Fillable form DV-100, Request for Domestic: DV-200 Proof of (California)

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form DV-100, Request for Domestic: DV-200 Proof of (California)

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The form DV-100, Request for Domestic: DV-200 Proof of (California) form is 1 page long and contains:

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  • 11 check-boxes
  • 21 other fields

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File type: PDF

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DV-200, Page 1 of 1
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2016, Optional Form
Family Code, §§ 243, 245, and 6345
Proof of Personal Service (CLETS)
(Domestic Violence Prevention)
Proof of Personal Service
1
Name of Party Asking for Protection:
2
Name of Party to Be Restrained:
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court clerk fills in case number when form is filed.
Case Number:
4
DV-200
Notice to Server
3
The server must:
Be 18 years of age or older.
•
Not be listed in items or of
form DV-100, Request for Domestic
Violence Restraining Order.
•
Give a copy of all documents checked in to the restrained party in
(you cannot send them by mail). Then complete and sign this form,
and give or mail it to the party in .
•
1 3
1
4
2
I gave the party in a copy of all the documents checked:
2
a.
DV-109 with DV-100 and a blank DV-120 (Notice of Court
Hearing; Request for Domestic Violence Restraining Order; blank
Response to Request for Domestic Violence Restraining Order)
b.
DV-110 (Temporary Restraining Order)
c.
DV-105 and DV-140 (
Request for Child Custody and Visitation Orders, Child Custody and Visitation Order
)
d.
FL-150 with a blank FL-150 (Income and Expense Declaration)
e.
FL-155 with a blank FL-155 (Financial Statement (Simplified))
f.
DV-115 (Request to Continue Hearing)
g.
DV-116 (Order on Request to Continue Hearing)
h.
DV-130 (Restraining Order After Hearing)
i.
5
I personally gave copies of the documents checked above to the party in on:
2
p.m.a.m.Date:a. Time:b.
At this address:
c.
City:
State:
Zip:
6
Server's Information
Name:
Address:
City:
State:
Zip:
Telephone:
(If you are a registered process server):
County of registration:
Registration number:
7
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
Other (specify):
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form DV-100, Request for Domestic: DV-200 Proof of (California)

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Completed 20 November 2020

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