Civil Harrasment Restraining Order - PDF by qpc16800

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									      CH-150                       Can a Civil Harassment Restraining Order Help Me?

What is a Civil Harassment Restraining                                     How long does the order last?
Order?
                                                                           If the court makes a temporary order, it will last until
It is a court order that helps protect people from                         your hearing date. At that time, the court will decide
harassment.                                                                to continue or cancel the order. The order could last
                                                                           for up to 3 years.

Can I get a Civil Harassment Restraining                                   How will the person to be restrained know
Order?                                                                     about the order?
You can ask for one if you are worried about your                         Someone over 18 years of age—not you or anyone else
safety because someone:                                                   protected by the order— must “serve” (give) the person
• Stalked                                                                 to be restrained a copy of the order. For help with
• Harassed                                                                service, ask the court clerk for Form CH-135.
• Sexually assaulted or
                                                                           What if the restrained person does not
• Threatened you with violence.                                            obey the order?
                                                                           Call the police. The restrained person can be arrested
How will the order help me?                                                and charged with a crime.
The court can order a person to:
• Not harass or threaten you                                               How much does it cost?
• Not contact or go near you and                                           That depends on the type of harassment. If the
• Not have a gun                                                           restrained person has used or threatened to use
You can also ask for protection for other family or                        violence against you or has stalked you, you do not
household members.                                                         have to pay a filing fee.
                                                                          If you cannot afford to pay the filing fee, ask the clerk
What forms do I need to get the order?                                    how to apply for a fee waiver. Form FW-001 is
Fill out Forms CH-100 and CH-120. Then file them                          available for this purpose.
with the court clerk.                                                     You are entitled to free service of the court’s order by a
Where can I get these forms?                                              sheriff or marshal if the order is based on a credible
                                                                          threat of violence or stalking. Also, if you are eligible
You can get the forms at any courthouse or county law                     for a fee waiver, you can ask the sheriff or marshal to
library at: www.courtinfo.ca.gov/forms                                    serve the order for free. If you are not eligible for free
How soon can I get the order?                                             service, you may pay the sheriff or marshal to serve the
                                                                          order.
If you ask for a temporary restraining order (Form
CH-120), the court will decide within 24 hours whether or                The court can make the person who loses the case pay all
not to make the order. Sometimes the court decides sooner.               the court fees and the lawyer’s fees for the other party.




                                            Requests for Accommodations
     Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are
     available if you ask at least 5 days before the hearing. Contact the clerk’s office or go to www.courtinfo.ca.gov/forms
     for Request for Accommodations by Persons With Disabilities and Order (Form MC-410). (Civil Code, § 54.8.)



Judicial Council of California
www.courtinfo.ca.gov               Can a Civil Harassment Restraining Order Help Me?                                    CH-150, Page I of 2
Rev. July 1, 2007, Optional Form
                                                        (Civil Harassment)
                                                                   1
      CH-150               Can a Civil Harassment Restraining Order Help Me?

Do I have to go to court?
Yes. Go to court on the date the clerk gives you.

Do I need a lawyer?
No. But it is a good idea. Ask the court clerk about free
and low-cost legal services and self-help centers in your
county.

Do I need to bring a witness to the court
hearing?
No. But it helps to have proof of the harassment. You can
bring:
• A written statement from witnesses made under oath
• Witnesses
• Photos
• Medical or police reports
• Damaged property
• Threatening letters, e-mails, or telephone messages
The court may or may not let witnesses speak at the hearing.
So, if possible, you should bring witnesses’ written statements
under oath to the hearing. (You can use Form MC-030 for this.)

Will I see the restrained person at the                            What if I am deaf?
court hearing?
                                                                   If you are deaf, contact the clerk at least 5 days before the
If the person comes to the hearing, yes. But that person           hearing. Ask for an interpreter or other accommodation.
does not have the right to speak to you. If you are afraid,        (See information on Requests for Accommodations at the
tell the court officer.                                            bottom of page 1.)

                                                                   What if I move?
Can I bring someone with me to court?
                                                                   Your restraining order works anywhere in the United
Yes. You can bring someone to sit with you during the              States. If you move out of California, contact your new
hearing. But that person cannot speak for you in court.            local police so that they will know about your orders.
Only you or your lawyer (if you have one) can speak
for you.
                                                                   Need more information?
                                                                   Ask the court clerk about free or low-cost legal help.
What if I don't speak English?
When you file your papers, ask the clerk if a court
interpreter is available. You may have to pay a fee for            For help in your area, contact:
the interpreter. If the interpreter is not available for           [Local information may be inserted.]
your court date, bring someone to interpret for you.
You cannot ask a child under 18 to interpret for you.

Rev. July 1, 2007
                           Can a Civil Harassment Restraining Order Help Me?                               CH-150, Page 2 of 2
                                                    (Civil Harassment)
                                                              20
          HOW TO GET EMERGENCY OR ‘EX PARTE’ ORDERS
You may ask for emergency (Ex Parte) orders if you feel you are in danger (restraining
orders) or if you need emergency custody orders to protect the minor children. See Local
Rules on reverse of this form.

Follow these steps to request emergency orders:

1.   COMPLETE THE FORMS: You may obtain the forms from the Clerk’s Office, Family
Law Facilitator or the Court Website at www.ventura.courts.ca.gov or the Judicial Council
Website at www.courtinfo.ca.gov.

2.        PICK A DATE AND TIME FOR YOUR HEARING: See the schedule on reverse.

3.      GIVE NOTICE TO THE OTHER PARTY: You must tell the other party that you are
filing for this Emergency Hearing by 10 am the court day before the hearing. In some cases,
you may not have to give notice – ask the Family Law Facilitator or an attorney if you
believe you would be in danger if you told the other party about this request.

    NOTICE: If there is a restraining order issued against you in this case, you may not give
     notice. Someone else must give notice.

4.     FILE YOUR PAPERS: Be sure to file your papers with Clerk’s office no later than
2 hours before your hearing but, if possible, the day before the hearing to allow the judge
time to read your papers. If the papers are not filed on time, your case will not be heard.

5.    ATTEND THE HEARING: If the judge grants your request, you will file the signed
temporary order and have the other party served with the filed papers and the order. These
Ex Parte or Emergency orders are made for only a short period of time. You will need to
come back to court in about 3 weeks or your orders may expire.

6.    SERVE THE PAPERS AND ORDER ON THE OTHER PARTY:                   Someone other than
you must give these papers and the order to the other party. Whoever does this must sign
a paper called a Proof of Service verifying that the papers were given to the other party
personally. You may ask the Sheriff’s dept to serve the papers. There may be a cost to do
this.

7.    FILE THE PROOF OF SERVICE WITH THE COURT:                 If you have not served the
other party or do not have proof that the other party was served, the judge will not hear
your case. Your case will be continued so that the papers can be served.

8.    ATTEND THE SECOND HEARING:                                          You should have an order prepared for the
judge to sign.

If you are low income or receive public assistance benefits, you may ask for a fee waiver
so you do not have to pay any filing fees. (For Domestic Violence Cases there is no fee)


C:\Documents and Settings\jonesb\Desktop\Forms Packets 10-01-09\HOW TO GET EMERGENCY ORDERS 6 09.doc          Revised 8-09
       → → → IMPORTANT!!!                                        PLEASE READ THESE LOCAL RULES

RULE 9.04 FAMILY LAW EX PARTE MATTERS

A. EX PARTE APPLICATIONS DISFAVORED
Ex parte applications are strongly disfavored. Whenever possible, in lieu of an ex parte order, the
court will issue orders shortening time and set the matter for full hearing at the regular family law
and motion calendar. However, orders shortening time are also disfavored, and must be supported
by a substantial showing of need.

B. DETERMINATION BASED ON PLEADINGS
It is the court's policy to determine ex parte orders based on the pleadings submitted. Thus,
requests for ex parte orders normally will be determined without giving either party an opportunity
for oral argument or discussion with the court.


