Fillable Form 2: DV-120 Response to Request for Domestic (California)

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Form 2: DV-120 Response to Request for Domestic (California)

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The Form 2: DV-120 Response to Request for Domestic (California) form is 5 pages long and contains:

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This form is for a response to a restraining order request. For more information about how to request your own
restraining order, read Form DV-505-INFO and Form DV-120-INFO (see the section called “What if I need a
restraining order against the other person?”)
I agree to the relationship listed in item on Form DV-100.
I do not agree that the other party and I have or had the relationship listed in item on Form DV-100
because:
4
4
Response to Request for Domestic
Violence Restraining Order
Name of Person Asking for Protection:
(See Form DV-100, item ):
Telephone:
Address:
Address (If you have a lawyer for this case, give your lawyer’s
information. If you do not have a lawyer and want to keep your home
address private, give a different mailing address instead. You do not
have to give your telephone, fax, or e-mail.):
Fax:
Firm Name:
E-Mail Address:
Your Name:
Zip:State:City:
1
Your lawyer in this case (if you have one):
Use this form to respond to the Request for Domestic
Violence Restraining Order (Form DV-100).
Time:
Date:
•
Fill out this form and take it to the court clerk.
•
Have the person in served by mail with a copy of this form and any attached pages. (See Form DV-250
, Proof
of Service by Mail.)
1
•
•
For more information, read Form DV-120-INFO, How Can I Respond to a Request for Domestic Violence
Restraining Order?
The judge will consider your Response at the hearing.
Write your hearing date, time, and place from Form DV-109, Notice of Court Hearing, item , here:
3
Hearing
Date
è
Room:
Dept.:
You must obey the orders in Form DV-110, Temporary Restraining Order, until the hearing. At the hearing,
the court may make restraining orders against you that could last up to five years and could be renewed.
Response to Request for Domestic Violence
Restraining Order
(Domestic Violence Prevention)
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2016, Mandatory Form
Family Code, § 6200 et seq.
DV-120, Page 1 of 5
DV-120
1
2
3
4
5
Relationship to Person Asking for Protection
Other Protected People
Name:
State Bar No.:
a.
b.
a.
b.
I agree to the order requested.
I do not agree to the order requested,
This is not a Court Order.
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Fill in case number:
Case Number:
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
Revised July 1, 2016
DV-120, Page 2 of 5
Response to Request for Domestic Violence
Restraining Order
(Domestic Violence Prevention)
This is not a Court Order.
Case Number:
6
Personal Conduct Orders
a.
7
8
Stay-Away Order
a.
Move-Out Order
a.
I agree to the orders requested.
I do not agree to the order requested,
If you were served with Form DV-110, Temporary Restraining Order, you must turn in any guns or firearms in
your immediate possession or control. You must file a receipt with the court from a law enforcement agency or
a licensed gun dealer within 48 hours after you received Form DV-110.
(specify):
9
a.
b.
I do not own or have any guns or firearms.
I ask for an exemption from the firearms prohibition under Family Code section 6389(h) because
c.
I have turned in my guns and firearms to law enforcement or sold them to, or stored them with, a
licensed gun dealer. A copy of the receipt showing that I turned in, sold, or stored my firearms
(check all that apply):
is attached has already been filed with the court.
Guns or Other Firearms or Ammunition
10
11
Record Unlawful Communications
a.
Care of Animals
a.
b.
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
Revised July 1, 2016
You and the other parent may tell the court that you want to be legal parents of the children (use Form
DV-180, Agreement and Judgment of Parentage).
a.
b.
I agree to the order requested.
I do not agree to the order requested. (Specify your reasons in item 25, page 5, of this form.)
c.
I am not the parent of the child listed in Form DV-105, Request for Child Custody and Visitation Orders.
d.
I ask for the following custody order (specify):
I do not agree to the orders requested to limit the child’s travel as listed in Form DV-108,I do
Request for Order: No Travel with Children.
Whether or not you agree to pay support, you must fill out, serve, and file Form FL-150, Income and Expense
Declaration, or Form FL-155, Financial Statement (Simplified).
DV-120, Page 3 of 5
Response to Request for Domestic Violence
Restraining Order
(Domestic Violence Prevention)
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13
Child Custody and Visitation
Child Support (Check all that apply):
a.
b.
I agree to the order requested.
I do not agree to the order requested. (Specify your reasons in item 25, page 5, of this form.)
c.
I agree to pay guideline child support.
This is not a Court Order.
Case Number:
e.
Whether or not you agree, you must fill out, serve, and file Form FL-150
, Income and Expense Declaration.
14
Property Control
a.
Debt Payment
a.
Property Restraint
a.
Spousal Support
a.
I agree to the order requested.
I do not agree to the order requested,
15
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b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
Revised July 1, 2016
Whether or not you agree, you must fill out, serve, and file Form FL-150, Income and Expense Declaration.
DV-120, Page 4 of 5
Case Number:
19
Insurance
a.
20
Lawyer's Fees and Costs
a.
c.
I request the court to order payment of my lawyer’s fees and costs.
21
Payments for Costs and Services
a.
22
Batterer Intervention Program
a.
23
Other Orders (see item 22 on Form DV-100)
a.
Response to Request for Domestic Violence
Restraining Order
(Domestic Violence Prevention)
This is not a Court Order.
Rights to Mobile Device and Wireless Phone Account
a.
b.
18
Amount: $
Amount: $
Item:
I ask the court to order payment of my out-of-pocket expenses because the temporary restraining order was
issued without enough supporting facts. The expenses are:
Item:
You must fill out, serve, and file Form FL-150
, Income and Expense Declaration.
24
Out-of-Pocket Expenses
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
b.
I agree to the order requested.
I do not agree to the order requested,
(Specify your reasons in item 25, page 5, of this form.)
but I would agree to:
Revised July 1, 2016
Explain your answers to each of the orders requested (give specific facts and reasons):
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
DV-120, Page 5 of 5
Number of pages attached to this form, if any:
Case Number:
25
Reasons I Do Not Agree to the Orders Requested
Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet
of paper and write, “DV-120, Reasons I Do Not Agree” as a title.
26
Response to Request for Domestic Violence
Restraining Order
(Domestic Violence Prevention)
This is not a Court Order.
Date:
Type or print your name
Sign your name
Date:
Lawyer’s name, if you have one
Lawyer’s signature
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Form 2: DV-120 Response to Request for Domestic (California)

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Completed 20 November 2020

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