Present your response and any opposition at the
hearing. Write your hearing date, time, and place
from form CH-109 item here:
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 five years.
è
3
Hearing
Date
Date:
Time:
Dept.: Room:
CH-120
Response to Request for Civil
Harassment Restraining Orders
a.
b.
a.
b.
CH-120, Page 1 of 4
Response to Request for Civil Harassment
Restraining Orders
(Civil Harassment Prevention)
Judicial Council of California, www.courts.ca.gov
Revised January 1, 2018, Mandatory Form
Code of Civil Procedure, §§ 527.6 and 527.9
c.
c.
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 Lawyer (if you have one for this case)
Person Seeking Protection
Person From Whom Protection Is Sought
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.)
a.
b.
1
2
3
4
5
1
1
3
3
I agree that the persons listed in item of form CH-100 may be protected by the order requested.
I do not agree that the persons listed in item of form CH-100 may be protected by the order requested.
a.
b.
Full name of person seeking protection (see form CH-100, item ):
Your Name:
Name: State Bar No.:
Firm Name:
Address:
City:
State:
Zip:
Telephone: Fax:
E-mail Address:
I do not agree to the orders requested.
(Specify why you disagree in item on page 3.)
I agree to the orders requested.
I agree to the following orders (Specify below or in item on page 3.)
I do not agree to the orders requested. (Specify why you disagree in item on page 3.)
I agree to the orders requested.
Stay-Away Orders
I agree to the following orders (specify below or in item on page 3):
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:
Additional Protected Persons
Personal Conduct Orders
11
11
11
11