannot do the

serving yourself.

9 After service is complete, have the server

complete and sign the Proof of Personal Service.

9 Make copies.

9 Again, the original Proof of Service form must be

filed with the Court.

9 Provide the following copies to the law

enforcement agencies named on the order:

• Certified copy of the Civil Harassment

Restraining Order after Hearing.

• Copy of Proof of Personal Service

9 Keep a copy of the Civil Harassment Restraining

Order after Hearing with you at all times. Any

protected persons should also keep a copy with

them.

CH-100-INFO

Can a Civil Harassment Restraining Order Help Me?

What is a civil harassment restraining

order?

It is a court order that helps protect people from

harassment.

Can I get a civil harassment restraining

order?

You can ask for one if you are worried about your

safety because someone:

• Is harassing you

• Is stalking you

• Has committed acts of violence against you, or

• Has threatened you with violence

How will the order help me?

The court can order a person to:

• Not harass or threaten you

• Not contact or go near you, and

• Not have a gun

What forms do I need to get the order?

You must fill out all of Form CH-100, Request for Civil

Harrassment Restraining Orders, and Form CLETS-001,

Confidential CLETS Information. If you need attachments,

you may use Form MC-025. You must also fill out items 1

and 2 on Form CH-109, Notice of Court Hearing, and items

1, 2, and 3 on Form CH-110, Temporary Restraining Order

(CLETS).

Where can I get these forms?

Judicial Council of California www.courts.ca.gov

Revised January 1, 2012, Optional Form

Code of Civil Procedure, § 527.6

You can also ask for protection for people who live

with you and family members.

Can a Civil Harassment Restraining Order Help Me?

(Civil Harassment Prevention)

CH-100-INFO, Page 1 of 3

What do I need to do to get the order?

You must go to the superior court in the county where the

harassment took place or the person to be restrained lives.

At the court, ask where you should file your request for a

civil harassment restraining order. (A self-help center or

legal aid association may be able to assist you in filing your

request.)

At the court, give your forms to the clerk of the court. The

clerk will give you a hearing date on the Notice of Court

Hearing form, and if your request for immediate orders is

granted, a copy of the Temporary Restraining Order signed

by a judicial officer.

In a civil harassment case, the court cannot:

• Order a person to move out of your residence

• Order a person to pay child support to you

• Make orders for custody and visitation

If you need these orders, you should proceed under

the Domestic Violence Protection Act. File Form

DV-100.

The court also cannot:

If you need these remedies, you must file a civil

action.

These instructions cannot cover all of the questions that may arise in a particular case. If you

do not know what to do to protect your rights, you should see a lawyer.

• Order a person to pay money that he or she owes

you

• Order someone to move out of rental property

that you own

• Order someone to stop creating a nuisance that

doesn't involve harassment

You can get the forms from legal publishers or on the

Internet at www.courts.ca.gov. You also may be able to find

them at your local courthouse or county law library.

If the order is based on prior acts of violence, a credible

threat of violence, or stalking, you are entitled to free service

of the order by a sheriff or marshal. Also, if you are eligible

for a fee waiver, you can ask the sheriff or marshal to serve

the order for free. If you are not eligible for free service, you

may pay the sheriff or marshal to serve the order.

How much does it cost?

That depends on the type of harassment. If the restrained

person has used or threatened to use violence against you or

has stalked you, you do not have to pay a filing fee;

otherwise, you must pay the fee.

If you cannot afford to pay the filing fee, ask the clerk how to

apply for a fee waiver. Form FW-001 is available for this

purpose.

Can a Civil Harassment Restraining Order Help Me?

Do I have to go to court?

Yes. Go to court on the date the clerk gives you.

Do I need a lawyer?

Rev. January 1, 2012

Having a lawyer is always a good idea, but it is not

required and you are not entitled to a free court-appointed

attorney. Ask the court clerk about free and low-cost legal

services and self-help centers in your county

CH-100-INFO

CH-100-INFO, Page 2 of 3

What if the restrained person does not

obey the order?

Call the police. The restrained person can be arrested

and charged with a crime.

Can a Civil Harassment Restraining Order Help Me?

(Civil Harassment Prevention)

How soon can I get the order?

If you ask for a temporary restraining order, the court

will decide within 24 hours whether or not to make

the order. Sometimes the court decides sooner. Ask

whether you should wait or come back later to get the

signed Notice of Court Hearing and Temporary

Restraining Order.

How long does the order last?

If the court makes a temporary order, it will last until

your hearing date. At that time, the court will decide to

continue or cancel the order. The order could last for

up to three years.

How will the person to be restrained know

about the order?

Someone age 18 or older—not you or anyone else to

be protected by the order—must “serve” (give) the

person to be restrained a copy of the order. The server

must then fill out Form CH-200, Proof of Personal

Service, and give it to you to file with the court. For

help with service, ask the court clerk for Form

CH-200-INFO, What Is “Proof of Personal Service?”.

The court may or may not let witnesses speak at the

hearing. So, if possible, you should bring their written

statements under oath to the hearing. (You can use

Form MC-030, Declaration, for this.).

Do I need to bring a witness to the court

hearing?

Witnesses are not required, but it helps to have more

proof of the harassment than just your word. You can

bring:

• Witnesses

• Written statements from witnesses made under oath

• Photos

• Medical or police reports

• Damaged property

• Threatening letters, e-mails, or telephone messages

Will I see the restrained person at the court

hearing?

If the person comes to the hearing, yes. But that person

does not have the right to speak to you. If you are afraid,

tell the court officer.

Can I bring someone with me to court?

Yes. You can bring someone to sit with you during the

hearing. But that person cannot speak for you in court.

Only you or your lawyer (if you have one) can speak for

you.

What if I am deaf or hard of hearing?

For help in your area, contact:

[Local information may be inserted.]

Can a Civil Harassment Restraining Order Help Me?

CH-100-INFO

Rev. January 1, 2012

CH-100-INFO, Page 3 of 3

Assistive listening systems,

computer-assisted real-time

captioning, or sign language

interpreter services are available if

you ask at least five days before the

hearing. Contact the clerk’s office or

go to www.courts.ca.gov/forms for

Request for Accommodations by

Persons with Disabilities and

Response (Form MC-410).

(Civ.Code, § 54.8.)

Can I agree with the restrained person to

cancel the order?

No. Once the order is issued, only the judge can change or

cancel it. You or the restrained person would have to file a

request with the court to cancel the order.

Can a Civil Harassment Restraining Order Help Me?

(Civil Harassment Prevention)

What if I don't speak English?

When you file your papers, ask the clerk if a court

interpreter is available. You may have to pay a fee for the

interpreter. If an interpreter is not available for your court

date, you should ask someone who is not listed as a

person to be protected on your Request and who is over

age 18 to interpret for you.

Save This Form

Print This Form

Central Justice Center (657) 622-7513

Harbor Justice Center - Laguna Hills Facility (657) 622-8670

North Justice Center (657) 622-6641

West Justice Center (657) 622-8690

CH-100

Request for Civil Harassment

Restraining Orders

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Case Number:

This is not a Court Order.

Are you asking for protection for any other family or household members? If yes, list them:

How are they related to you?

Age

CH-100, Page 1 of 6

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Mandatory Form

Code of Civil Procedure, §§ 527.6 and 527.9

Sex

Check here if there are more persons. Attach a sheet of paper and write “Attachment 3a—Additional

Protected Persons” for a title. You may use Form MC-025, Attachment.

Full Name

Court fills in case number when form is filed.

Person From Whom Protection Is Sought

Address (if known):

Zip:State:City:

Age:

Full Name:

Additional Protected Persons

Yes No

Lives with you?

Why do these people need protection? (Explain below):

Read Can a Civil Harassment Restraining Order Help Me? (Form

CH-100-INFO) before completing this form. Also fill out Confidential

CLETS Information (Form CLETS-001), with as much information as

you know.

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of

paper or Form MC-025 and write “Attachment 3b—Why Others Need Protection” for a title.

Your Full Name:

Your Address (If you have a lawyer, give your lawyer’s

information. If you do not have a lawyer and want to keep your

home address private, you may give a different mailing address

instead. You do not have to give telephone, fax, or e-mail.):

Age:

Person Seeking Protection

Your Lawyer (if you have one for this case):

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Yes No

Address:

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

Name:

State Bar No.:

Firm Name:

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

This is not a Court Order.

Case Number:

Harassment means violence or threats of violence against you, or a course of conduct that seriously alarmed,

annoyed, or harassed you and caused you substantial emotional distress. A course of conduct is more than one

act.

When did it happen? (provide date or estimated date):

Who else was there?

CH-100, Page 2 of 6

Revised January 1, 2012

Are there now any protective or restraining orders in effect relating to you or any of the persons in and the

person in ?

Other Court Cases

Have you or any of the persons named in been involved in another court case with the person in ?

Domestic Violence

Paternity, Parentage, Child Custody

Civil Harassment

Other (specify):

Kind of Case

Filed in (County/State)

Yes If yes, check each kind of case and indicate where and when each was filed:

Elder or Dependent Adult Abuse

Year Filed

Divorce, Nullity, Legal Separation

Eviction

(1)

(2)

(3)

(4)

(5)

(6)

(11)

Description of Harassment

Tell the court about the last time the person in harassed you.

(1)

(2)

Case Number

(if known)

Guardianship

Workplace Violence

(7)

(8)

(9)

How do you know the person in ? (Explain below):

Relationship of Parties

Why are you filing in this county? (Check all that apply):

The person in lives in this county.

I was harassed by the person in in this county.

Other (specify):

Venue

Criminal

(10)

Yes

If yes, attach a copy if you have one.

Small Claims

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of

paper or Form MC-025 and write “Attachment 4—Relationship of Parties” for a title.

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

Case Number

CH-100, Page 3 of 6

Revised January 1, 2012

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

is not a Court Or

(6)

Did the police come? Yes

If yes, did they give you or the person in an Emergency Protective Order?

Yes

If yes, the order protects (check all that apply):

The person in

The persons in

Has the person in harassed you at other times?