RULE 9.09 SPECIFIC EX PARTE ORDERS

D. CUSTODY / VISITATION ORDERS
A party requesting an order establishing or modifying custody or visitation shall, by declarations,
establish the following: (1) the provisions of any existing order; (2) the actual current custody
arrangement; (3) the requested relief; (4) the immediate harm or irreparable injury; and (5) the
status of any referral to Child Protective Services or law enforcement


HOW TO GET A DATE FOR YOUR HEARING:

Ex Parte requests are heard Monday through Friday at 11:30 A.M.

      If your case is assigned to Courtroom 31 call 654-3000

      If your case is assigned to Courtroom 32 call 654-2997

      If your case is assigned to Courtroom 33 call 654-2995

      For Restraining Orders, you do not need to make an appointment. Your case will be heard
       in Courtroom 34 at 11:30 A.M. any day of the week.

      If your case is assigned to Simi Valley, you must call 582-8072 to make an appointment.




C:\Documents and Settings\jonesb\Desktop\Forms Packets 10-01-09\HOW TO GET EMERGENCY ORDERS 6 09.doc   Revised 8-09
                                                                                                                                     VN028


ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address)                     Telephone Number                     FOR COURT USE ONLY




ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
         800 SOUTH VICTORIA AVE. VENTURA, CA 93009

         3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110

PLAINTIFF/PETITIONER

DEFENDANT/RESPONDENT
                                                                                                CASE NUMBER:
                          DECLARATION RE EX PARTE NOTICE
     Dom. Violence Restraining Order                    Civil Harassment Restraining order
                                      Custody / Other
Instructions: The person giving notice must state how notice was given, where the hearing is to be held, and what orders are requested.
If notice is not being given, please advance to page two of this form.
I, ________________________________________, declare:
1.    I informed the other party in this action that an emergency order would be sought as follows:
      Person informed: (Name) __________________________________________ Date and time informed: _____________________
      How Informed:
         By telephone to the    party   attorney at (Telephone Number) ___________________________________________________
          By leaving a message with (Name) ________________________________ at (Telephone Number) _________________________
          relationship to party: _____________________
          By leaving a message on voicemail of the party at (Telephone Number) ________________________________________________
          By personally informing:
               the party
               another person (name) _________________________________ Relationship to party: ____________________________

                 Other:_____________________________________________________________________________________________
2.     I informed the person listed above that an order would be sought in the Superior Court of Ventura County at
                       800 South Victoria Ave., Ventura                    3855-F Alamo St., Simi Valley on:
                Date: ________________________ Time: __________________ Courtroom:__________________
3.     I told him/her that the orders requested included, but were not limited to:
             Domestic Violence Restraining Orders with                  move-out orders         custody orders
             Civil Harassment Restraining Orders
             Custody / visitation orders, specifically: _____________________________________________________________________
              _____________________________________________________________________________________________________

            Other ________________________________________________________________________________________________
         and that he/she should appear at the above time and place if he/she wished to be heard by the court.



I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Dated:__________________________                                                    _________________________________________________
                                                                                                Signature of Declarant


Optional Form                                           DECLARATION RE EX PARTE NOTICE                                   Page one of two
VN 028 (Rev. 01/01/06)
                                   DECLARATION RE: EX PARTE NOTICE - NO NOTICE GIVEN
        Dom. Violence Restraining Order                Civil Harassment Restraining order                   Custody / Other


Instructions: Notice must be given for all Ex Parte requests unless the person requesting the order can establish exceptional
circumstances to excuse notice.

1.    I, ____________________________, am requesting Ex Parte orders as stated below. I am requesting that notice be excused in
      this matter.

2.    Ex Parte hearing is set at              800 South Victoria Ave., Ventura
                                              3855-F Alamo St , Simi Valley

                       on:     Date:_________________ Time: _______________ Courtroom:__________

3.    I am requesting the following orders:

           Domestic Violence Restraining Orders with             move-out orders           custody orders
           Civil Harassment Restraining Orders
           Custody / visitation orders, specifically: __________________________________________________________________
            ___________________________________________________________________________________________________
           Other ______________________________________________________________________________________________


4.    Notice should be excused because (provide details as to why the other party should not be told, in advance, of your request for
      emergency orders)
           I do not have any way to give notice to the other party because: _______________________________________________
           ___________________________________________________________________________________________________
           If notice is given, I, or the children, will suffer immediate harm, specifically: ____________________________________
           ___________________________________________________________________________________________________
           Giving notice would frustrate the purpose of this order because: _______________________________________________
          ____________________________________________________________________________________________________



I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.



Dated:_______________                                                         _____________________________________________
                                                                                       Signature of Declarant




Optional Form                            DECLARATION RE EX PARTE NOTICE                                                Page two of two
VN028 01/01/06
                                                                                                                                          VN027
ATTORNEY OF PARTY WITHOUT ATTORNEY (Name and Address)                        Telephone Number                        FOR COURT USE ONLY




Instructions: The person giving notice must state how notice
was given, where
E-MAIL ADDRESS      the hearing is to be held, and what orders
are requested.
ATTORNEY FOR (Name):
If notice is not being given, please advance to page two of
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
this form.
         800 SOUTH VICTORIA AVE. VENTURA, CA 93009
        3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110

PLAINTIFF/PETITIONER

DEFENDANT/RESPONDENT

                     DECLARATION FOR COURT ASSIGNMENT                                                CASE NUMBER:
           (Family Law and Unlawful Detainer and all other General Civil actions ONLY)

Family Law, Domestic Violence, Paternity, Harassment, Unlawful Detainer, and all other General Civil actions presented for filing
MUST be accompanied by this declaration.

The undersigned declares that the above entitled matter is filed for proceedings in the:
      East County Division - Unlawful Detainer / Civil, 3855 – F Alamo St., Simi Valley, Ca 93063 (Based upon Zip Code.)
           91301           91302             91304              91307            91360     91362
           91377           93020             93021              93062            93063     93064
           93065           91363
      East County Division – Family Law only, 3855 – F Alamo St., Simi Valley, Ca 93063 (Based upon Zip Code.)
           93020           93021             93062              93063            93064     93065            91363
      Ventura Division, 800 S. Victoria Ave., Ventura, Ca 93009 (Venue does NOT fall within the Zip Codes above but is within
      Ventura County.)
For the checked reason:
      Contract                               Performance in the division is expressly provided for
      Equity                                 The cause of action arose within the division
      Eminent Domain                         The property is located within the division
      Family Law                             Plaintiff, defendant, petitioner or respondent resides within the division
      Harassment                             Plaintiff, defendant, petitioner or respondent resides within the division
      Mandate                                The defendant functions wholly within the division
      Name Change                            The petitioner resides within the division
      Paternity                              Plaintiff, defendant, petitioner or respondent resides within the division
      Personal Injury                        The injury occurred within the division or the defendant resides within the division
      Personal Property                      The property is located within the division or the defendant resides within the division
      Prohibition                            The defendant functions wholly within the division
      Review                                 The defendant functions wholly within the division
      Title to Real Property                 The property is located within the division
      Unlawful Detainer                      The property is located within the division
      Domestic Violence                      Plaintiff, defendant, petitioner or respondent resides with the division
      Civil not otherwise specified          ______________________________________________________________________
                                                                     (Venue Rule Applicable)
The address of the accident, performance, party, detention, place of business, or other factor which qualifies this case for filing in the
division:
Name: _____________________________________________                      Address: ________________________________________________
Upon information and belief, I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
Date: __________________________________                                   ______________________________________________________
                                                                                       Signature of Attorney/Party

                                           DECLARATION FOR COURT ASSIGNMENT
Mandatory Form
VN027[Rev 7/10]
                                                                                                                       VN189


ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address)           Telephone Number                  FOR COURT USE ONLY




           Instructions: The person giving notice must state how
E-MAIL ADDRESS

           notice was given, where the hearing is to be held, and
ATTORNEY FOR (Name):
           what orders are requested.
           If notice CALIFORNIA, COUNTY advance to page two
SUPERIOR COURT OF is not being given, pleaseOF VENTURA
           of this form.
        800 SOUTH VICTORIA AVE. VENTURA, CA 93009

        3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110
PETITIONER: I, ________________________________________, declare:

RESPONDENT:

                          CONSENT FOR COURT ASSIGNMENT                                CASE NUMBER:

                                  (FAMILY LAW)

The undersigned hereby consents that the cause titled and numbered above may be tried by JoAnn Johnson
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6,
Section 21 of the Constitution of the State of California.

