Fillable Form 3: EA-200 Proof of Personal Service (California)

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Form 3: EA-200 Proof of Personal Service (California)

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The Form 3: EA-200 Proof of Personal Service (California) form is 1 page long and contains:

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  • 9 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

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I gave the person in a copy of the forms checked below:
EA-109, Notice of Court Hearing a.
EA-100, Request for Elder or Dependent Adult Abuse Restraining Ordersc.
EA-120, Response to Request for Elder or Dependent Adult Abuse Restraining Orders (blank form)
EA-120-INFO, How Can I Respond to a Request for Elder or Dependent Adult Abuse Restraining Orders?
f.
EA-130, Elder or Dependent Adult Abuse Restraining Order After Hearing
h.
Other
(specify):
EA-200, Page 1 of 1
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2014, Optional Form
Welfare & Institutions Code, § 15657.03
Proof of Personal Service
(Elder or Dependent Adult Abuse Prevention)
d.
i.
e.
EA-800, Proof of Firearms Turned In, Sold, or Stored (blank form)
PROOF OF PERSONAL SERVICE
2
EA-110, Temporary Restraining Order b.
Elder or Dependent Adult in Need of Protection
Person From Whom Protection Is Sought
g. EA-250, Proof of Service of Response by Mail (blank form)
EA-200
Proof of Personal Service
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
1
2
3
4
I personally gave copies of the documents checked above to the person in :
Zip:State:
Server’s Information
Name:
Address:
Zip:
City:
Telephone:
(If you are a registered process server):
Registration number:
County of registration:
State:
I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.
6
5
2
Server to sign here
Date:
Type or print server’s name
a. b.
On (date): At (time):
At this address:
City:
a.m.
p.m.
c.
Name:
Name:
Notice to Server
The server must:
Be 18 years of age or older.
Not be listed in items , ,
or of Form EA-100.
1 3
6
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 .
4
2
1
•
•
•
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Form 3: EA-200 Proof of Personal Service (California)

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Completed 23 March 2021

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