Attach a copy of the order if you have one.

(5)

(4)

Did the person in use or threaten to use a gun or any other weapon?

Yes

(If yes, explain below):

How did the person in harass you? (Explain below):

(3)

Were you harmed or injured because of the harassment?

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet

of paper or Form MC-025 and write “Attachment 7a(3)—Describe Harassment” for a title.

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet

of paper or Form MC-025 and write “Attachment 7a(4)—Use of Weapons” for a title.

Yes

(If yes, explain below):

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet

of paper or Form MC-025 and write “Attachment 7a(5)—Harm or Injury” for a title.

Yes

(If yes, describe prior incidents and provide dates of harassment below):

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet

of paper or Form MC-025 and write “Attachment 7b—Previous Harassment” for a title.

This is not a Court Order.

Case Number:

This is not a Court Order.

CH-100, Page 4 of 6

Revised January 1, 2012

Check the orders you want.



Other specify):

Personal Conduct Orders

I ask the court to order the person in not to do any of the following things to me or to any person to be

protected listed in :

Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse,

destroy personal property of, or disturb the peace of the person.

Contact the person, either directly or indirectly, in any way, including, but not limited to, in person, by

telephone, in writing, by public or private mail, by interoffice mail, by e-mail, by text message, by fax, or

by other electronic means.

Stay-Away Orders

NoYes

(If no, explain below):

If the court orders the person in to stay away from all the places listed above, will he or she still be able

to get to his or her home, school, or job?

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet

of paper or Form MC-025 and write “Attachment 9b—Stay-Away Orders,” for a title.

yards away from (check all that apply):

I ask the court to order the person in to stay at least

The person in will be ordered not to take any action to get the addresses or locations of any protected person

unless the court finds good cause not to make the order.

Check here if there is not enough space for your answer. Put your complete answer on the attached

sheet of paper or Form MC-025 and write “Attachment 8c—Other Personal Conduct Orders,” for a

title.

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

Guns or Other Firearms and Ammunition

Yes I don’t knowNoDoes the person in own or possess any guns or other firearms?

If the judge grants a protective order, the person in will be prohibited from owning, possessing, purchasing,

receiving, or attempting to purchase or receive a gun, other firearm, and ammunition while the protective order

is in effect. The person in will also be ordered to turn in to law enforcement or sell to a gun dealer any guns

or firearms within his or her immediate possession or control.

My children’s place of child care

My school

My home

My job or workplace

My vehicle

My children’s school

(3)

(4)

(5)

(6)

(8)

Other (specify):

(9)

(1)

(2)

The other persons listed in

(7)

Case Number:

This is not a Court Order.

CH-100, Page 5 of 6

Revised January 1, 2012

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

You must have your papers personally served on the person in at least five days before the hearing, unless the

court orders a shorter time for service. (Form CH-200-INFO explains What Is “Proof of Personal Service”? Form

CH-200, Proof of Personal Service, may be used to show the court that the papers have been served.)

Request to Give Less Than Five Days' Notice

Immediate Orders

(If you answered yes, explain why below):

Do you want the court to make any of these orders now that will last until the hearing without notice to the person

in ?

Yes No

No Fee for Filing or Service

There should be no filing fee because the person in has used or threatened to use violence against me,

has stalked me, or has acted or spoken in some other way that makes me reasonably fear violence.

The sheriff or marshal should serve (notify) the person in about the orders for free because my request

for orders is based on unlawful violence, a credible threat of violence, or stalking.

There should be no filing fee and the sheriff or marshal should serve the person in for free because I

am entitled to a fee waiver. (You must complete and file Form FW-001, Application for Waiver of Court

Fees and Costs.)

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of

paper or Form MC-025 and write “Attachment 11—Immediate Orders” for a title.

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of

paper or Form MC-025 and write “Attachment 12—Request to Give Less Than Five-Days Notice” for a title.

If you want there to be fewer than five days between service and the hearing, explain why below:

Lawyer's Fees and Costs

I ask the court to order payment of my:

Court costsLawyer’s feesa.

The amounts requested are:

Item

Amount

Check here if there are more items. Put the items and amounts on the attached sheet of paper or Form

MC-025 and write “Attachment 14—Lawyer’s Fees and Costs" for a title.

Number of pages attached to this form, if any:

Date:

Lawyer’s name (if any) Lawyer’s signature

I declare under penalty of perjury under the laws of the State of California that the information above and on

all attachments is true and correct.

Date:

Type or print your name

Sign your name



Additional Orders Requested

I ask the court to make the following additional orders (specify):

Case Number:

This is not a Court Order.

CH-100, Page 6 of 6

Revised January 1, 2012

Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of

paper or Form MC-025 and write “Attachment 15—Additional Orders Requested,” for a title.

Request for Civil Harassment Restraining Orders

(Civil Harassment Prevention)

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

American LegalNet, Inc.

www.FormsWorkflow.com

CM-010

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

CIVIL CASE COVER SHEET

Complex Case Designation

LimitedUnlimited

Counter Joinder

(Amount(Amount

demanded isdemanded Filed with first appearance by defendant

(Cal. Rules of Court, rule 3.402)

$25,000 or less)exceeds $25,000)

Items 1–6 below must be completed (see instructions on page 2).

1. Check one box below for the case type that best describes this case:

Auto Tort

Contract

Provisionally Complex Civil Litigation

(Cal. Rules of Court, rules 3.400–3.403)

Auto (22)

Breach of contract/warranty (06)

Uninsured motorist (46)

Other collections (09)

Antitrust/Trade regulation (03)

Other PI/PD/WD (Personal Injury/Property

Damage/Wrongful Death) Tort

Construction defect (10)

Insurance coverage (18)

Mass tort (40)

Rule 3.740 collections (09)

Asbestos (04)

Securities litigation (28)

Real Property

Product liability (24)

Environmental/Toxic tort (30)

Eminent domain/Inverse

condemnation (14)

Medical malpractice (45)

Insurance coverage claims arising from the

above listed provisionally complex case

types (41)

Other PI/PD/WD (23)

Wrongful eviction (33)

Non-PI/PD/WD (Other) Tort

Enforcement of Judgment

Business tort/unfair business practice (07)

Enforcement of judgment (20)

Civil rights (08)

Commercial (31)

Miscellaneous Civil Complaint

Defamation (13)

Residential (32)

RICO (27)

Fraud (16)

Drugs (38)

Other complaint (not specified above) (42)

Intellectual property (19)

Judicial Review

Miscellaneous Civil Petition

Asset forfeiture (05)

Partnership and corporate governance (21)

Petition re: arbitration award (11)

Employment

Writ of mandate (02)

Wrongful termination (36)

Other judicial review (39)

is2. This case is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the

factors requiring exceptional judicial management:

Extensive motion practice raising difficult or novel

issues that will be time-consuming to resolve

Large number of witnesses a.

3. Remedies sought (check all that apply):

punitive

monetary

nonmonetary; declaratory or injunctive relief

4. Number of causes of action (specify):

is not a class action suit.

5. This case

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)

NOTICE

Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed

under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result

in sanctions.

File this cover sheet in addition to any cover sheet required by local court rule.

If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all

other parties to the action or proceeding.

Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only.

Page 1 of 2

Cal. Rules of Court, rules 2.30, 3.220, 3.400–3.403, 3.740;

Cal. Standards of Judicial Administration, std. 3.10

www.courtinfo.ca.gov

Form Adopted for Mandatory Use

Judicial Council of California

CM-010 [Rev. July 1, 2007]

CIVIL CASE COVER SHEET

Other non-PI/PD/WD tort (35)

Professional negligence (25)

Other real property (26)

Other petition (not specified above) (43)

Other employment (15)

Substantial amount of documentary evidence

Large number of separately represented parties

Coordination with related actions pending in one or more courts

in other counties, states, or countries, or in a federal court

Substantial postjudgment judicial supervision

Unlawful Detainer

CASE NUMBER:

JUDGE:

DEPT:

•

If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)

Other contract (37)

✔

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

Auto (22)–Personal Injury/Property

Auto Tort

case involves an uninsured

motorist claim subject to

arbitration, check this item

instead of Auto)

Uninsured Motorist (46) (if the

Damage/Wrongful Death

INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET

To Plaintiffs and Others Filing First Papers. If you are fil ing a first pape r (for examp le, a complaint) in a civil case, you must

complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile

statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check

one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed i n item 1,

check the more specific on e. If the case has multiple causes of action, check the box that best ind icates the primary cause of action.

To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover

sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,

its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.

To Parties in Complex Cases

. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the

case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by

completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the

complaint on a ll parties to the action. A defendan t may fil e and serve no la ter than the time of its fi rst appearance a join der in the

plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that

the case is complex.

CASE TYPES AND EXAMPLES

Contract

Provisionally Complex Civil Litigation (Cal.