It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner JoAnn Johnson has been appointed to act as temporary judge to try the above referenced case,
hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner JoAnn Johnson, has been appointed to try the case referred to, and has taken the necessary
oath of office to try the case as temporary judge.




Dated: __________________                                                Signature of litigant or attorney

                                                                         ________________________________
                                                                         ________________________________
                                                                         ________________________________
                                                                         ________________________________




Mandatory Form
VN189 Rev 1/10
                                                 CONSENT FOR COURT ASSIGNMEN T
                                            Request for Orders to
       CH-100                               Stop Harassment                                          Clerk stamps date here when form is filed.

                                                                                                          To keep other people from
  1         Your name (person asking for protection):                                                    seeing what you entered on
                                                                                                         your form, please press the
            Your address (skip this if you have a lawyer): (If you want your                            Clear This Form button at the
            address to be private, give a mailing address instead):                                     end of the form when finished.


            City:                                                  State:         Zip:
           Your telephone number (optional): ( _____ ) __________________________
           Your lawyer (if you have one): (Name, address, telephone
           number, and State Bar number):                                                            Fill in court name and street address:
                                                                                                     Superior Court of California, County of




  2        Name of person you want protection from:

                                                                                                     Court fills in case number when form is filed.
           Describe the person: Sex:                      M      F Weight:
                                                                                                     Case Number:
           Height:                             Race:            Hair Color:
           Eye Color:                            Age:            Date of Birth:
           Home Address (if you know):
           City:                                                                    State:       Zip:
           Work Address (if you know):
           City:                                                                    State:       Zip:
  3        Besides you, who needs protection? (Family or household members)
           Full Name                                    Sex      Age     Lives with you? How are they related to you?
                                                                            Yes      No
                                                                            Yes      No
                                                                            Yes      No
                                                                            Yes      No
                 Check here if you need more space. Attach a sheet of paper and write “CH-100, item 3—Describe Protected
                 Persons” at the top of the page.
  4        Why are you filing in this court? (Check all that apply):
                The person in 2 lives in this county.
                I was hurt (physically or emotionally) by the person in                  2   here.
                Other (specify):
  5        How do you know the person in                  2   ? (Describe):




                                                                This is not a Court Order.
Judicial Council of California, www.courtinfo.ca.gov
                                                        Request for Orders to Stop Harassment                                         CH-100, Page 1 of 4
Revised July 1, 2007, Mandatory Form
Code of Civil Procedure, §§ 527.6 and 527.9
                                                                       (Civil Harassment)
                                                                                                                                       American LegalNet, Inc.
                                                                                                                                       www.FormsWorkflow.com
                                                                                             Case Number:

Your name:

 6        Describe how the person in       2   has harassed you:
          a. Date of most recent harassment:
          b. Who was there?

          c. Did the person in 2 commit any acts of violence or threaten to commit any acts of violence against you?
                Yes        No
             If yes, describe those acts or threats:



           d. Did the person in    2   engage in a course of conduct that harassed you and caused substantial emotional
              distress?      Yes       No
              If yes, describe:



           e. Did the conduct of the person in      2   described above seriously alarm, annoy, or harass you?       Yes      No
                 Check here if you need more space. Attach a sheet of paper and write “CH-100, item 6           Describe
                 Harassment” at the top of the page.

          Check the orders you want
 7               Personal Conduct Orders
                 I ask the court to order the person in 2 to not do the following things to me or anyone listed in 3 :
                 a.     Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, destroy personal
                        property, keep under surveillance, or block movements.
                 b.     Contact (either directly or indirectly), or telephone, or send messages or mail or e-mail.
                 The person in 2 will also be ordered not to take any action to get the addresses or locations of any protected
                 persons, their family members, or their caretakers unless the court finds good cause not to make the order.

 8               Stay-Away Orders
                 I ask the court to order the person in 2 to stay at least (specify):         yards away from me
                 and the people listed in 3 and the places listed below: (Check all that apply):
                 a.     My home                                 d.     My vehicle
                 b.     My job or workplace                     e.     Other (specify):
                 c.     My children’s school or child care
                 If the court orders the person in 2 to stay away from all the places listed above, will that person
                 still be able to get to his or her home, school, or job? Yes       No
                  If no, explain:




                                                    This is not a Court Order.
Revised July 1, 2007
                                         Request for Orders to Stop Harassment                                       CH-100, Page 2 of 4
                                                            (Civil Harassment)
                                                                                           Case Number:

Your name:

  9              Others to Be Protected
                 Should the other people listed in 3 also be covered by the orders described above?
                    Yes             No              Does not apply
                 If yes, explain:




10        Order About Guns or Other Firearms
           I ask the court to order the person in 2 to be prohibited from owning, possessing, purchasing, or receiving, or
           attempting to purchase or receive firearms and to sell or turn in any guns or firearms that he or she controls.

11               Other Orders
                 I ask the court to order the person in   2   to (specify):




12               Temporary Orders
                 Do you want the court to make orders now on the matters listed in   7   , through   11    that will last until the
                 hearing?      Yes      No
                 If yes, explain why you need these orders right now:




                 Check here if you need more space. Attach a sheet of paper and write “CH-100, item 12—Temporary
                 Orders” at the top of the page.

13          Delivery of Orders to Law Enforcement
            My lawyer or I will give copies of the orders to the following law enforcement agencies:
            a. Name of Agency:
                Address:
                City:                                                                         State:                   Zip:

            b. Name of Agency:
                Address:
                City:                                                                        State:                  Zip:

14               Other Court Cases
                 Have you ever asked any court for other restraining orders against the person in      2   ?     Yes          No
                 If yes, specify the counties and case numbers if you know them:




                                                    This is not a Court Order.
Revised July 1, 2007
                                         Request for Orders to Stop Harassment                                          CH-100, Page 3 of 4
                                                              (Civil Harassment)
                                                                                                                     Case Number:

Your name:

 15              Time for Service
                 You must have your papers personally served on (notify) the person in 2 at least 5 days before the hearing,
                 unless the court orders a different time for service. (Form CH-135 explains “What Is Proof of Service?” Form
                 CH-130 may be used to show the court that the papers have been served.) If your papers cannot be served at
                 least 5 days before the hearing and you need more time, explain why:




 16              No Fee for Filing
                 I ask the court to waive the filing fee because the person in 2 has used or threatened to use violence against
                 me, has stalked me, or has acted or spoken in some other way that makes me reasonably fear violence. I am
                 asking for a restraining order to stop this conduct.
 17              No Fee to Serve Orders
                 I ask the court to order the sheriff or marshal to serve (notify) the person in 2 about the orders for free because:
                 a.      My request for orders is based on stalking; or
                 b.      My request for orders is based on a credible threat of violence; or
                 c.      I am entitled to a fee waiver.
                 (If you are requesting free service of the orders based on a fee waiver, you must complete and file the
                 Application for Waiver of Court Fees and Costs (Form FW-001).)
18               Lawyer’s Fees and Costs
                 I ask the court to order payment of my:
                 a.      Lawyer’s fees
                 b.      Out-of-pocket expenses
                 The amounts requested are:
                       Item                              Amount                               Item                                        Amount
                                                                $                                                                     $
                                                                $                                                                     $
                                                                $                                                                     $
                       Check here if you need more space. Attach a sheet of paper and write “CH-100, item 18—Lawyer’s Fees and
                       Costs” at the top of the page.
 19        Additional Relief
           I ask the court for additional relief as may be proper.
20         Number of pages attached to this form, if any:
           Date:


          Lawyer’s name                                                                         Lawyer’s signature
           I declare under penalty of perjury under the laws of the State of California that the information above and on
           all attachments is true and correct.
           Date:


           Type or print your name                                                       Sign your name
                                                        This is not a Court Order.
Revised July 1, 2007                                                                                                                        CH-100, Page 4 of 4
                                           Request for Orders to Stop Harassment
                                                                    (Civil Harassment)
                                           For your protection and privacy, please press the Clear This Form button after you
            Print This Form                                              have printed the form.                                     Clear This Form
    To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of
                                                  the form when finished.
                                                                                                                                                          MC-031
          PLAINTIFF/PETITIONER:                                                                                 CASE NUMBER:

    DEFENDANT/RESPONDENT:
                                            COURT
                            COUNTY .OF. . . . . . . . . . . . . . . . . . . . .DECLARATION. . . . . . .
                            ......... ..                                       ..............
                                                                                                      :      Index No.
                                   (This form must be attached to another form or court paper before it can be filed in court.)
                                                                                                      :      Calendar No.

