Fillable TH-110 (THIS IS A COURT ORDER) (California)

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TH-110 (THIS IS A COURT ORDER) (California)

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Form Adopted for Mandatory Use
Judicial Council of California
TH-110 [Rev. September 1, 2018]
ORDER TO SHOW CAUSE AND TEMPORARY RESTRAINING ORDER
(Transitional Housing Misconduct)
Civil Code, § 1954.13
www.courts.ca.gov
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PARTICIPANT:
PROGRAM OPERATOR:
ORDER TO SHOW CAUSE
and Temporary Restraining Order
FOR COURT USE ONLY
CASE NUMBER:
TH-110
(THIS IS A COURT ORDER)
Page 1 of 3
(Temporary Restraining Order continued on reverse)
THIS ORDER SHALL EXPIRE AT THE DATE AND THE TIME OF THE HEARING SHOWN IN THE BOX BELOW UNLESS
EXTENDED BY THE COURT.
YOU ARE ORDERED to appear in this court at the date, time, and place shown in the box below to give any legal reason why
the orders requested in the attached petition should not be granted.
NOTICE OF HEARING
• You have the right to attend the court hearing and oppose the petition, with or without an attorney.
• You have the right to file a response (form TH-120, copy attached) with the court without paying a fee.
• If you do not attend the court hearing, the court may make restraining orders against you that will last up to one year.
You may obtain legal services by calling the following office:
TEMPORARY RESTRAINING ORDER
THE COURT FINDS
Before the court can hold a hearing on the petition, great and irreparable harm would result to
a.
program employees or their property
other program participants or their property
persons living within 100 feet of the program site or their property.
b.
c.
d.
program operator
Participant
has not been under contract with the program for more than six months
(date of contract):
has been under contract with the program for more than six months, but
(1)
(2)
a restraining order is in effect and subject to further orders.
an action is pending against participant.
a.
b.
NOTICE TO PARTICIPANT: Violation of this temporary restraining order is a misdemeanor, punishable by a $1,000 fine, six
months in jail, or both. This order shall be enforced by all law enforcement officers in the State of California.
To Participant (name all persons to be restrained or excluded):
Date: Time: Dept.:
Room:
(Name of local legal services office):
(Address and telephone no.):
Not requested Denied Granted as follows:
1.
2.
TH-110
PARTICIPANT:
PROGRAM OPERATOR:
CASE NUMBER:
(THIS IS A COURT ORDER)
TH-100 [Rev. September 1, 2018] Page 2 of 3
ORDER TO SHOW CAUSE AND TEMPORARY RESTRAINING ORDER
(Transitional Housing Misconduct)
THE COURT FINDS (continued)
a.
b.
c.
Participant or his or her attorney was informed of the date, time, and place the petition would be filed.
Program operator or his or her attorney made a good-faith effort to inform participant or his or her attorney of the date,
time, and place the petition would be filed.
For good reasons, program operator is excused from informing participant or his or her attorney of the date, time, and
place the petition would be filed.
EXTENSION OF TEMPORARY RESTRAINING ORDER. Good cause exists for extending these orders until the time of the
hearing.
Notice
4.
THE COURT ORDERS UNTIL THE TIME OF HEARING
5.
a.
b.
c.
d.
e.
f.
drunkenness on the program site
(rule no.):
unlawful use or sale of controlled substances (drugs)
(rule no.):
theft
(rule no.):
arson
(rule no.):
destruction of property
(rule no.):
violence or threats of violence and harassment
(rule no.):
Program misconduct. Participant shall not intentionally violate the program rules and regulations so as to interfere
substantially with the orderly operation of the program and specifically the rules and regulations on
6.
Do not abuse. Participant shall not attack, strike, batter, or sexually assault, or threaten to attack, strike, batter, or sexually
assault
a.
b.
c.
and specifically the following persons
program employees
program participants
persons living within 100 feet of the program site
(names):
7.
and may take participant's personal property needed until the hearing.
The court finds participant must be excluded from the program site because of an emergency, and it is necessary to protect
another participant, a program employee, or a person living within 100 feet of the program site from imminent serious bodily
injury.
a.
b.
(address optional):
(addresses):
Move from program site. Participant shall immediately move from and must not return to the program site and the dwelling
unit assigned to participant (address optional):
Stay away. Participant shall stay at least 200 feet away from the following places:8.
The court finds participant must stay away at least 200 feet from the program site because of an emergency, and it is necessary to
protect another participant, a program employee, or a person living within 100 feet of the program site from imminent serious bodily
injury.
3.
(Temporary Restraining Order continued on reverse)
Dwelling unit assigned to participant
Other program site locations
TH-110
PARTICIPANT:
PROGRAM OPERATOR:
CASE NUMBER:
(THIS IS A COURT ORDER)
TH-100 [Rev. September 1, 2018] Page 3 of 3
ORDER TO SHOW CAUSE AND TEMPORARY RESTRAINING ORDER
(Transitional Housing Misconduct)
a.
b.
c.
Program operator shall deliver.
Program operator's attorney shall deliver.
The clerk of the court shall mail.
Law enforcement agency
THE COURT ORDERS (continued)
9.
By the close of business on the date of this order, a copy of this order and any proof of service shall be given to the law
enforcement agencies listed below as follows:
Address
This order is effective when made. The law enforcement agency shall enforce the order immediately upon receipt. It is
enforceable anywhere in California by any law enforcement agency that has received the order or is shown a copy of the
order.
If proof of service on the restrained person has not been received, the law enforcement agency shall advise the restrained
person of the terms of the order and then shall enforce it.
Date:
JUDGE OF THE SUPERIOR COURT
CLERK'S CERTIFICATE OF MAILING
I certify that I am not a party to this cause and that a copy of the foregoing was mailed first class, postage prepaid, in a sealed envelope
addressed as shown in item 10 and that the foregoing was mailed and this certificate was executed at
(place):
, California.
CLERK, by
on (date):
, Deputy
10.
OTHER ORDERS
(specify the orders needed to help carry out the orders in items 5-8):
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TH-110 (THIS IS A COURT ORDER) (California)

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Completed 8 February 2021

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