Rules of Court Rules 3.400–3.403)

Breach of Contract/Warranty (06)

Breach of Rental/Lease

Contract (not unlawful detainer

Antitrust/Trade Regulation (03)

Construction Defect (10)

Claims Involving Mass Tort (40)

Securities Litigation (28)

Environmental/Toxic Tort (30)

or wrongful eviction)

Contract/Warranty Breach–Seller

Plaintiff (not fraud or negligence)

Negligent Breach of Contract/

Warranty

Insurance Coverage Claims

Other Breach of Contract/Warranty

(arising from provisionally complex

case type listed above) (41)

Collections (e.g., money owed, open

Other PI/PD/WD (Personal Injury/

Property Damage/Wrongful Death)

Tort

book accounts) (09)

Collection Case–Seller Plaintiff

Asbestos (04)

Enforcement of Judgment

Other Promissory Note/Collections

Enforcement of Judgment (20)

Asbestos Property Damage

Case

Asbestos Personal Injury/

Insurance Coverage (not provisionally

Abstract of Judgment (Out of

Wrongful Death

complex) (18)

County)

Confession of Judgment (non-

Product Liability (not asbestos or

Auto Subrogation

toxic/environmental) (24)

domestic relations)

Other Coverage

Other Contract (37)

Medical Malpractice (45)

Sister State Judgment

Medical Malpractice–

Administrative Agency Award

Contractual Fraud

Physicians & Surgeons

(not unpaid taxes)

Petition/Certification of Entry of

Judgment on Unpaid Taxes

Other Contract Dispute

Other Professional Health Care

Malpractice

Real Property

Eminent Domain/Inverse

Other PI/PD/WD (23)

Other Enforcement of Judgment

Premises Liability (e.g., slip

Condemnation (14)

Case

and fall)

Wrongful Eviction (33)

Intentional Bodily Injury/PD/WD

Other Real Property (e.g., quiet title) (26)

Miscellaneous Civil Complaint

RICO (27)

(e.g., assault, vandalism)

Writ of Possession of Real Property

Mortgage Foreclosure

Intentional Infliction of

Other Complaint (not specified

above) (42)

Emotional Distress

Quiet Title

Negligent Infliction of

Declaratory Relief Only

Other Real Property (not eminent

domain, landlord/tenant, or

foreclosure)

Injunctive Relief Only (non-

Emotional Distress

Other PI/PD/WD

harassment)

Mechanics Lien

Non-PI/PD/WD (Other) Tort

Unlawful Detainer

Other Commercial Complaint

Business Tort/Unfair Business

Case (non-tort/non-complex)

Commercial (31)

Residentia

l (32)

actice (07)

Civil Rights (e.g., discrimination,

false arrest) (not civil

Other Civil Complaint

(non-tort/non-complex)

Drugs (38) (if the case involves illegal

drugs, check this item; otherwise,

report as Commercial or Residential)

Miscellaneous Civil Petition

harassment) (08)

Defamation (e.g., slander, libel)

Partnership and Corporate

(13)

Governance (21)

Judicial Review

Fraud (16)

Other Petition (not specified

Asset Forfeiture (05)

above) (43)

Intellectual Property (19)

Petition Re: Arbitration Award (11)

Civil Harassment

Professional Negligence (25)

Writ of Mandate (02)

Workplace Violence

Legal Malpractice

Other Professional Malpractice

(not medical or legal)

Other Non-PI/PD/WD Tort (35)

Writ–Administrative Mandamus

Writ–Mandamus on Limited Court

Elder/Dependent Adult

Abuse

Case Matter

Election Contest

Writ–Other Limited Court Case

Petition for Name Change

Review

Petition for Relief From Late

Employment

Claim

Other Judicial Review (39)

Wrongful Termination (36)

Other Employment (15)

Review of Health Officer Order

Notice of Appeal–Labor

Commissioner Appeals

Other Civil Petition

CM-010 [Rev. July 1, 2007]

Page 2 of 2

CIVIL CASE COVER SHEET

CM-010

To Parties in Rule 3.740 Collections Cases. A "collections case" unde r rule 3.740 is def ined as an action for re covery of mo ney

owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in

which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort

damages, (2) punitive damages, (3 ) recovery of real property, (4) recovery of personal property, or (5) a prej udgment writ of

attachment. The identification of a case as a rule 3.740 colle ctions case on this form means that it will be exempt from the g eneral

time-for-service requirements and case m anagement rules, unless a d efendant files a responsive pleading. A rul e 3.740 col lections

case will be subject to the requirements for service and obtaining a judgment in rule 3.740.

Print This Form

Clear This Form

For your protection and privacy, please press the Clear This Form

button after you have printed the form.

Approved for Optional Use

L-0889 (Rev. April 15,

2014)

DECLARATION RE: NOTICE

Temporary Restraining Order

Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary

Educational Institution and Elder or Dependent Adult Abuse

California Rules of Court,

Rule 3.1204(b)

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address):

Telephone No.: Fax No. (Optional):

E-Mail Address (Optional):

ATTORNEY FOR (Name): Bar No:

FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE

JUSTICE CENTER:

 Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045

 Harbor-Newport Beach Faclility-4601 Jamboree Rd., Newport Beach, CA 92660-2595



North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500

PLAINTIFF / PETITIONER:

DEFENDANT / RESPONDENT:

DECLARATION RE: NOTICE

Temporary Restraining Order

Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary

Educational Institution, Elder or Dependent Adult Abuse

CASE NUMBER:

 On (date) at (time) ,

I telephoned Plaintiff/Petitioner or Defendant/Respondent (name)

I said that on (date) at (time) , I would ask the Court for a Temporary

Restraining Order (describe order, e.g. “against violence”):

I gave the location of the Courthouse as Dept. at (address)

 I have been unable to give notice to the Plaintiff/Petitioner or Defendant/Respondent for the following reasons:

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

Print This Form

For your protection and privacy, please press the Clear This Form button

after you are done printing the form.

Clear This Form

This is not a Court Order—Do not place in court file.

CLETS Information

Person to Be Protected (Name):

Eye Color: Date of Birth:

Hair Color:

Age:

Confidential CLETS Information

Judicial Council of California, www.courts.ca.gov

New January 1, 2012, Mandatory Form

Cal. Rules of Court, rule 1.51

Sex:

Height:

Weight:

Race:

Person to Be Restrained (Name):

Describe any marks, scars, or tattoos:

Other names used by the restrained person:

Describe any guns or firearms that you believe the person in owns or has access to

(Number, types, and locations):

CLETS-001, Page 1 of 1

Eye Color: Date of Birth: Hair Color:

Age:

Sex:

Height:

Weight:

Race:

Other People to Be Protected

Sex

Name Date of Birth

CONFIDENTIAL

CLETS-001

Additional persons to be protected are listed on Attachment 4.

Guns or Firearms

California Law Enforcement Telecommunications System (CLETS)

Information Form

Important: This form MUST NOT become part of the public court file. It is confidential and private.

Case Number (if you know it):

This form is submitted with the initial filing (date):

This is an amended form (date):

Fill out as much of this form as you can and give it to the court clerk. If the court issues a restraining order, this form

will provide law enforcement with information that will help them enforce it. If any of this information changes, fill out

a new (amended) form.

Race

Driver’s License Number and State:

Social Security Number:

Vehicle (Type, Model, Year):

(License Number and State):

Vehicle (Type, Model, Year):

(License Number and State):

Mailing Address (listed on restraining order):

Zip:State:

City:

Telephone (optional):

Employer:

Occupation/Title:

Work Hours:

Residence Address:

Zip:State:City:

Telephone:

Business Address:

Zip:State:City:

Telephone:

Relation to

Person in

To keep other people from seeing what you

entered on your form, please press the Clear This

Form button at the end of the form when finished.

Print This Form

For your protection and privacy, please press the Clear This Form

button after you have printed the form.

Clear This Form

CH-109, Page 1 of 3

Judicial Council of California, www.courts.ca.gov

New January 1, 2012, Mandatory Form

Code of Civil Procedure, § 527.6

Approved by DOJ

Notice of Court Hearing

(Civil Harassment Prevention)

Clerk stamps date here when form is filed.

Fill in court name and street address:

Court fills in case number when form is filed:

CH-109

Notice of Court Hearing

Superior Court of California, County of

Case Number:

Notice of Hearing

A court hearing is scheduled on the request for restraining orders against the person in :

Your Full Name:

Your Address (If you have a lawyer, give your lawyer’s information.

If you do not have a lawyer and want to keep your home address

private, you may give a different mailing address instead. You do not

have to give telephone, fax, or e-mail.):

Person Seeking Protection

Your Lawyer (if you have one for this case):

Name:

State Bar No.:

Firm Name:

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Person From Whom Protection Is Sought

Full Name:

Name and address of court if different from above:

Date: Time:

Room:Dept.:

Hearing

Date

Address:

Temporary Restraining Orders for personal conduct and stay-away orders as requested in Form CH-100,

Request for Civil Harassment Restraining Orders, are (check only one box below):

All GRANTED until the court hearing.

All DENIED until the court hearing. (Specify reasons for denial in b, below.)

Partly GRANTED and partly DENIED until the court hearing. (Specify reasons for denial in

b, below.)

(1)

(2)

(3)

Temporary Restraining Orders (Any orders granted are on Form CH-110, served with this notice.)

The court will complete the rest of this form.

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

CH-109, Page 2 of 3

Service of Documents by The Person in

At least five days before the hearing, someone age 18 or older—not you or anyone to be

protected—must personally give (serve) a court file-stamped copy of this Form CH-109, Notice of Court Hearing,

to the person in along with a copy of all the forms indicated below:

CH-100, Request for Civil Harassment Restraining Orders (file-stamped)

CH-120, Response to Request for Civil Harassment Restraining Orders (blank form)

CH-120-INFO, How Can I Respond to a Request for Civil Harassment Restraining Orders?

Other (specify):f.

Notice of Court Hearing

(Civil Harassment Prevention)

New January 1, 2012

CH-110, Temporary Restraining Order (file-stamped) IF GRANTED

Case Number:

As set forth on Attachment 4b.

Reasons for denial of some or all of those personal conduct and stay-away orders as requested in Form

CH-100, Request for Civil Harassment Restraining Orders, are:

(1)

The facts as stated in Form CH-100 do not sufficiently show acts of violence, threats of

violence, or a course of conduct that seriously alarmed, annoyed, or harassed the person in

and caused substantial emotional distress.

(2)

Other (specify):

CH-250, Proof of Service of Response by Mail (blank form)

•

If you are unable to serve the person in in time, you may ask for more time to serve the documents. Use

Form CH-115, Request to Continue Court Hearing and to Reissue Temporary Restraining Order.

•

For information about service, read Form CH-200-INFO, What Is “Proof of Personal Service”?

The court cannot make the restraining orders after the court hearing unless the person in has been personally given

(served) a copy of your request and any temporary orders. To show that the person in has been served, the person

who served the forms must fill out a proof of service form. Form CH-200, Proof of Personal Service, may be used.

•

To the Person in :

Date:

Judicial Officer

Notice of Court Hearing

(Civil Harassment Prevention)

CH-109, Page 3 of 3

New January 1, 2012

—Clerk’s Certificate—

I certify that this Notice of Court Hearing is a true and correct copy of the original on file in the court.