                                                                                                      :
                                                                                Plaintiff(s)                 JUDICIAL SUBPOENA
                                                           -against-                                  :

                                                                                                      :

                                                                                                      :
                                                                Defendant(s)     :
                            ......................................................



                            THE PEOPLE OF THE STATE OF NEW YORK

                            TO



                            GREETINGS:

                                     WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
                            the Honorable                                        at the               Court                                         ,
                            County of                           located at
                            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



                                      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                                                           , one of the Justices of the
                            Court in            County,                day of              , 20


                                                                                                   (Attorney must sign above and type name below)

   I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
                                                                                                   Attorney(s) for
    Date:




                                                                                                   Office and P.O. Address
                                   (TYPE OR PRINT NAME)                                                    (SIGNATURE OF DECLARANT)



                                                                                           Attorney for        Plaintiff        Petitioner             Defendant
                                                                                   Telephone No.:
                                                                             Respondent      Other
                                                                                   Facsimile No.: (Specify):
                                                                                   E-Mail Address:
Form Approved for Optional Use
  Judicial Council of California                              ATTACHED DECLARATIONMobile Tel. No.:
  MC-031 [Rev. July 1, 2005]                                                                                                                          Page 1 of 1
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             Print This Form                         This Form button after you have printed the form.                          Clear This Form
                                            Notice of Hearing and                                         Clerk stamps date here when form is filed.
       CH-120                               Temporary Restraining Order                                        To keep other people from
                                                                                                              seeing what you entered on
  1         Name of person asking for protection:                                                             your form, please press the
                                                                                                             Clear This Form button at the
            Address (skip this if you have a lawyer): (If you want your address                              end of the form when finished.
            to be private, give a mailing address instead):



           City:                                  State:         Zip:
                                                                                Fill in court name and street address:
           Your telephone number (optional): (______) _________________________
                                                                                 Superior Court of California, County of
           Your lawyer (if you have one): (Name, address, telephone number, and
           State Bar number):




  2        Name of person to be restrained:                                                               Court fills in case number when form is filed.
                                                                                                          Case Number:

            Description of that person:

              Sex:           M           F Height:                    Weight:                     Race:
              Hair Color:                                      Eye Color:                      Age:         Date of Birth:
              Home Address (if known):
              City:                                                                            State:                 Zip:
              Work Address (if known):
              City:                                                                            State:                 Zip:

                                                                  To the person in       2   :
  3         Notice of Hearing
            A court hearing is scheduled on the request for orders against you to stop harassment:
                                                                                       Name and address of court if different from above:
                 Hearing            Date:                          Time:
                  Date              Dept.:                         Rm.:
            If you do not want the court to make orders against you, file Form CH-110. Then go to the hearing and tell the
            court why you disagree. You may bring witnesses and other evidence. If you do not go to this hearing, the court
            may make restraining orders against you that could last up to 3 years.
  4         Court Orders
             The court (check a or b):
             a.    Has scheduled the hearing stated in 3 . No orders are issued against you at this time.
             b.    Has scheduled the hearing stated in 3 and has issued the temporary orders against you specified on
                   page 2. If you do not obey these orders, you can be arrested and charged with a crime. And you may have
                   to go to jail, pay a fine of up to $1,000, or both.


                                                                    This is a Court Order.
Judicial Council of California, www.courtinfo.ca.gov
Revised July 1, 2007, Mandatory Form
                                                       Notice of Hearing and Temporary Restraining Order (CLETS) CH-120, Page 1 of 4
Code of Civil Procedure, §§ 527.6 and 527.9                               (Civil Harassment)
Approved by DOJ
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                                                                                                                                       www.FormsWorkflow.com
                                                                                          Case Number:

Your name:

                                     Temporary Orders Against the Restrained Person
          (Write the name of the person in       2   ):
           The court has made the temporary orders indicated below against you. You must obey all
           these orders. These orders will expire on the date of the hearing listed in 3 unless they are
           extended by the court.
 5                Personal Conduct Orders
                 You must not do the following things to the people listed in 1 and 10 :
                    a. Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, destroy personal
                       property, keep under surveillance, or block movements.
                       b. Contact (directly or indirectly), telephone, send messages, mail, or e-mail.
                       c. Take any action, directly or through others, to obtain the addresses or locations of the persons in    1   and
                           10 . (If item c is not checked, the court has found good cause not to make this order.)

           Peaceful written contact through a lawyer or a process server or other person for service of legal papers related
           to a court case is allowed and does not violate this Order.
  6              Stay-Away Order
              You must stay at least (specify):          yards away from:
               a.     The person listed in 1                   e.   Vehicle of person in 1        Vehicles of persons in              10

               b.     The people listed in 10                  f.   The protected children’s school or child care
               c.     The home of the persons in 1 and 10      g.    Other (specify):
               d.     Jobs or workplaces of the persons
                      in 1 and 10
           This stay-away order does not prevent the person in 2 from going to or from that person's home or place of
           employment.
  7        No Guns or Other Firearms
           You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get a gun or
           firearm.
 8         Turn In or Sell Guns or Firearms
            You must:
            • Sell to a licensed gun dealer or turn in to police any guns or firearms that you possess or control. This
               must be done within 24 hours of being served with this order.
            • File a receipt with the court within 48 hours of receiving this order that proves guns have been turned in or sold.
              (You may use Form CH-145 for this.)
 9               Other Orders (specify):




                                                          This is a Court Order.
Revised July 1, 2007                                                                                                CH-120, Page 2 of 4
                                Notice of Hearing and Temporary Restraining Order (CLETS)
                                                            (Civil Harassment)
                                                                                         Case Number:

Your name:


10              Other Protected Persons
           List of the full names of all family or household members protected by these orders:




                                               Instructions for the Protected Person
          To the person in       1   : (Write the name of the person in   1   ):
11        Service of Order on Law Enforcement
          If the court issues temporary restraining orders, by the close of business on the date the orders are made, you or
          your lawyer should deliver a copy of this Order and any proof of service forms to each law enforcement agency
          listed below.
          Name of Law Enforcement Agency:                          Address (City, State, Zip)




12        Service of Documents
          You must have someone personally deliver to the person in 2 a copy of all the documents checked below:
             a.     CH-120, Notice of Hearing and Temporary Restraining Order (CLETS) (completed and file-stamped)
                 b.     CH-100, Request for Orders to Stop Harassment (completed and file-stamped)
                 c.     CH-110, Answer to Request for Orders to Stop Harassment (blank form)
                 d.     CH-145, Proof of Firearms Turned In or Sold (blank form)
                 e.     CH-151, How Can I Answer a Request for Orders to Stop Harassment?
                 f.     Other (specify):

          You must file with the court before the hearing a proof of service of these documents on the person in   2   .
13        Time for Service (check a, b, or c)
              a.    A copy of the documents listed in 12 must be served in person to the person in 2
                     at least 5 days before the hearing.
             b.     A copy of the documents listed in 12 must be served in person to the person in 2
                    at least 2 days before the hearing.
             c.     A copy of the documents listed in 12 must be served in person to the person in 2
                     at least _____ days before the hearing.
14               No Fee for Filing
                 Filing fees are waived.




                                                      This is a Court Order.
Revised July 1, 2007                                                                                          CH-120, Page 3 of 4
                               Notice of Hearing and Temporary Restraining Order (CLETS)
                                                          (Civil Harassment)
                                                                                                         Case Number:

Your name:


 15                 No Fee for Service of Order by Law Enforcement
                    The sheriff or marshal will serve this Order without charge because:
                    a.     The Order is based on stalking.
                    b.     The Order is based on a credible threat of violence.
                    c.     The person in 1 is entitled to a fee waiver.


