COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, if attorney, and address):
Index No.
WV-132
FOR COURT USE ONLY
: Plaintiff(s) : : : : Defendant(s) : .............................................
Calendar To keep other people from No.
TELEPHONE NO.: ATTORNEY FOR (Name):
FAX NO.:
-against-
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
........ PLAINTIFF: .
DEFENDANT: EMPLOYEE:
THE PEOPLE OF THE STATE OF NEW YORK TO
PROOF OF SERVICE BY PERSONAL DELIVERY OF COMPLETED RESPONSE (Workplace Violence) PERSONAL SERVICE
CASE NUMBER:
Instructions to Defendant: If the court orders personal service, you must have someone else personally serve the plaintiff. You GREETINGS: cannot serve these papers yourself. After having the plaintiff personally served with any of the documents identified in item 2, have the person who served the documents complete that Proof of Service By Personal Delivery of Completedand each of you attend before WE COMMAND YOU, this all business and excuses being laid aside, you Response (Workplace Violence). Honorable Give the completed Proof to the clerk for filing. An unsigned copy of the Proof should be attached to and served with the the at the Court document. located at County of
,
20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidencebox a witness in thiseach document part served): as before the title of action on the you of the 2. I served a copy of the following documents (check the
a. b. Completed Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee (Workplace Violence) (form WV-110) Other (specify):
1. I am over the age of 18 and not a partyday of legal action. to this in room , on the ,
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20
3. a. Name: b. Date:
c. Time: d. Address:
(Attorney must sign above and type name below)
4. My residence or business address is (specify):
Attorney(s) for
5. My telephone number is (specify):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Office and P.O. Address Date:
Telephone No.: Facsimile No.: (TYPE OR PRINT NAME) E-Mail Address: Form Approved for Optional Use PROOF OF SERVICE BY PERSONAL DELIVERY Judicial Council of California Mobile Tel. No.: WV-132 [Rev. January 1, 2005]
OF COMPLETED RESPONSE
(Workplace Violence)
(SIGNATURE) Page 1 of 1 Code of Civil Procedure, ยงยง 527.8 and 527.9 www.courtinfo.ca.gov
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