Clerk, by

, Deputy

(Clerk will fill out this part.)

Date:

Request for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language

interpreter services are available if you ask at least five days before the hearing. Contact the

clerk’s office or go to www.courts.ca.gov/forms for Request for Accommodations by Persons

with Disabilities and Response (Form MC-410). (Civ. Code, § 54.8.)

Case Number:

If you want to respond to the request for orders in writing, file Form CH-120, Response to Request for Civil

Harassment Restraining Orders, and have someone age 18 or older—not you or anyone to be protected—mail

it to the person in .

•

Whether or not you respond in writing, go to the hearing if you want the judge to hear from you before making an

order. You may tell the judge why you agree or disagree with the orders requested.

You may bring witnesses and other evidence.

At the hearing, the judge may make restraining orders against you that could last up to three years and

may order you to sell or turn in any firearms that you own or possess.

The person who mailed the form must fill out a proof of service form. Form CH-250, Proof of Service of

Response by Mail, may be used. File the completed form with the court before the hearing and bring a copy with

you to the court hearing.

•

To the Person in :

Clerk’s Certificate

[seal]

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

CH-110

This is a Court Order.

Temporary Restraining Order

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Case Number:

CH-110,

Page 1 of 5

Temporary Restraining Order (CLETS-TCH)

(Civil Harassment Prevention)

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Mandatory Form

Code of Civil Procedure, §§ 527.6 and 527.9

Approved by DOJ

Description:

Court fills in case number when form is filed.

Protected Person

Restrained Person

Full Name:

Additional Protected Persons

Person in must complete items , , and only.

In addition to the person named in , the following family or household members of that person are protected by

the temporary orders indicated below:

Check here if there are additional protected persons. List them on an attached sheet of paper and write

“Attachment 3—Additional Protected Persons” as a title. You may use Form MC-025, Attachment.

MFSex: Height:

Weight:

Race:

Hair Color:

Date of Birth:

Eye Color:

Age:

Home Address (if known):

State:

City:

Zip:

Date: Time:

Expiration Date

a.m. p.m.

This Order expires at the end of the hearing scheduled for the date and time below:

The court will complete the rest of this form.

Relation to Protected Person

AgeSex

Full Name

Yes No

Household Member?

Your Full Name:

Your Address (If you have a lawyer, give your lawyer’s information.

If you do not have a lawyer and want to keep your home address

private, you may give a different mailing address instead. You do not

have to give telephone, fax, or e-mail.):

Your Lawyer (if you have one for this case):

Name: State Bar No.:

Firm Name:

Yes No

Relationship to Protected Person:

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Address:

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

This is a Court Order.

Case Number:

Personal Conduct Orders

You must not do the following things to the person named in

and to the other protected persons listed in :

CH-110, Page 2 of 5

Revised January 1, 2012

The court has granted the temporary orders checked as granted below. If you do not obey these orders,

you can be arrested and charged with a crime. You may be sent to jail for up to one year, pay a fine of

up to $1,000, or both.

Temporary Restraining Order (CLETS-TCH)

(Civil Harassment Prevention)

No Guns or Other Firearms and Ammunition

To the Person in : 2

You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get guns, other

firearms, or ammunition.

(3)

Other (specify):

(4)

Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse,

destroy personal property of, or disturb the peace of the person.

(1)

(2)

Contact the person, either directly or indirectly, in any way, including, but not limited to, in person,

by telephone, in writing, by public or private mail, by interoffice mail, by e-mail, by text message, by

fax, or by other electronic means.

Take any action to obtain the person’s address or location. If this item is not checked, the court has

found good cause not to make this order.

Peaceful written contact through a lawyer or a process server or other person for service of legal papers related

to a court case is allowed and does not violate this order. However, you may have your papers served by mail

on the person in .

Stay-Away Order

This stay-away order does not prevent you from going to or from your home or place of employment.

yards away from (check all that apply):You must stay at least

The vehicle of the person in

The job or workplace of the person

Other (specify):

The school of the children of the

person in

The home of the person in

Other personal conduct orders are attached at the end of this Order on Attachment 5a(4).

The place of child care of the children of

the person in

Granted as Follows:Not Requested Denied Until the Hearing

The person in

Each person in

You must:

Sell to a licensed gun dealer or turn in to a law enforcement agency any guns or other firearms in your

immediate possession or control. This must be done within 24 hours of being served with this Order.

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

This is a Court Order.

Case Number:

CH-110, Page 3 of 5

Revised January 1, 2012

No Fee to Serve (Notify) Restrained Person

The sheriff or marshal will serve this Order without charge because:

The Order is based on unlawful violence, a credible threat of violence, or stalking.

The person in is entitled to a fee waiver.

Date:

Judicial Officer

Temporary Restraining Order (CLETS-TCH)

(Civil Harassment Prevention)

Ordered Not Ordered

Additional orders are attached at the end of this Order on Attachment 8.

Other Orders

Mandatory Entry of Order Into CARPOS Through CLETS

By the close of business on the date that this Order is made, the person in or his or her lawyer should

deliver a copy of the Order and its proof-of-service form to the law enforcement agency listed below to

enter into CARPOS:

Name of Law Enforcement Agency

Address (City, State, Zip)

The clerk will enter this Order and its proof-of-service form into CARPOS.

The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered

into CARPOS.

This Order must be entered into the California Restraining and Protective Order System (CARPOS) through the

California Law Enforcement Telecommunications System (CLETS). (Check one):

Additional law enforcement agencies are listed at the end of this Order on Attachment 9.

Number of pages attached to this Order, if any:

File a receipt with the court within 48 hours of receiving this Order that proves that your guns or

firearms have been turned in or sold. (You may use Form CH-800, Proof of Firearms Turned In or Sold,

for the receipt.)

The court has received information that you own or possess a firearm.

(2)

Granted as Follows (specify):Not Requested Denied Until the Hearing

To the Person in :

This is a Court Order.

Case Number:

CH-110, Page 4 of 5

Revised January 1, 2012

Temporary Restraining Order (CLETS-TCH)

(Civil Harassment Prevention)

In addition to the response, you may file and have declarations served, signed by you and other persons who have

personal knowledge of the facts. You may use Form MC-030, Declaration, for this purpose. It is available from the

clerk’s office at the court shown on page 1 of this form or at www.courts.ca.gov/forms. If you do not know how to

prepare a declaration, you should see a lawyer.

•

You must have Form CH-120 served by mail on the person in or that person’s attorney. You cannot do this

yourself. The person who does the mailing should complete and sign Form CH-250, Proof of Service of Response by

Mail. File the completed proof of service with the court clerk before the hearing date or bring it with you to the

hearing.

•

After You Have Been Served With a Restraining Order

Obey all the orders.

If you want to respond, fill out Form CH-120, Response to Request for Civil Harassment Restraining Orders, and file

it with the court clerk. You do not have to pay any fee to file your response if the Request claims that you inflicted or

threatened violence against or stalked the person in .

•

Read Form CH-120-INFO, How Can I Respond to a Request for Civil Harassment Restraining Orders?, to learn

how to respond to this Order.

•

If you have been personally served with this Temporary Restraining Order and Form CH-109, Notice of Court

Hearing, but you do not appear at the hearing either in person or by a lawyer, and a restraining order that is the same

as this Temporary Restraining Order except for the expiration date is issued at the hearing, a copy of the order will be

served on you by mail at the address in item .

Notice Regarding Nonappearance at Hearing and Service of Order

If this address is not correct or you wish to verify that the Temporary Restraining Order was converted into a restraining

order at the hearing without substantive change, or to find out the duration of the order, contact the clerk of the court.

Whether or not you file a response, you should attend the hearing. If you have any witnesses, they must also go to the

hearing.

•

At the hearing, the judge can make restraining orders against you that last for up to three years. Tell the judge why

you disagree with the orders requested.

•

Instructions for Law Enforcement

Enforcing the Restraining Order

Warnings and Notices to the Restrained Person in

You Cannot Have Guns or Firearms

You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get guns, other firearms, or

ammunition while this Order is in effect. If you do, you can go to jail and pay a $1,000 fine. You must sell to a licensed

gun dealer or turn in to a law enforcement agency any guns or other firearms that you have or control as stated in item

above. The court will require you to prove that you did so.

This order is enforceable by any law enforcement agency that has received the order, is shown a copy of the order, or

has verified its existence on the California Restraining and Protective Orders System (CARPOS). If the law

enforcement agency has not received proof of service on the restrained person, the agency must advise the restrained

person of the terms of the order and then must enforce it. Violations of this order are subject to criminal penalties.

Case Number:

This is a Court Order.

CH-110, Page 5 of 5

Revised January 1, 2012

Temporary Restraining Order (CLETS-TCH)

(Civil Harassment Prevention)

Arrest Required if Order Is Violated

If an officer has probable cause to believe that the restrained person had notice of the order and has disobeyed the

order, the officer must arrest the restrained person. (Pen. Code, §§ 836(c)(1), 13701(b).) A violation of the order may

be a violation of Penal Code section 166 or 273.6. Agencies are encouraged to enter violation messages into CARPOS.

Notice/Proof of Service

The law enforcement agency must first determine if the restrained person had notice of the order. Consider the

restrained person “served” (given notice) if (Pen. Code, § 836(c)(2)):

• The officer sees a copy of the Proof of Service or confirms that the Proof of Service is on file; or

• The restrained person was informed of the order by an officer.

An officer can obtain information about the contents of the order and proof of service in CARPOS. If proof of service

on the restrained person cannot be verified, the agency must advise the restrained person of the terms of the order and

then enforce it.

If the Protected Person Contacts the Restrained Person

Even if the protected person invites or consents to contact with the restrained person, this order remains in effect and

must be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained

person. The order can be changed only by another court order. (Pen. Code, § 13710(b).)

Conflicting Orders

A protective order issued in a criminal case on Form CR-161 takes precedence in enforcement over any conflicting

civil court order. (Pen. Code, § 136.2(e)(2).) Any nonconflicting terms of the civil restraining order remain in full

force. An Emergency Protective Order (Form EPO-001) that is in effect between the same parties and is more

restrictive than other restraining orders takes precedence over all other restraining orders. (Pen. Code, § 136.2.)