           Date:
                                                                            Judicial Officer

                                  Warnings and Notices to the Restrained Person in                               2


                                             You Cannot Have Guns or Firearms
            You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get a gun while this Order
            is in effect. If you do, you can go to jail and pay a $1,000 fine. You must sell to a licensed gun dealer or turn in to
            police any guns or firearms that you have or control in accordance with item 8 above. The court will require you
            to prove that you did so. If you do not obey this Order, you can be charged with a crime.

                                               Instructions for Law Enforcement

           This Order is effective when made. It is enforceable anywhere in all 50 states, the District of Columbia, all tribal
           lands, and all U.S. territories and shall be enforced as if it were an order of that jurisdiction by any law enforcement
           agency that has received the Order, is shown a copy of the Order, or has verified its existence on the California Law
           Enforcement Telecommunications System (CLETS). If the law enforcement agency has not received proof of
           service on the restrained person, and the restrained person was not present at the court hearing, the agency shall
           advise the restrained person of the terms of the Order and then shall enforce it. Violations of this Order are subject
           to criminal penalties.


                                   Requests for Accommodations
                                   Assistive listening systems, computer-assisted real-time captioning, or sign language
                                   interpreter services are available if you ask at least 5 days before the hearing. Contact the
                                   clerk’s office or go to www.courtinfo.ca.gov/forms for Request for Accommodations by
                                   Persons With Disabilities and Order (Form MC-410). (Civil Code, § 54.8.)


                                                              (Clerk will fill out this part.)
                                                              —Clerk's Certificate—

           Clerk’s Certificate               I certify that this Notice of Hearing and Temporary Restraining Order is a true
           [seal]                            and correct copy of the original on file in the court.


                                             Date:                              Clerk, by                                              , Deputy



                                                          This is a Court Order.
Revised July 1, 2007
                                 Notice of Hearing and Temporary Restraining Order (CLETS)                                    CH-120, Page 4 of 4
                                                                (Civil Harassment)

                                             For your protection and privacy, please press the Clear This Form
            Print This Form                               button after you have printed the form.                       Clear This Form
                          COURT
          COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
          ......... ..
                                                                                                      :   Index No.

              CH-135                       What “Is Proof of Service”? :                                  Calendar No.

                                                                                                      :
                                                                         Plaintiff(s)                     JUDICIAL SUBPOENA
           What is “service”?
                                    -against-                              :
           There are many kinds of service—in person, by mail, and others. This form is about “in-person service.” the
           Notice of Hearing and Temporary Restraining Order (CH-120) and the Request for Orders to Stop Harassment
                                                                           :
           (CH-100) must be served “in person.”
                                                                                                   :
            That means someone— not you or anyone else protected by the order—must personally “serve” (give) the
            restrained person a copy of the forms.
                                                                  Defendant(s)                     :
              ..... ..... .... ..... ....
          . .Service. lets the. other.person .know:. . . . . . . . . . . . . . . . . . . . . . . . .
              What orders you are asking for
              The hearing date
          THE PEOPLE OF THE STATE OF NEW YORK
              How to answer

          TO                                          Who can serve?
                                                      Ask someone you know, a process server, or law enforcement to personally serve
                                                      (give) a copy of the forms to the person to be restrained. You cannot send the
          GREETINGS:                                  forms to that person by mail.
                                            The server must:
                    WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
          the Honorable                                         at of
                                                 Be over 18 years theage.           Court                                        ,
          County of                              Not at
                                              locatedbe you or anyone else protected by the orders.
          in room              , on the     day of              , 20      at        o'clock in the     noon, and for free if the
                                            The sheriff or marshal may ,be authorized to serve the court’s ordersat any recessed
                                            give evidence as a claims in stalking or threat part of the
          or adjourned date, to testify and orders are based onwitness of this action on the of sexual assault or if you are
            Don't serve it by mail!
                                            eligible for a fee waiver.
                                            A “registered process server” is a business you pay to deliver court forms. Look in
                                             with this subpoena is punishable Serving.”
                    Your failure to complythe Yellow Pages, under “Process as a contempt of court and will make you liable to
                                            (If law enforcement for a process server uses a $50 and Proof of Service form,
          the party on whose behalf this subpoena was issued or the maximum penalty of different all damages sustained as a
          result of your failure to comply. make sure it lists the forms served.)
            How to serve
                    Witness,
           Ask the server to: Honorable                                                                      , one of the Justices of the
                                County,       day
          Court in up to the person to be served. of
             Walk                                                                      , 20
                Make sure it’s the right person.
                Give the person copies of all papers checked on Form CH-130, the Proof of Service form..
                                                                         (Attorney must sign above and type name below)
                Fill out and sign the Proof of Service form.
                Give the signed Proof of Service to you.

           What if the person won’t take the papers or tearsAttorney(s) for
                                                             them up?
            The server must attempt to make personal delivery even if the person won't take the papers. It doesn't matter if the
            person tears them up.

           Who signs the Proof of Service?                               Office and P.O. Address
           Only the person who serves the orders can sign the Proof of Service. You do not sign Form CH-130. The restrained
           person does not sign this form.
                                                                                    Telephone No.:
                                                                                    Facsimile No.:
Judicial Council of California                                                      E-Mail Address:
                                                                What Is ''Proof of Service''?                                       CH-135, Page 1 of 2
www.courtinfo.ca.gov
New January 1, 2005                                                                 Mobile Tel. No.:
                                                                    (Civil Harassment)
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                                                                                                                                    www.USCourtForms.com
      CH-135                                                     .
                                     What Is ''Proof of Service''?

   When do the orders have to be served?
   It depends. To know the exact date, you have to look at two things on Form CH-120:
   First, look at the hearing date on page 1 of CH-120.                            Next, look at the number of days written in    13   on
                                                                                   page 3.
                      To the person in 2 :
                 3 Notice of Hearing                                                  13    Time for Service (check a, b, or c)
                      A court hearing is scheduled on the request for orders
                                                                                            a.      A copy of the documents listed in
                                                                                                    at least 5 days before the hearing.
                           Hearing         Date: _____________                              b.     A copy of the documents listed in
                                                                                                    at least 2 days before the hearin
                            Date
                                           Dept.: ________                                  c.     A copy of the documents lis
                                                                                                   at least ____ days befo

    Look at a calendar. Subtract the number of days in 13 from the hearing date. That’s the final date to have the orders
    served. It’s always OK to serve earlier than that date.
    If nothing is checked or written in 13 , you must serve the orders at least 5 days before the hearing.
    Why do I have to get the orders served?
        The police cannot arrest anyone for violating an order unless that person knows about the order.
         The judge cannot make the orders permanent unless the restrained person was served.

    What happens if I can’t get the orders served before the hearing date?
    Before your hearing, fill out and file Reissue Temporary Restraining Order (Form CH-125). This form asks the
    court for a new hearing date and makes your orders last until then. Ask the clerk for the form.
    After the court has reissued the orders, you must attach a copy of CH-125 to a copy of your original orders. That
    way, the police will know your orders are still in effect. And the restrained person will be served with notice of the
    new hearing date.

   What do I do with the completed Proof of Service?
         Make at least 5 copies.
         File the original before your hearing.
         Ask the clerk to enter it into CLETS (California Law Enforcement Telecommunications System), a
         special computer system that lets police all over the state find out about the orders protecting you.
         If the clerk tells you they can’t enter it into the computer, take a copy of the orders to your local police. They
         will put the information into the state computer system. That way, police all over the state will know about
         your restraining order.
         Bring a copy of the completed Proof of Service (form CH-130) to your hearing.
         Always keep an extra copy of the restraining orders with you for your safety.




New January 1, 2005
                                                            What Is ''Proof of Service''?                                       CH-135, Page 2 of 2
                                                                       (Civil Harassment)

          Print This Form
                         COURT
         COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
         ......... ..
                                                                                                     :             Index No.
                                                                                                                   Clerk stamps date here when form is filed.
       CH-130                               Proof of Personal Service                                       :      Calendar No. other people from
                                                                                                                       To keep
 1                                                                                                                    seeing what you entered on
           Name of person asking for protection:                                                            :
                                                                             Plaintiff(s)                             your form, please press
                                                                                                                   JUDICIAL SUBPOENA the
                                                                                                                     Clear This Form button at the
 2                                 -against-
           Name of person you want protection from:                                                         :       end of the form when finished.

