COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
Index No.
Clerk stamps date here when form is filed.
CH-130
1 2 3
Proof of Personal Service
Plaintiff(s)
: : : :
Name of person asking for protection:
-againstName of person you want protection from:
To keep Calendar No. other people from seeing what you entered on your form, please press JUDICIAL SUBPOENA the Clear This Form button at the end of the form when finished.
: The server must: Defendant(s) • Be over 18 years of age. : . . . .Not. be .listed on.the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. ...... .. • restraining order. • Give a copy of all THE PEOPLE OF THE in 4 documents checked STATE OF NEW YORK to the person in 2 . (You TO cannot send them by mail.) Then complete and sign this form, and give or mail it to the person in 1 .
Notice to Server
Fill in court name and street address:
Superior Court of California, County of
Fill in case number:
PROOF OF PERSONAL SERVICE
4
Case Number:
GREETINGS: in I gave the person
a.
2
a copy of the documents checked below:
CH-120, Notice of Hearingthat all business and excuses being laid aside, you and each of you attend before WE COMMAND YOU, and Temporary Restraining Order (CLETS) CH-100, b. , the Honorable Request for Orders to Stop Harassment at the Court located at County CH-110, Answer to Request for Orders to Stop Harassment (blank form) of c. in roomCH-145, Proof theFirearms Turned In or Sold (blank at , on of day of , 20 , form) o'clock in the noon, and at any recessed d. or adjourned date, to testify and give evidence as a witness in this action on the part of the CH-151, How Can I Answer a Request for Orders to Stop Harassment? e. CH-140, Restraining Order After Hearing to Stop Harassment f. 5 Other (specify): comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure to the party on gave copies ofthis subpoena was issued for a to the person in 2 : $50 and all damages sustained as a I personally whose behalf the documents checked above maximum penalty of result of your failure to comply. b. At (time): a. On (date): a.m. p.m. c. At this Address: Witness, Honorable , one of the Justices of the Zip: City: State: Court in County, day of , 20 g.
6
Server's Information
Name: Address: City: Telephone: (If you are a registered process server): Registration number: County of registration: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Office and P.O. Address Date: State: Attorney(s) for Zip:
(Attorney must sign above and type name below)
Type or print server’s name
Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2005, Optional Form Code of Civil Procedure, §§ 527.6 and 527.9
Proof of Personal Service
(Civil Harassment)
Telephone No.: Facsimile No.: Server to sign here E-Mail Address: Mobile Tel. No.:
CH-130, Page 1 of 1
American LegalNet, Inc. www.USCourtForms.com
Print This Form
For your protection and privacy, please press the Clear This Form button after you have printed the form.
Clear This Form