—Clerk's Certificate—

I certify that this Temporary Restraining Order is a true and correct copy of the

original on file in the court.

Clerk’s Certificate

[seal]

Clerk, by

, Deputy

(Clerk will fill out this part.)

Date:

Start Date and End Date of Orders

This order starts on the date next to the judge’s signature on page 3. The order ends on the expiration date in item

on page 1.

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

CH-130, Page 1 of 5

Civil Harassment Restraining Order After Hearing

(CLETS-CHO)

(Civil Harassment Prevention)

CH-130

Civil Harassment Restraining

Order After Hearing

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Mandatory Form

Code of Civil Procedure, §§ 527.6 and 527.9

Approved by DOJ

Fill in court name and street address:

Clerk stamps date here when form is filed.



Fill in case number:

Superior Court of California, County of

Case Number:

This Order, except for any award of lawyer’s fees, expires at:

midnight on

(date):

a.m.

Time:

p.m. or

Expiration Date

If no expiration date is written here, this Order expires three years from the date of issuance.

Description:

Restrained Person

Full Name:

Person in must complete items , , and only.

Additional Protected Persons

How are they related to you?AgeSex

Full Name

Yes

Lives with you?

In addition to the person named in , the following family or household members of that person are protected by

the orders indicated below:

Check here if there are additional protected persons. List them on an attached sheet of paper and write,

“Attachment 3—Additional Protected Persons” as a title. You may use Form MC-025, Attachment.

This is a Court Order.

Protected Person

MFSex: Height:

Weight:

Race:

Hair Color:

Date of Birth:

Eye Color:

Age:

Home Address (if known):

State:

City:

Zip:

Relationship to Protected Person:

Your Full Name:

Your Address (If you have a lawyer, give your lawyer’s information.

If you do not have a lawyer and want to keep your home address

private, you may give a different mailing address instead. You do not

have to give telephone, fax, or e-mail.):

Your Lawyer (if you have one for this case):

Name: State Bar No.:

Firm Name:

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Address:

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

CH-130, Page 2 of 5

Revised January 1, 2012

Personal Conduct Orders

This is a Court Order.



These people were at the hearing:

The person in

The lawyer for the person in (name):

(1)

(2)

(3)

(4)

The person in The lawyer for the person in (name):

Stay-Away Orders

Case Number:

Hearing

To the Person in :2

There was a hearing

on (date): at (time): in Dept.: Room:

made the orders at the hearing.

(Name of judicial officer):

Additional persons present are listed at the end of this Order on Attachment 5.

The hearing is continued. The parties must return to court on (date): at (time):

You must not do the following things to the person named in

and to the other protected persons listed in :

(3)

Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse,

destroy personal property of, or disturb the peace of the person.

(1)

(2)

Contact the person, either directly or indirectly, in any way, including, but not limited to, in person,

by telephone, in writing, by public or private mail, by interoffice mail, by e-mail, by text message, by

fax, or by other electronic means.

Take any action to obtain the person’s address or location. If this item is not checked, the court has

found good cause not to make this order.

Peaceful written contact through a lawyer or a process server or other person for service of legal papers related

to a court case is allowed and does not violate this order.

The court has granted the orders checked below. If you do not obey these orders, you can be

arrested and charged with a crime. You may be sent to jail for up to one year, pay a fine of up

to $1,000, or both.

Other (specify):

(4)

Other personal conduct orders are attached at the end of this Order on Attachment 6a(4).

The vehicle of the person in

The job or workplace of the

person in

Other (specify):

The school of the children of the

person in

The home of the person in

The place of child care of the children of the

person in

The person in

Each person in

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Civil Harassment Restraining Order After Hearing

(CLETS-CHO)

(Civil Harassment Prevention)

You must stay at least

yards away from (check all that apply):

This stay-away order does not prevent you from going to or from your home or place of employment.b.

CH-130, Page 3 of 5

Revised January 1, 2012

This is a Court Order.



Other Orders (specify):

Case Number:

If you have not already done so, you must:

Sell to a licensed gun dealer or turn in to a law enforcement agency any guns or other firearms in your

immediate possession or control. This must be done within 24 hours of being served with this Order.

File a receipt with the court within 48 hours of receiving this Order that proves that your guns or

firearms have been turned in or sold. (You may use Form CH-800, Proof of Firearms Turned In or Sold,

for the receipt.)

•

The court has received information that you own or possess a firearm.

Lawyer’s Fees and Costs

Item

Amount

Additional items and amounts are attached at the end of this Order on Attachment 9.

No Guns or Other Firearms and Ammunition

You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get guns,

other firearms, or ammunition.

Additional orders are attached at the end of this Order on Attachment 10.

Mandatory Entry of Order Into CARPOS Through CLETS

By the close of business on the date that this Order is made, you or your lawyer should deliver a copy of

the Order and its proof-of-service form to the law enforcement agency listed below to enter into

CARPOS:

Name of Law Enforcement Agency

Address (City, State, Zip)

The clerk will enter this Order and its proof-of-service form into CARPOS.

The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered

into CARPOS.

Additional law enforcement agencies are listed at the end of this Order on Attachment 11.

This Order must be entered into the California Restraining and Protective Order System (CARPOS) through the

California Law Enforcement Telecommunications System (CLETS). (Check one):

The person in must pay to the person in the following amounts for:

Court costs

Lawyer’s feesa.

Civil Harassment Restraining Order After Hearing

(CLETS-CHO)

(Civil Harassment Prevention)

To the Person in :

Warning and Notice to the Restrained Person in :

You Cannot Have Guns or Firearms

CH-130, Page 4 of 5

Revised January 1, 2012

This is a Court Order.

No Fee to Serve (Notify) Restrained Person

The sheriff or marshal will serve this Order without charge because:

Date:

Judicial Officer

The Order is based on unlawful violence, a credible threat of violence, or stalking.

The person in is entitled to a fee waiver.

You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get guns, other firearms,

or ammunition while this Order is in effect. If you do, you can go to jail and pay a $1,000 fine. You must sell to a

licensed gun dealer or turn in to a law enforcement agency any guns or other firearms that you have or control as stated

in item above. The court will require you to prove that you did so.

Case Number:

(1) Proof of service of Form CH-110, Temporary Restraining Order, was presented to the court. The

judge’s orders in this form are the same as in Form CH-110 except for the expiration date. The

person in must be served with this Order. Service may be by mail.

(2)

The person in did not attend the hearing.

The judge’s orders in this form are different from the temporary restraining orders in Form

CH-110. Someone—but not anyone in or —must personally serve a copy of this Order on

the person in .

Service of Order on Restrained Person

The person in personally attended the hearing. No other proof of service is needed.

Number of pages attached to this Order, if any:

Instructions for Law Enforcement



Enforcing the Restraining Order

This Order is enforceable by any law enforcement agency that has received the Order, is shown a copy of the Order, or

has verified its existence on the California Restraining and Protective Order System (CARPOS). If the law

enforcement agency has not received proof of service on the restrained person, and the restrained person was not

present at the court hearing, the agency must advise the restrained person of the terms of the Order and then must

enforce it. Violations of this Order are subject to criminal penalties.

Civil Harassment Restraining Order After Hearing

(CLETS-CHO)

(Civil Harassment Prevention)

—Clerk's Certificate—

I certify that this Civil Harassment Restraining Order After Hearing is a true and

correct copy of the original on file in the court.

Clerk’s Certificate

[seal]

Clerk, by

, Deputy

(Clerk will fill out this part.)

Date:

This is a Court Order.

CH-130, Page 5 of 5

Revised January 1, 2012

Case Number:

Arrest Required If Order Is Violated

If an officer has probable cause to believe that the restrained person had notice of the order and has disobeyed it, the

officer must arrest the restrained person. (Pen. Code, §§ 836(c)(1), 13701(b).) A violation of the order may be a violation

of Penal Code section 166 or 273.6. Agencies are encouraged to enter violation messages into CARPOS.

Notice/Proof of Service

The law enforcement agency must first determine if the restrained person had notice of the order. Consider the restrained

person “served” (given notice) if (Pen. Code, § 836(c)(2)):

The officer sees a copy of the Proof of Service or confirms that the Proof of Service is on file; or

The restrained person was at the restraining order hearing or was informed of the order by an officer.

An officer can obtain information about the contents of the order and proof of service in CARPOS. If proof of service on

the restrained person cannot be verified and the restrained person was not present at the court hearing, the agency must

advise the restrained person of the terms of the order and then enforce it.

If the Protected Person Contacts the Restrained Person

Even if the protected person invites or consents to contact with the restrained person, this Order remains in effect and

must be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained

person. The orders can be changed only by another court order. (Pen. Code, § 13710(b).)

Conflicting Orders

A protective order issued in a criminal case on Form CR-161 takes precedence in enforcement over any conflicting civil

court order. (Pen. Code, § 136.2(e)(2).) Any nonconflicting terms of the civil restraining order remain in full force. An

Emergency Protective Order (Form EPO-001) that is in effect between the same parties and is more restrictive than other

restraining orders takes precedence over all other restraining orders. (Pen. Code, § 136.2.)

•

Start Date and End Date of Orders

This Order starts on the date next to the judge’s signature on page 4 and ends on the expiration date in item on page 1.

Civil Harassment Restraining Order After Hearing

(CLETS-CHO)

(Civil Harassment Prevention)

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

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SHERIFF-CORONER DEPARTMENT ORANGE COUNTY

Court Operations

INFORMATION SHEET

FOR

TEMPORARY RESTRAINING ORDER

To better assist our Deputies in serving these documents, we ask that you give us as much information as

possible. PLEASE PRINT.