                                                                                                            :
 3         Notice to Server
                                                                                                             :
          The server must:
            • Be over 18 years of age.                                      Defendant(s)                     :
                  . . . be . . . . . . .
         . . . . Not . . .listed .on. the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     Fill in court name and street address:
            •
                 restraining order.                                                                                Superior Court of California, County of
            • Give a copy of all
                   PEOPLE checked in 4
         THEdocumentsOF THE 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 .                                               Fill in case number:
                                                                                                                   Case Number:
                                                       PROOF OF PERSONAL SERVICE
  4      GREETINGS:
         I gave the person in                 2   a copy of the documents checked below:
           a.     WE COMMAND YOU, that all business Restraining Order (CLETS)
                 CH-120, Notice of Hearing and Temporaryand excuses being laid aside, you and each of you attend before
         the Honorable Request for Orders to Stop Harassment
          b.     CH-100,                                      at the               Court                                         ,
         County of
          c.                                 located at
                 CH-110, Answer to Request for Orders to Stop Harassment (blank form)
                            , on of        day of             , 20
         in room CH-145, Proofthe Firearms Turned In or Sold (blankat , 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
           e.    CH-151, How Can I Answer a Request for Orders to Stop Harassment?
           f.    CH-140, Restraining Order After Hearing to Stop Harassment
            g.     Other (specify): comply with this subpoena is punishable as a contempt of court and will make you liable to
                    Your failure to
 5        I personally gave copies of the documents checked for a maximum penalty :
         the party on whose behalf this subpoena was issuedabove to the person in 2 of $50 and all damages sustained as a
                of your failure
         resulta. On (date): to comply.            b. At (time):                      a.m.        p.m.
              c. At this Address:
                     Witness, Honorable                                                 , one of the Justices of the
         Court in City:          County,      day of              , 20         State:                  Zip:

 6         Server's Information
           Name:                                                                                         (Attorney must sign above and type name below)
          Address:
           City:                                                                                            State:                       Zip:
           Telephone:                                                                                    Attorney(s) for
           (If you are a registered process server):
         County of registration:                                          Registration number:
      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:
                                                                                                       Telephone No.:
                                                                                                       Facsimile No.:
      Type or print server’s name                                                                    Server to sign here
                                                                                                       E-Mail Address:
Judicial Council of California, www.courtinfo.ca.gov                                                   Mobile Tel. No.:
Revised January 1, 2005, Optional Form                                Proof of Personal Service                                                   CH-130, Page 1 of 1
Code of Civil Procedure, §§ 527.6 and 527.9                                     (Civil Harassment)                                               American LegalNet, Inc.
                                                                                                                                                 www.USCourtForms.com
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                  Print This Form                          This Form button after you have printed the form.                                Clear This Form
                           COURT
           COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
           ......... ..
                                                                                                       :          Index No.
                                                                                                                Clerk stamps date here when form is filed.
              CH-131                               Proof of Service by Mail                                :      Calendar No.
                                                                                                                     To keep other people from
       1      Name of person asking for protection:                                                        :        seeing what you entered on
                                                                             Plaintiff(s)                           your form, SUBPOENA
                                                                                                                  JUDICIAL please press the
                                                       -against-                                           :       Clear This Form button at the
       2      Your name:                                                                                           end of the form when finished.
                                                                                                           :

       3       Notice to Server                                                                             :
                                                                                                                Fill in court name and street address:
               The server must:
                                                                           Defendant(s)                     :
                                                                                                                Superior Court of California, County of
           . . • . . .Be .over.18 . . . . . of. age.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
               .       . . . . . . . years . . . .
               • Be a resident or employed in the
                      county where the mailing took place.
               • Not be a party in the case.
           THE PEOPLE OF THE STATE OF NEW YORK
               • Mail a copy of all documents
                     checked in 4 to the person in                                                              Fill in case number:
           TO
                      1 . Complete and sign this form                                                            Case Number:
                     and give it to the person in 2 .
                                                        PROOF OF SERVICE BY MAIL
        GREETINGS:
       4   I am over 18 years of age and am a resident or employed in the county where the mailing took place. I mailed
           the person in 1 a copy of all documents checked below:
                   WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
        the Honorable
                a.                                           at the
                      CH-110, Answer to Request for Orders to Stop Harassment   Court                                       ,
        Countyb. of Other (specify):        located at
        in room            , on the       day of             , 20     , at      o'clock in the    noon, and at any recessed
      5    adjourned date, to testify and give evidence as a in a sealed envelope on mailed of the
        or I placed copies of the documents checked above witness in this actionand the part them as described below:
           a. Mailed from (City):_________________________________________ (State): ____________________
              b. On (Date):________________________________________________
                     Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
               party on Address:______________________________________________________________________
           thec. To this whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
                  of your failure to comply.
           result City: ________________________________________State:_________________ Zip:_____________

       6            Witness, Honorable
               Server's Information                                     , one of the Justices of the
             Name:_______________________________________________________________________________
           Court in         County,     day of         , 20
               Address:______________________________________________________________________________
               City: ______________________________________________State:_______________ Zip:___________
                                                                                                        (Attorney must sign above and type name below)
               Telephone:__________________________
              (If you are a registered process server):
                                                                     Attorney(s) for
              County of registration: _______________________________ Registration number:__________________

