COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clerk stamps below when form is filed.
:
DV-250 Proof of Service by Mail Index No.
: Calendar No.
1 Protected person’s name:
:
Plaintiff(s) JUDICIAL SUBPOENA
-against- :
2 Restrained person’s name:
:
:
3 Notice to Server
You must: Defendant(s) :
. . . . .Be. 18.or. over. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .. . .... Court name and street address:
•
Superior Court of California, County of
• Not be listed on the restraining
order.
THE Mail a copy of all documents NEW YORK
• PEOPLE OF THE STATE OF
checked in ❹ to the person in ❺.
TO
4 I mailed to the person in ❺ a copy of all documents checked below:
a. DV-120 (Answer to Temporary Restraining Order) Case Number:
b.
GREETINGS: FL-150 (Income and Expense Declaration)
c. FL-155 (Simplified Financial Statement)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
d. DV-130 (Restraining Order After Hearing)
the Honorable at the Court ,
County of Other (specify):
e. located at
, on the day of 20 , at
in room You cannot serve DV-100, DV-105, DV-110,, or DV-125 by mail. o'clock in the
Remember: noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
5 I placed copies of the documents checked above in a sealed envelope and mailed them as listed below:
a. Date: b. Mailed from (city): (state):
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
c. Mailed to (write name):
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
of At this address:
resultd. your failure to comply.
6 Server’s Information
Witness, Honorable , one of the Justices of the
Name:
Court in County, day of , 20
Address:
Telephone:
(Attorney must sign above and type name below)
(If you are a process server):
County of registration: Registration number:
Attorney(s) for
7 I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.
Date:
➤ and P.O. Address
Office
Type or print server’s name Server to sign here
Telephone No.:
Facsimile No.:
E-Mail Address:
Judicial Council of California, www.courtinfo.ca.gov Mobile Tel. No.: DV-250, Page 1 of 1
Rev. July 1, 2003, Optional Form Proof of Service by Mail (CLETS)
Family Code, §§ 6324, 6340–6344 (Domestic Violence Prevention) American LegalNet, Inc.
www.USCourtForms.com