Service Information

Person to be served: _________________________________________________________________________

Service address: __________________________________________ City: __________________________

Best time to attempt service: __________________________________________________________________

Personal Information

Date of birth: _________Age: ________Sex: _______Height: _______Weight: ______ Race: ______________

Nicknames/Aliases: __________________________________________________________________________

Identifying marks (Scars, tattoos, facial hair, length of hair, etc): ______________________________________

__________________________________________________________________________________________

List any known previous arrests: _______________________________________________________________

__________________________________________________________________________________________

Are there any weapons on the premises? ________________________________________________________

Where are they kept?________________________________________________________________________

Is the person known to carry a weapon? _________ Type?__________________________________________

Description of vehicle driven by person to be served (Model, color, license #, etc): _______________________

__________________________________________________________________________________________

Other information (Alcoholic, drug addict, martial arts expert, etc):____________________________________

__________________________________________________________________________________________

Your name: ____________________________________Signature____________________________________

Address: _____________________________________ Contact Phone: ________________________________

City: ________________________________________

Rev 03-11

OCSD1 (Rev.4/2011)

Print This Form

For your protection and privacy please press the

CLEAR THIS FORM button after you have printed the

form

Clear This Form

CIVIL HARASSMENT

BOOKLET

PART 2

HOW TO SERVE A

CIVIL HARASSMENT CASE

SUPERIOR COURT OF CALIFORNIA

COUNTY OF ORANGE

L-1204 (Rev. Jan)

CH-200-INFO, Page 1 of 2

What Is ''Proof of Personal Service''?

(Civil Harassment Prevention)

CH-200-INFO

What Is “Proof of Personal Service”?

What is “Service”?

Service is the act of giving your legal papers to the other party. There are many kinds of service—in person, by mail, and

others. This form is about personal or “in-person” service. The Request for Civil Harassment Restraining Orders (Form

CH-100), the Notice of Court Hearing (Form CH-109), and the Temporary Restraining Order (Form CH-110) must be

served “in person.” That means that someone must personally “serve” (give) a copy of the forms to the person to be

restrained. These forms cannot be served by mail.

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Optional Form

Service lets the other person know:

What orders you are asking for

The hearing date

How to respond

Who can serve?

Ask someone you know, a process server, or a law enforcement agency to

personally serve (give) a copy of the forms to the person to be restrained. You

cannot send the forms to that person by mail.

The server must:

Be 18 years of age or older

The sheriff or marshal may be authorized to serve the court’s orders for free if the

orders are based on claims of stalking, unlawful violence, or a credible threat of

violence, or if you are entitled to a fee waiver.

A “registered process server” is a business you pay to deliver court forms. Look for

“Process Serving” in the Yellow Pages or on the Internet.

Don’t serve it by mail!

(If a law enforcement agency or the process server uses a different proof-of-service

form, make sure it lists the forms served.)

How to serve

Ask the server to:

Walk up to the person to be served.

Make sure it is the right person. Ask the person’s name.

Give the person copies of all papers checked on Form CH-200, Proof of Personal Service.

Fill out and sign the Proof of Personal Service form.

Give the signed Proof of Personal Service to you.

Not be you or anyone whom you are asking to be protected by the orders



Why do I have to get the orders served?

The police cannot arrest anyone for violating an order unless that person knows about the order.

The judge cannot make the orders permanent unless the restrained person was served.

•

What if the person won’t take the papers or tears them up?

If the person won’t take the papers, just leave them near him or her.

It doesn’t matter if the person tears them up. Service is still complete.

•

JUDICIAL SUBPOENA

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before

Courtat thethe Honorable

located at

County of

o'clock in theday of noon, and at any recessedin room , on the , 20 , at

or adjourned date, to testify and give evidence as a witness in this action on the part of the

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a

result of your failure to comply.

(Attorney must sign above and type name below)

Attorney(s) for

Office and P.O. Address

Telephone No.:

Facsimile No.:

E-Mail Address:

Calendar No.

THE PEOPLE OF THE STATE OF NEW YORK

Index No.

American LegalNet, Inc.

www.USCourtForms.com

Court in

Witness, Honorable , one of the Justices of the

day of , 20County,

COURT

COUNTY OF

Plaintiff(s)

-against-

Defendant(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mobile Tel. No.:

It depends. To know the exact date, you have to look at two things on Form CH-109, Notice of Court Hearing:

First, look at the hearing date on page 1 of Form

CH-109.

When do the orders have to be served?

Look at a calendar. Subtract the number of days in from the hearing date. That is the final date to have the orders

served. It is always OK to serve earlier than that date.

If nothing is checked or written in , you must serve the orders at least five days before the hearing.

What do I do with the completed Proof of Personal Service?

Make several copies.

File the original with the court before your hearing

Ask the clerk to enter it into the California Law Enforcement Telecommunications System (CLETS), a special

computer system that lets police all over the state find out about the orders protecting you.

If the clerk tells you that the court cannot enter it into the computer, take a copy of the Temporary Restraining

Order (Form CH-110) and Proof of Personal Service (Form CH-200) to your local police. They will put the

information into the state computer system. That way, police all over the state will know that your restraining

order has been served.

Bring a copy of the completed Proof of Personal Service to your hearing.

CH-200-INFO, Page 2 of 2

Always keep an extra copy of the restraining orders with you for your safety.

Revised January 1, 2012

Notice of Hearing

Date: ________

Dept.: ________

Hearing

Date



Next, look at the number of days in item on page 2 of

Form CH-109.

What Is ''Proof of Personal Service''?

(Civil Harassment Prevention)

Who signs the Proof of Personal Service?

Only the person who serves the forms can sign Form CH-200, Proof of Personal Service. You do not sign it; the

restrained person does not need to sign it.

If someone other than the sheriff serves the papers, you should:

If the sheriff serves the papers, he or she will send the proof of service to the court and CLETS for you.

•

What happens if I can't get the orders served before the hearing date?

Before your hearing, fill out and file Form CH-115, Request to Continue Court Hearing and to Reissue Temporary

Restraining Order. This form asks the court for a new hearing date and makes your orders last until then. Ask the clerk

for the form. After the court has reissued the orders, attach a copy of Form CH-116, Notice of New Hearing Date and

Order on Reissuance, to a copy of your original orders. Ask the clerk to enter Form CH-116 into CLETS, or the clerk

may ask you or your attorney to deliver a copy to the police. That way, the police will know your orders are still in

effect.

At least five days before the hearing,

Service of Documents By the Person in

CH-200-INFO

What Is “Proof of Personal Service”?

CH-200

Clerk stamps date here when form is filed.

Notice to Server

The server must:

Fill in court name and street address:

Be 18 years of age or older.

Superior Court of California, County of

Not be listed in items or

of Form CH-100.

Give a copy of all documents

checked in to the person

in . (You cannot send them by

mail.) Then complete and sign this form and give or mail it to the

person in .

Case Number:

I gave the person in a copy of the forms checked below:

CH-109, Notice of Court Hearing

CH-100, Request for Civil Harassment Restraining Orders

CH-120, Response to Request for Civil Harassment Restraining Orders (blank form)

CH-120-INFO, How Can I Respond to a Request for Civil Harassment Restraining Orders?

CH-130, Civil Harassment Restraining Order After Hearing

Other

(specify)

I personally gave copies of the documents checked above to the person in :

b. At (time):

a. On (date):

a.m.

p.m.

c. At this address:

Zip:

State:City:

Server’s Information

Name:

Address:

Zip:

State:City:

Telephone

(If you are a registered process server):

Registration number:

County of registration:

I declare under penalty of perjury under the laws of the State of California that the information above is true and

correct.

Date:

Type or print server’s name

Server to sign here

CH-200, Page 1 of 1

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Optional Form

Code of Civil Procedure, § 527.6

Proof of Personal Service



CH-800, Proof of Firearms Turned In or Sold (blank form)

•

Fill in case number:

PROOF OF PERSONAL SERVICE

CH-110, Temporary Restraining Order

Name:

Person From Whom Protection Is Sought

Name:

Proof of Personal Service

Person Seeking Protection

(Civil Harassment Prevention)

JUDICIAL SUBPOENA

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before

Courtat thethe Honorable

located at

County of

o'clock in theday of noon, and at any recessedin room , on the , 20 , at

or adjourned date, to testify and give evidence as a witness in this action on the part of the

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a

result of your failure to comply.

(Attorney must sign above and type name below)

Attorney(s) for

Office and P.O. Address

Telephone No.:

Facsimile No.:

E-Mail Address:

Calendar No.

THE PEOPLE OF THE STATE OF NEW YORK

Index No.

American LegalNet, Inc.

www.USCourtForms.com

Court in

Witness, Honorable , one of the Justices of the

day of , 20County,

COURT

COUNTY OF

Plaintiff(s)

-against-

Defendant(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mobile Tel. No.:

How Can I Respond to a Request for

Civil Harassment Restraining Orders?

What is a civil harassment restraining

order?

What does the order do?

Not contact the person who asked for the order

Stay away from that person and the person’s home

and workplace

Not have any guns as long as the order is in effect

Who can ask for a civil harassment

restraining order?

Stalked

Harassed

Assaulted, including sexually, or

What if I don't obey the order?

Do I have to serve the other person with a

copy of my response?

The person who serves the form by mail must fill out

Form CH-250, Proof of Service of Response by Mail.

Have the person who did the mailing sign the original.

Take the completed form back to the court clerk or bring

it with you to the hearing.

Should I go to the court hearing?

Yes. You should go to court on the date listed on Form

CH-109, Notice of Court Hearing. If you do not go to

the hearing, the judge can make orders against you

without hearing from you.

How Can I Respond to a Request for Civil

Harassment Restraining Orders?

(Civil Harassment Prevention)

CH-120-INFO, Page 1 of 2

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Optional Form

Code of Civil Procedure, § 527.6

•

What if I don't agree with what the order

says?

You still must obey the order until the hearing.

Yes. Have someone age 18 or older—not you—mail a

copy of completed Form CH-120 to the person who

asked for the order (or that person’s lawyer). (This is

called “service by mail.”)

If you disagree with the orders the person is asking for,

fill out Form CH-120, Response to Request for Civil

Harassment Restraining Orders, before your hearing

date and file it with the court. If you need to include

attachments, you can use Form MC-025. You can get

the forms from legal publishers or on the Internet at

www.courts.ca.gov. You also may be able to find them

at your local courthouse or county law library.