         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:_________________________

                                                                                          Telephone No.:
         Type or print server's name                                               Server Facsimile No.:
                                                                                          to sign here
                                                                                          E-Mail Address:
                                                                                          Mobile Tel.
                                                                       Proof of Service by Mail No.:
Judicial Council of California, www.courtinfo.ca.gov
Rev. January 1, 2005, Optional Form
                                                                                                                                                CH-131, Page 1 of 1
Code of Civil Procedure, §§ 527.6 and 527.9                                    (Civil Harassment)                                               American LegalNet, Inc.
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              Print This Form                            This Form button after you have printed the form.                              Clear This Form
                                                                                                               FW-001-INFO
           INFORMATION SHEET ON WAIVER OF SUPERIOR COURT FEES AND COSTS
  If you have been sued or if you wish to sue someone, or if you are filing or have received a family law petition, and if
  you cannot afford to pay court fees and costs, you may not have to pay them in order to go to court. If you are getting
  public benefits, are a low-income person, or do not have enough income to pay for your household’s basic needs and
  your court fees, you may ask the court to waive all or part of your court fees.
  1. To make a request to the court to waive your fees in superior court, complete the Request to Waive Court Fees
     (form FW-001). If you qualify, the court will waive all or part of its fees for the following:
         • Filing papers in superior court (other than for an appeal in a case with a value of over $25,000)
         • Making and certifying copies                      • Giving notice and certificates
         • Sheriff’s fee to give notice                      • Sending papers to another court department
         • Court fees for telephone hearings                 • Having a court-appointed interpreter in small claims court
         • Reporter’s daily fee (for up to 60 days after the grant of the fee waiver, at the court-approved daily rate)
         • Preparing, certifying, copying, and sending the clerk’s transcript on appeal.
  2. You may ask the court to waive other court fees during your case in superior court as well. To do that, complete
     a Request to Waive Additional Court Fees (Superior Court) (form FW-002). The court will consider waiving fees for
     items such as the following, or other court services you need for your case:
         • Jury fees and expenses                             • Fees for a peace officer to testify in court
         • Fees for court-appointed experts                   • Court-appointed interpreter fees for a witness
         • Reporter’s daily fees (beyond the 60-day           • Other necessary court fees
           period after the grant of the fee waiver, at the court-approved daily rate)
  3. If you want the Appellate Division of Superior Court or the Court of Appeal to review an order or judgment against
     you and you want the court fees waived, ask for and follow the instructions on Information Sheet on Waiver of
     Appellate Court Fees, Supreme Court, Court of Appeal, Appellate Division (form APP-015/FW-015-INFO).
                                          IMPORTANT INFORMATION!
• You are signing your request under penalty of perjury. Please answer truthfully, accurately, and completely.
• The court may ask you for information and evidence. You may be ordered to go to court to answer questions about
your ability to pay court fees and costs and to provide proof of eligibility. Any initial fee waiver you are granted may be
ended if you do not go to court when asked. You may be ordered to repay amounts that were waived if the court finds you
were not eligible for the fee waiver.
• If you receive a fee waiver, you must tell the court if there is a change in your finances. You must tell the court
within five days if your finances improve or if you become able to pay court fees or costs during this case. (File Notice to
Court of Improved Financial Situation or Settlement (form FW-010) with the court.) You may be ordered to repay any
amounts that were waived after your eligibility came to an end.
• If you receive a judgment or support order in a family law matter: You may be ordered to pay all or part of your
waived fees and costs if the court finds your circumstances have changed so that you can afford to pay. You will have the
opportunity to ask the court for a hearing if the court makes such a decision.
• If you win your case in the trial court: In most circumstances the other side will be ordered to pay your waived fees
and costs to the court. The court will not enter a satisfaction of judgment until the court is paid. (This does not apply in
unlawful detainer cases. Special rules apply in family law cases. (Government Code, section 68637(d), (e).)
• If you settle your civil case for $10,000 or more: Any trial court waived fees and costs must first be paid to the court
out of the settlement. The court will have a lien on the settlement in the amount of the waived fees and costs. The
court may refuse to dismiss the case until the lien is satisfied. A request to dismiss the case (use form CIV-110) must
have a declaration under penalty of perjury that the waived fees and costs have been paid. Special rules apply to family
law cases.
• The court can collect fees and costs due to the court. If waived fees and costs are ordered paid to the trial court, the
court can start collection proceedings and add a $25 fee plus any additional costs of collection to the other fees and costs
owed to the court.
• The fee waiver ends. The fee waiver expires 60 days after the judgment, dismissal, or other final disposition of the case
or earlier if a court finds that you are not eligible for a fee waiver.
• If you are in jail or state prison: Prisoners may be required to pay the full cost of the filing fee in the trial court but
may be allowed to do so over time.
Judicial Council of California, www.courtinfo.ca.gov   Information Sheet on Waiver of                FW-001-INFO, Page 1 of 1
Revised July 1, 2009
Government Code, §§ 68630–68640                        Superior Court Fees and Costs                         American LegalNet, Inc.
                                                                                                             www.FormsWorkflow.com
California Rules of Court, rule 3.51
   FW-001                          Request to Waive Court Fees                                                      CONFIDENTIAL
                                                                                                             Clerk stamps date here when form is filed.
If you are getting public benefits, are a low-income person, or do not have enough                             To keep other people from
income to pay for household's basic needs and your court fees, you may use this                               seeing what you entered on
form to ask the court to waive all or part of your court fees. The court may order                            your form, please press the
you to answer questions about your finances. If the court waives the fees, you                               Clear This Form button at the
may still have to pay later if:                                                                              end of the form when finished.
   • You cannot give the court proof of your eligibility,
   • Your financial situation improves during this case, or                                              Fill in court name and street address:

   • You settle your civil case for $10,000 or more. The trial court that waives
     your fees will have a lien on any such settlement in the amount of the waived
     fees and costs. The court may also charge you any collection costs.
   1     Your Information (person asking the court to waive the fees):
         Name:
         Street or mailing address:                                                                      Fill in case number and name:
     City:                                  State:         Zip:                 Case Number:
     Phone number:
   2 Your Job, if you have one (job title):                                     Case Name:

     Name of employer:
     Employer’s address:
   3 Your lawyer, if you have one (name, firm or affiliation, address, phone number, and State Bar number):


         a. The lawyer has agreed to advance all or a portion of your fees or costs (check one):    Yes       No
         b. (If yes, your lawyer must sign here) Lawyer’s signature:
            If your lawyer is not providing legal-aid type services based on your low income, you may have to go to a
            hearing to explain why you are asking the court to waive the fees.
   4     What court’s fees or costs are you asking to be waived?
               Superior Court (See Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO).)
               Supreme Court, Court of Appeal, or Appellate Division of Superior Court (See Information Sheet on Waiver of
               Appellate Court Fees and Costs (form APP-015/FW-015-INFO).)
   5     Why are you asking the court to waive your court fees?
         a.      I receive (check all that apply):     Medi-Cal      Food Stamps        SSI SSP    County Relief/General
                 Assistance      IHSS (In-Home Supportive Services)         CalWORKS or Tribal TANF (Tribal Temporary
                 Assistance for Needy Families)        CAPI (Cash Assistance Program for Aged, Blind and Disabled)
         b.      My gross monthly household income (before deductions for taxes) is less than the amount listed below.
                 (If you check 5b you must fill out 7, 8 and 9 on page 2 of this form.)
                        Family Size          Family Income   Family Size   Family Income   Family Size   Family Income         If more than 6 people
                               1                $1,128.13        3           $1,907.30          5             $2,686.46        at home, add $389.59
                               2                 $1,517.71       4           $2,296.88          6             $3,076.05        for each extra person.

         c.  I do not have enough income to pay for my household’s basic needs and the court fees. I ask the court to
             (check one):     waive all court fees    waive some of the court fees          let me make payments over time
             (Explain):                                                          (If you check 5c, you must fill out page 2.)
  6        Check here if you asked the court to waive your court fees for this case in the last six months.
           (If your previous request is reasonably available, please attach it to this form and check here:          )
 I declare under penalty of perjury under the laws of the State of California that the information I have provided
 on this form and all attachments is true and correct.
 Date:

           Print your name here                                                          Sign here
 Judicial Council of California, www.courtinfo.ca.gov
                                                              Request to Waive Court Fees                                                 FW-001, Page 1 of 2
 Revised July 2, 2009, Mandatory Form
 Government Code, § 68633
 Cal. Rules of Court, rules 3.51, 8.26, and 8.818
                                                                                                           Case Number:

Your name:
If you checked 5a on page 1, do not fill out below. If you checked 5b, fill out questions 7, 8, and 9 only. If you checked 5c,
you must fill out this entire page. If you need more space, attach form MC-025 or attach a sheet of paper and write
Financial Information and your name and case number at the top.
 7            Check here if your income changes a lot from month to month.    10     Your Money and Property
              Fill out below based on your average income for the past 12
              months.
                                                                                   a. Cash                                            $
                                                                                   b. All financial accounts (List bank name and amount):
 8 Your Monthly Income                                                                    (1)                                                      $
     a. Gross monthly income (before deductions):            $                            (2)                                                      $
        List each payroll deduction and amount below:
                                                                                          (3)                                                      $
        (1)                                              $
        (2)                                              $                                (4)                                                      $
        (3)                                              $
                                                                                   c. Cars, boats, and other vehicles
        (4)                                              $                                                                         Fair Market         How Much You
                                                                                                Make / Year                        Value               Still Owe
     b. Total deductions (add 8a (1)-(4) above):     $                                    (1)                                 $                    $
     c. Total monthly take-home pay (8a minus 8b): $                                      (2)                                 $                    $
     d. List the source and amount of any other income you get each                       (3)                                  $                   $
        month, including: spousal/child support, retirement, social
        security, disability, unemployment, military basic allowance for           d. Real estate                                  Fair Market         How Much You
        quarters (BAQ), veterans payments, dividends, interest, trust
                                                                                                Address                            Value               Still Owe
        income, annuities, net business or rental income,
                                                                                          (1)                                  $                   $
        reimbursement for job-related expenses, gambling or lottery
        winnings, etc.                                                                    (2)                                  $                   $
        (1)                                              $                                (3)                                  $                   $
        (2)                                              $
                                                                                   e. Other personal property (jewelry, furniture, furs,
        (3)                                              $                              stocks, bonds, etc.):
                                                                                                                                   Fair Market         How Much You
        (4)                                              $                                      Describe                           Value               Still Owe
                                                                                          (1)                                  $                   $
     e. Your total monthly income is (8c plus 8d):           $
                                                                                          (2)                                  $                   $
                                                                                          (3)                                  $                   $
 9 Household Income
     a. List all other persons living in your home and their income;         11 Your Monthly Expenses
        include only your spouse and all individuals who depend in                 (Do not include payroll deductions you already listed in 8b.)
        whole or in part on you for support, or on whom you depend in
        whole or in part for support.
                                                                                   a.     Rent or house payment & maintenance            $
                                                         Gross Monthly             b.     Food and household supplies                    $
            Name                  Age Relationship Income                          c.     Utilities and telephone                        $
        (1)                                            $                           d.     Clothing                                       $
        (2)                                              $                         e.     Laundry and cleaning                           $
        (3)                                              $                         f.     Medical and dental expenses                    $
        (4)                                              $                         g.     Insurance (life, health, accident, etc.)       $
                                                                                   h.     School, child care                             $
     b. Total monthly income of persons above:               $                     i.     Child, spousal support (another marriage)      $
                                                                                   j.     Transportation, gas, auto repair and insurance $
Total monthly income and                                                           k.     Installment payments (list each below):
        household income (8e plus 9b):                       $                                Paid to:
                                                                                          (1)                                            $
                                                                                          (2)                                                      $
To list any other facts you want the court to know, such as
                                                                                          (3)                                                      $
unusual medical expenses, family emergencies, etc., attach
form MC-025. Or attach a sheet of paper, and write                                 l. Wages/earnings withheld by court order        $
Financial Information and your name and case number at                             m. Any other monthly expenses (list each below):
the top. Check here if you attach another page.                                                 Paid to:                                               How Much?
                                                                                          (1)                                                      $
Important! If your financial situation or ability to pay                                  (2)                                                      $
court fees improves, you must notify the court within                                     (3)                                                      $
five days on form FW-010.
                                                                             Total monthly expenses (add 11a –11m above): $

