COURT COUNTY .OF. . . . . . . . . . . . bar number, .and.address):. . . . . . . . . . . . . . . . . ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state ......... .. ...... . .... : :
TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional):
WV-110
FOR COURT USE ONLY
Index No. keep other people from To
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Clear This Form button at the end of the form when finished. JUDICIAL SUBPOENA
Plaintiff(s) -against-
: : : :
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
PLAINTIFF:
DEFENDANT: EMPLOYEE:
Defendant(s) : ......................................................
THE PEOPLE PETITION OF EMPLOYER FOR RESPONSE TOOF THE STATE OF NEW YORK INJUNCTION PROHIBITING VIOLENCE OR THREATS OF VIOLENCE TO AGAINST EMPLOYEE (Workplace Violence)
CASE NUMBER:
This response will be considered by the judge at the court hearing. You must still obey any orders granted until the hearing. Read the Instructions for Petitions to Prohibit Workplace Violence (form WV-150) before completing this form.
GREETINGS: I respond to the Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee as follows:
1. PERSONAL CONDUCT ORDERS WE COMMAND YOU, that a. I consent to the order requested. all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court I do not consent to the order requested. b. located at Countyconsent to the following order (specify): of I c.
in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the
2. STAY-AWAY ORDERS I consent to the orders requested. a. I do not consent to the orders requested. b. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to I consent to the following orders (specify): c.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. , one of the Justices of the , 20
3.
FIREARMS PROHIBITION AND RELINQUISHMENT ORDER Witness, Honorable I do not own, possess, or control any firearms. a. County, day of consent to the orders requested. b. Court Iin I do not consent to the orders requested. c. I consent to the following orders (specify): d.
(Attorney must sign above and type name below)
4.
OTHER ORDERS I consent to the other orders requested in the petition. a. b. I do not consent to the other orders requested in the petition. Attorney(s) for I consent to the following orders (specify): c.
5.
DENIAL a. I deny doing all of the acts stated in item 5 of the petition. I deny doing some of the acts stated in item 5 of the petition. (Specify the acts you deny doing): b.
Office and P.O. Address
Form Adopted for Mandatory Use Judicial Council of California WV-110 [Rev. July 1, 2004]
OR THREATS OF VIOLENCE AGAINST EMPLOYEE (Workplace Violence)
Telephone No.: Facsimile No.: E-Mail Address: RESPONSE TO PETITION OF EMPLOYER Mobile Tel. No.: FOR INJUNCTION PROHIBITING VIOLENCE
Page 1 of 2 Code of Civil Procedure, ยง 527.8
American LegalNet, Inc. www.USCourtForms.com
PLAINTIFF (Name): DEFENDANT(Name):
CASE NUMBER:
6. a.
JUSTIFICATION OR EXCUSE I have done some or all of the acts of which I am accused, but the actions are justified or excused for the following reasons: My acts were lawful acts of self-defense or defense of others (specify):
b.
My acts served a legitimate purpose (specify):
c.
My acts were constitutionally protected (specify):
7.
INJUNCTION An injunction should not be granted for the following additional reasons (specify):
(If more space is needed, check the box and add additional pages as Attachment 7.) 8. EXPENSES AND COSTS I request the court to order a. expenses incurred as the result of the issuance of a temporary restraining order without sufficient supporting facts. The expenses are as follows: Item Amount
b. c. 9.
costs. Additional relief as may be proper.
NO FILING FEE I am not required to pay a filing fee for this response because the petition alleges that I have inflicted or threatened violence against an employee of the plaintiff, or stalked the employee, or acted or spoke in any other manner that has placed the employee in reasonable fear of violence, and seeks protective or restraining orders or injunctions restraining stalking or future violence or threats of violence under Code of Civil Procedure section 527.8
(Signature of attorney, if any):
(TYPE OR PRINT NAME OF ATTORNEY)
(SIGNATURE OF ATTORNEY)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) WV-110 [Rev. July 1, 2004]
(SIGNATURE OF DEFENDANT)
Page 2 of 2
RESPONSE TO PETITION OF EMPLOYER FOR INJUNCTION PROHIBITING VIOLENCE OR THREATS OF VIOLENCE AGAINST EMPLOYEE (Workplace Violence)
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