Threatened with violence

CH-120-INFO

It is a court order that prohibits you from doing certain

things and going to certain places.

A person who is worried about safety because he or she

has been or is being:

The court can order you to:

The police can arrest you. You can go to jail and pay a

fine.

I've been served with a request for civil

harassment restraining orders. What do I

do now?

Read the papers served on you very carefully. The

Notice of Court Hearing tells you when to appear in

court. There may also be a Temporary Restraining

Order forbidding you from doing certain things. You

must obey the order until the hearing.

JUDICIAL SUBPOENA

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before

Courtat thethe Honorable

located at

County of

o'clock in theday of noon, and at any recessedin room , on the , 20 , at

or adjourned date, to testify and give evidence as a witness in this action on the part of the

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a

result of your failure to comply.

(Attorney must sign above and type name below)

Attorney(s) for

Office and P.O. Address

Telephone No.:

Facsimile No.:

E-Mail Address:

Calendar No.

THE PEOPLE OF THE STATE OF NEW YORK

Index No.

American LegalNet, Inc.

www.USCourtForms.com

Court in

Witness, Honorable , one of the Justices of the

day of , 20County,

COURT

COUNTY OF

Plaintiff(s)

-against-

Defendant(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mobile Tel. No.:

Will I see the person who asked for

the order at the court hearing?

Can I bring a witness to the court

hearing?

What if I don't speak English?

When you file your papers, ask the clerk if a court

interpreter is available. You may have to pay a fee for the

interpreter. If an interpreter is not available for your court

date, bring someone to interpret for you. You should ask

someone age 18 or older to interpret for you.

Revised January 1, 2012

How Can I Respond to a Request for

Orders to Stop Harassment?

CH-120-INFO

CH-120-INFO, Page 2 of 2

Do I need a lawyer?

Having a lawyer is always a good idea, but it is not

required, and you are not entitled to a free

court-appointed attorney. Ask the court clerk about

free and low-cost legal services and self-help centers

in your county.

What if I have a gun?

If a restraining order is issued, you cannot own, possess,

or have a gun, other firearm, or ammunition while the

order is in effect. If you have a gun or other firearm in

your immediate possession or control, you must sell it to

a licensed gun dealer or turn it in to a law enforcement

agency.

Can I agree with the protected person

to cancel the order?

Yes. Assume that the person who is asking for the

order will attend the hearing. Do not talk to him or her

unless the judge or that person’s attorney says that you

can.

Yes. You can bring witnesses or documents that

support your case to the hearing. But if possible, you

should also bring the witnesses’ written statements of

what they saw or heard. Their statements must be

made under penalty of perjury. You can use Form

MC-030 for this.

If the court issued a temporary restraining order

before the hearing, it will last until your hearing date.

At that time, the court will decide to continue or

cancel the order. Any order issued at the hearing can

last for up to three years.

How long does the order last?

For help in your area, contact:

[Local information may be inserted.]

What if I am deaf or hard of hearing?

Assistive listening systems, computer-

assisted real-time captioning, or sign

language interpreter services are

available if you ask at least five court

days before the hearing. Contact the

clerk’s office or go to

www.courts.ca.gov/forms for Request

for Accommodations by Persons with

Disabilities and Response (Form

MC-410). (Civ. Code, § 54.8.)

No. Once the order is issued, only the judge can change

or cancel it. You or the protected person would have to

file a request with the court to cancel the order.

How Can I Respond to a Request for Civil

Harassment Restraining Orders?

(Civil Harassment Prevention)

Central Justice Center (657) 622-7513

Harbor Justice Center - Laguna Hills Facility (657) 622-8670

North Justice Center (657) 622-6641

West Justice Center (657) 622-8690

CH-120

Response to Request for Civil

Harassment Restraining Orders

Clerk stamps date here when form is filed.

Name of person seeking protection (see Form CH-100, item ):

Fill in court name and street address:

Superior Court of California, County of

Case Number:

Personal Conduct Orders

Present your response and any opposition at the

hearing. Write your hearing date, time, and place

from Form CH-109 item here:

I agree to the orders requested.

I do not agree to the orders requested.

Date: Time:

I agree to the following orders (specify):

Room:Dept.:

If you were served with a Temporary

Restraining Order, you must obey it until the

hearing. At the hearing, the court may make

orders against you that last for up to three years.

Stay-Away Orders

I agree to the orders requested.

I do not agree to the orders requested.

I agree to the following orders (specify):

CH-120, Page 1 of 3

Response to Request for Civil Harassment

Restraining Orders

(Civil Harassment Prevention)

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Mandatory Form

Code of Civil Procedure, §§ 527.6 and 527.9



Fill in case number:

Use this form to respond to the Request (Form CH-100)

Read How Can I Respond to a Request for Civil Harassment

Restraining Orders? (Form CH-120-INFO), to protect your rights.

Fill out this form and take it to the court clerk.

Have someone age 18 or older—not you—serve the person in or

his or her lawyer by mail with a copy of this form and any attached

pages. (Use Form CH-250, Proof of Service of Response by Mail.)

•

Your Name:

Your Lawyer (if you have one for this case):

Name:

State Bar No.:

Firm Name:

Person Seeking Protection

Person From Whom Protection Is Sought

Hearing

Date

Your Address (If you have a lawyer, give your lawyer’s information.

If you do not have a lawyer and want to keep your home address

private, you may give a different mailing address instead. You do not

have to give telephone, fax, or e-mail.):

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

I agree that the persons listed in item of Form CH-100 may be protected by the order requested.

Additional Protected Persons

I do not agree that the persons listed in item of Form CH-100 may be protected by the order

requested.

Address:

JUDICIAL SUBPOENA

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before

Courtat thethe Honorable

located at

County of

o'clock in theday of noon, and at any recessedin room , on the , 20 , at

or adjourned date, to testify and give evidence as a witness in this action on the part of the

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a

result of your failure to comply.

(Attorney must sign above and type name below)

Attorney(s) for

Office and P.O. Address

Telephone No.:

Facsimile No.:

E-Mail Address:

Calendar No.

THE PEOPLE OF THE STATE OF NEW YORK

Index No.

American LegalNet, Inc.

www.USCourtForms.com

Court in

Witness, Honorable , one of the Justices of the

day of , 20County,

COURT

COUNTY OF

Plaintiff(s)

-against-

Defendant(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mobile Tel. No.:

Case Number:

CH-120, Page 2 of 3

Revised January 1, 2012

is attached. has already been filed with the court.A copy of the receipt

Other Orders

I agree to the orders requested.

I do not agree to the orders requested.

I agree to the following orders (specify):

I do not own or control any guns or firearms.

I have turned in my guns and firearms to the police or sold them to a licensed gun dealer.

Denial

I did not do anything described in item of Form CH-100. (Skip to .)

Justification or Excuse

If I did some or all of the things that the person in has accused me of, my actions were justified or excused for the

following reasons (explain):

Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet

of paper and write “Attachment 9—Justification or Excuse” as a title. You may use Form MC-025, Attachment.

Guns or Other Firearms and Ammunition

If you were served with Form CH-110, Temporary Restraining Order, you cannot own or possess any guns,

other firearms, or ammunition. You must turn in any guns or firearms in your immediate possession or

control and file a receipt with the court from a law enforcement agency or a licensed gun dealer within 48

hours after you received Form CH-110. (See item of Form CH-110.) You may use Form CH-800, Proof

of Firearms Turned In or Sold, for the receipt.

Response to Request for Civil Harassment

Restraining Orders

(Civil Harassment Prevention)

Case Number:

CH-120, Page 3 of 3

Revised January 1, 2012

Lawyer's Fees and Costs

I ask the court to order payment of my Lawyer’s fees

Item Item

Amount

Court costs

I ask the court to deny the request of the person asking for protection that I pay his or her lawyer’s

fees and costs.

Number of pages attached to this form, if any:

Date:

Lawyer’s name (if any) Lawyer’s signature

I declare under penalty of perjury under the laws of the State of California that the information above is true and

correct.

Date:



Type or print your name Sign your name

The amounts requested are:

No Fee for Filing

Check here if there are more items. Put the items and amounts on the attached sheet of paper or Form

MC-025 and write “Attachment 11—Lawyer’s Fees and Costs” for a title.

I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form

FW-001, Request to Waive Court Fees, must be filed separately.)

I request that I not be required to pay the filing fee because the person in claims in Form CH-100

item to be entitled to free filing.

Response to Request for Civil Harassment

Restraining Orders

(Civil Harassment Prevention)

CH-250, Page 1 of 1

Proof of Service of Response by Mail

(Civil Harassment Prevention)

CH-250

Proof of Service of Response by

Mail

Judicial Council of California, www.courts.ca.gov

Rev. January 1, 2012, Optional Form

Code of Civil Procedure, § 527.6

The server must:

Be 18 years of age or older.

Mail a copy of all documents

checked in to the person in .

Complete and sign this form and give

it to the person in .

•

Notice to Server

I am 18 years of age or older and not a party to this proceeding. I live or am employed in the county where the

mailing took place. I mailed the person in a copy of all documents checked below:

a. Form CH-120, Response to Request for Civil Harassment Restraining Orders

I declare under penalty of perjury under the laws of the State of California that the information above is true and

correct.

b. Other (specify):

Clerk stamps date here when form is filed.

•

PROOF OF SERVICE BY MAIL

Fill in court name and street address:

Superior Court of California, County of

Case Number:

Fill in case number:

Server’s Information

Name:

Address:

Zip:

State:City:

Telephone:

(If you are a registered process server):

Registration number:

County of registration:

Date:

Type or print server’s name

Server to sign here



Live or be employed in the county

where the mailing took place.

Name:

Person From Whom Protection Is Sought

Your Name:

Person Seeking Protection

•

I placed copies of the documents checked above in a sealed envelope and mailed them as described below:

Zip:

State:

City:

Mailed to (name):

On (date): Mailed from:

City:

State:

Not be listed in items or of Form

CH-100.

To this address:

•

JUDICIAL SUBPOENA

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before

Courtat thethe Honorable

located at

County of

o'clock in theday of noon, and at any recessedin room , on the , 20 , at

or adjourned date, to testify and give evidence as a witness in this action on the part of the

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a

result of your failure to comply.

(Attorney must sign above and type name below)

Attorney(s) for

Office and P.O. Address

Telephone No.:

Facsimile No.:

E-Mail Address:

Calendar No.

THE PEOPLE OF THE STATE OF NEW YORK

Index No.

American LegalNet, Inc.

www.USCourtForms.com

Court in

Witness, Honorable , one of the Justices of the

day of , 20County,

COURT

COUNTY OF

Plaintiff(s)

-against-

Defendant(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mobile Tel. No.:

Firearm Relinquishment Options

If you are ordered to relinquish a firearm in a restraining order, you have three ways to do that

starting January 1, 2014.

1. Relinquish the firearm to a law enforcement agency

2. Sell the firearm to a California licensed gun dealer

3. Store the firearm with a California licensed gun dealer

Read the restraining order for all other requirements.

CH-800-INFO, Page 1 of 1

Judicial Council of California www.courts.ca.gov

New January 1, 2012, Optional Form

How Do I Turn In or Sell My Firearms?

(Civil Harassment Prevention)

CH-800-INFO

How Do I Turn In or Sell My Firearms?

What is a firearm?

• Rifle

• Shotgun

• Assault weapon

• Handgun

If you own or have a firearm you must:

• Turn it in to local law enforcement or

• Sell it to a licensed gun dealer

How do I sell my firearm?

Look under “Firearms Dealers” in your local Yellow Pages or on the Internet. Make sure the dealer is licensed.

Find a licensed gun dealer in your area.

If I turn my firearm in to law enforcement, how long will they keep it?

Ask the law enforcement agency.

After I give my firearm to law enforcement, can I change my mind?

Yes. You are allowed to make one sale through a licensed gun dealer. To do this, a licensed gun dealer must

present a bill of sale to your local law enforcement agency. The law enforcement agency will give the licensed

gun dealer the firearm you are selling.

Do I have to pay the law enforcement agency to

keep my firearm?

You may have to pay the agency for keeping your firearm.

Contact your local law enforcement agency and ask if a fee is

charged. The agency will tell you how much you need to pay.

Call your local law enforcement agency:

(insert local information here.)

Questions?

A firearm is a:

How do I take my firearm to law enforcement?

Call your local law enforcement agency to ask about their procedures. Take a copy of the restraining order with

you. Go directly to the law enforcement agency. Do not go anywhere else with firearms in your vehicle!

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

If the court has ordered you to sell or turn in your firearms, you may use this form to prove to the court that you

have obeyed its orders. When you deliver your unloaded weapons, ask the law enforcement officer or the licensed

gun dealer to complete item or and item . After the form is signed, file it with the court clerk. Keep a

copy for yourself. For help, read Form CH-800-INFO, How do I Turn in or Sell my Firearms?

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Case Number:

Law Enforcement To Licensed Gun Dealer

Fill out items and of this form. Keep a

copy and give the original to the person who sold

the firearms to you.

Fill out items and of this form. Keep a

copy and give the original to the person who

turned in the firearms.

The firearms listed in were sold to me on:

The firearms listed in were turned in on:

Date:Date: at:

Name of licensed gun dealer

To:

Name and title of law enforcement agent

License number Telephone

Name of law enforcement agency

I declare under penalty of perjury under the laws

of the State of California that the information

above is true and correct.

I declare under penalty of perjury under the laws

of the State of California that the information

above is true and correct.

Signature of law enforcement agent

Signature of licensed gun dealer

CH-800, Page 1 of 2

Proof of Firearms Turned In or Sold

(Civil Harassment Prevention)

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2012, Optional Form

Code of Civil Procedure, § 527.9



Fill in case number:

4 5

Address

CH-800

Proof of Firearms Turned

In or Sold

Address

4 6

at:

Name:

Protected Person

Restrained Person

To the Restrained Person:

Your Name:

Your Lawyer (if you have one for this case):

Name:

State Bar No.:

Firm Name:

Your Address (If you have a lawyer, give your lawyer’s

information. If you do not have a lawyer and want to keep your

home address private, you may give a different mailing address

instead. You do not have to give telephone, fax, or e-mail.):

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Address:

p.m.

a.m

p.m.

a.m



To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

Case Number:

Revised January 1, 2012

CH-800, Page 2 of 2

Proof of Firearms Turned In or Sold

(Civil Harassment Prevention)

Firearms

Do you have, own, possess, or control any other firearms besides the firearms listed in ?

Yes

If you answered yes, have you sold or transferred those other firearms?

If yes, check one of the boxes below:

Yes

I filed a Proof of Firearms Turned In or Sold for those firearms with the court on (date): .

I am filing the proof for those firearms along with this proof.

I have not yet filed the proof for the other firearms. (explain why not):

I declare under penalty of perjury under the laws of the State of California that the information above is true and

correct.

Date:

Type or print your name

Sign your name



Check here if there is not enough space below for your answer. Put your complete answer on the

attached sheet of paper or Form MC-025 and write “Attachment 7c” for a title.

Serial NumberModel

Check here if you turned in or sold more firearms. Attach a sheet of paper and write “CH-800, Item

6—Firearms Turned In or Sold” for a title. Include make, model, and serial number of each firearm. You

may use Form MC-025, Attachment.

Make

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

Notice of New Hearing Date and

Order on Reissuance

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Case Number:

CH-116, Page 1 of 3

Judicial Council of California, www.courts.ca.gov

New January 1, 2012, Mandatory Form

Code of Civil Procedure, § 527.6(o)

Fill in case number:

This is a Court Order.

A hearing in this case is currently set for (date): at (time):

New Hearing Date

The court orders a new hearing date:

at the request of the person seeking protection

at the request of the person from whom protection is sought

Because:

the person in could not be served before the current hearing date.

for the reasons stated

(3)

(1)

(2)

(1)

below

on Attachment 3c

the parties have agreed to postpone the hearing and ask for a new hearing date.

(2)

CH-116

Person Seeking Protection

Person From Whom Protection Is Sought

Full Name:

Order for Continuance and Notice of Hearing

The court hearing on the Request for Civil Harassment Restraining Orders (Form CH-100) is

continued and rescheduled:

Name and address of court if different from above:

Date: Time:

Room:Dept.:

New

Hearing

Date



in its discretion

(3)

Your Full Name:

Your Address (If you have a lawyer, give your lawyer’s

information. If you do not have a lawyer and want to keep your

home address private, you may give a different mailing address

instead. You do not have to give telephone, fax, or e-mail.):

Your Lawyer (if you have one for this case):

Zip:

State:

City:

Telephone:

Fax:

E-Mail Address:

Address:

Name:

State Bar No.:

Firm Name:

Notice of New Hearing Date and Order on Reissuance

(Civil Harassment Prevention)

To keep other people from

seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

This is a Court Order.

Case Number:

CH-116, Page 2 of 3

New January 1, 2012

A copy of this Order must be served by the requesting party on the other party at least days before

the hearing, along with the other documents requesting civil harassment restraining orders. If reissuance

is denied in item 5c, a copy of the Temporary Restraining Order (Form CH-110) must NOT be attached

and served.

No further service of this Order is required because both parties were present at the initial hearing

date in item 3a, and both were given a signed copy of this Order.

Reissuance of Temporary Restraining Order

The request to reissue the temporary restraining order is DENIED.

Service of Order

The request to reissue the temporary restraining order is GRANTED.

The attached Temporary Restraining Order (Form CH-110) is reissued.

If the request to reissue the Temporary Restraining Order is GRANTED in 5b, you must

continue to obey the attached Temporary Restraining Order until the end of the hearing

scheduled in .

Expiration Date

If 5b is checked, the attached Temporary Restraining Order expires at the end of the hearing scheduled in .

Warning and Notice to the Person in :

The court will serve a copy of this Order on the parties.

No temporary restraining order was issued in this case.

for the reasons stated

below

on Attachment 5c

No Fee to Serve (Notify) Restrained Person

The sheriff or marshal will serve this Order without charge because:

The Order is based on unlawful violence, a credible threat of violence, or stalking.

The person requesting the Order is entitled to a fee waiver.

Ordered Not Ordered

Notice of New Hearing Date and Order on Reissuance

(Civil Harassment Prevention)

Request for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter

services are available if you ask at least five days before the hearing. Contact the clerk’s office for

Request for Accommodations by Persons with Disabilities and Response (Form MC-410). (Civ.

Code, § 54.8)

(Clerk will fill out this part.)

—

Clerk’s Certificate—

I certify that this Notice of New Hearing Date and Order on Reissuance is a true and

correct copy of the original on file in the court.

Clerk’s Certificate

[seal]

Case Number:

This is a Court Order.

CH-116, Page 3 of 3

New January 1, 2012

Date:

Judicial Officer

Clerk, by

, Deputy

Date:

By the close of business on the date that this Order is made, the person in or that person’s lawyer

should deliver a copy of the Order and its proof-of-service form to the law enforcement agency listed

below to enter into CARPOS:

Name of Law Enforcement Agency

Address (City, State, Zip)

Additional law enforcement agencies are listed at the end of this Order in Attachment 9.

Notice of New Hearing Date and Order on Reissuance

(Civil Harassment Prevention)

Entry of Order Into CARPOS Through CLETS

The clerk will enter this Order and its proof-of-service form into CARPOS.

The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered

into CARPOS.

If the Temporary Restraining Order has been reissued (item 5b is checked), this Order must be entered into the

California Restraining and Protective Order System (CARPOS) through the California Law Enforcement

Telecommunications System (CLETS). (Check one):

For your protection and privacy, please press the Clear

This Form button after you have printed the form.

Save This Form

Print This Form

Clear This Form

Sign the document

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CIVIL HARASSMENT BOOKLET PART 1 (The Superior Court of California - County of Orange)

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Completed 8 February 2021

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