                                                         Request to Waive Court Fees                                                     FW-001, Page 2 of 2



     For your protection and privacy, please press the Clear This Form
                  button after you have printed the form.                    Save This Form                   Print This Form              Clear This Form
                                          Request to Waive Additional
      FW-002                              Court Fees (Superior Court)
                                                                                                                             CONFIDENTIAL
                                                                                                                       Clerk stamps date here when form is filed.
This form asks the court to waive additional court fees that are not covered in                                         To keep other people from
a current order. If you have not already received an order that waived or                                              seeing what you entered on
reduced your court fees, you must complete and file a Request to Waive                                                 your form, please press the
Court Fees (Superior Court), form FW-001, along with this form.                                                       Clear This Form button at the
                                                                                                                      end of the form when finished.
1 Your Information (person asking the court to waive the fees):
  Name:
  Street or mailing address:
                                                                                                                    Fill in court name and street address:
      City:                                                      State:               Zip:
                                                                                                                   Superior Court of California, County of
      Phone number:

2 Your lawyer, if you have one (name, firm or affiliation, address, phone
  number, and State Bar number):


                                                                                                                    Fill in case number and case name:
                                                                                                                   Case Number:

  a. The lawyer has agreed to advance all or a portion of your fees or costs
                                                                                 Case Name:
     (check one):      Yes       No
  b. (If yes, your lawyer must sign here):
     Lawyer’s signature:
     If your lawyer is not providing legal-aid type services based on your low income, you may have to go to a
     hearing to explain why you are asking the court to waive the fees.
3 Date your last court fee waiver order, if any, was granted:

4 Has your financial situation improved since your last Request to Waive Court Fees?     No                                               Yes (If yes, you
  must fill out a new Request to Waive Court Fees, form FW-001, and attach it to this form.)
5 What other fees do you want your court fee waiver order to cover? (Check all that apply):
       a.           Jury fees and expenses
       b.           Court-appointed interpreter fees for a witness
       c.           Fees for a peace officer to testify in court
       d.           Reporter’s daily fees (beyond 60-days after grant of a fee waiver, at court-approved daily rate)
       e.           Fees for court-appointed experts
       f.    Other (specify):
6      Why do you need these other services? (Explain):



Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there
is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must
notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side
to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the
amount of the waived fees. The trial court may not dismiss the case until the lien is paid.
I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.
 Date:

Print your name here                                                                       Sign here
Judicial Council of California, www.courtinfo.ca.gov
                                                       Request to Waive Additional Court Fees                                                  FW-002, Page 1 of 1
Revised July 1, 2009, Mandatory Form
Government Code, § 68511.3
California Rules of Court, Rule 3.51                              (Superior Court)                                                               American LegalNet, Inc.
                                                                                                                                                 www.FormsWorkflow.com
                                                       For your protection and privacy, please press the Clear This Form
            Print This Form                                         button after you have printed the form.                           Clear This Form
                                             Order on Court Fee Waiver                         Clerk stamps date here when form is filed.
       FW-003                                (Superior Court)                                  To keep other people from
                                                                                              seeing what you entered on
                                                                                              your form, please press the
  1        Person who asked the court to waive court fees:
                                                                                             Clear This Form button at the
           Name:                                                                             end of the form when finished.
           Street or mailing address:
           City:                                           State:       Zip:

  2        Lawyer, if person in 1 has one (name, address, phone number,
           e-mail, and State Bar number):
                                                                                            Fill in court name and street address:
                                                                                            Superior Court of California, County of


  3        A request to waive court fees was filed
           on (date):
              The court made a previous fee waiver order in this case
              on (date):                                                                    Fill in case number and case name:
                                                                                            Case Number:

 Read this form carefully. All checked boxes                        are court orders.       Case Name:


 Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
 fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there
 is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must
 notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side
 to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the
 amount of the waived fees. The trial court may not dismiss the case until the lien is paid.


  4 After reviewing your (check one):     Request to Waive Court Fees                    Request to Waive Additional Court Fees
    the court makes the following orders:
      a.           The court grants your request, as follows:
           (1) .     Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of
                     Court, rule 3.55.) You do not have to pay the court fees for the following:
                     • Filing papers in Superior Court                            • Giving notice and certificates
                     • Making copies and certifying copies                        • Sending papers to another court department
                     • Sheriff ’s fee to give notice                              • Court-appointed interpreter in small claims court
                     • Reporter’s daily fee (for up to 60 days following the fee waiver order at the court-approved daily rate)
                     • Preparing and certifying the clerk’s transcript on appeal • Court fees for phone hearings

           (2)        Additional Fee Waiver. The court grants your request and waives your additional superior court fees and
                      costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the checked items.
                        Jury fees and expenses                                 Fees for a peace officer to testify in court
                        Fees for court-appointed experts                       Court-appointed interpreter fees for a witness
                        Reporter’s daily fees (beyond the 60-day period following the fee waiver order)
                        Other (specify):
           (3)       Fee Waiver for Appeal. The court grants your request and waives the fees and costs checked below, for your
                     appeal. (Cal. Rules of Court, rules 3.55, 3.56, 8.26, and 8.818.) You do not have to pay for the checked items.
                        Preparing and certifying clerk’s transcript for appeal
                          Other (specify):
Judicial Council of California, www.courtinfo.ca.gov
Revised July 1, 2009, Mandatory Form                   Order on Court Fee Waiver (Superior Court)                         FW-003, Page 1 of 2
Government Code, § 68634(e)
California Rules of Court, rule 3.52                                                                                            American LegalNet, Inc.
                                                                                                                                www.FormsWorkflow.com
                                                                                                                          Case Number:

Your name:

   b.          The court denies your request, as follows:
                 Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers
                 you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed.

         (1)           The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of
                       this order (see date below) to:
                         • Pay your fees and costs, or
                         • File a new revised request that includes the items listed below (specify incomplete items):


         (2)           The court denies your request because the information you provided on the request shows that you are not
                       eligible for the fee waiver you requested (specify reasons):

                       The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court), form
                       FW-006. You have 10 days after the clerk gives notice of this order (see date below) to:
                        • Pay your fees and costs, or
                        • Ask for a hearing in order to show the court more information. (Use form FW-006 to request hearing.)

   c.        The court needs more information to decide whether to grant your request. You must go to court on the date
             below. The hearing will be about (specify questions regarding eligibility):


                       Bring the following proof to support your request if reasonably available:


                                                                                                    Name and address of court if different from page 1:
           Hearing
                              Date:                              Time:
            Date
                              Dept.:                             Rm.:

               Warning! If item c is checked, and you do not go to court on your hearing date, the judge will deny your request to
               waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot process
               the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be dismissed.




        Date:
                                                                  Signature of (check one):                        Judicial Officer        Clerk, Deputy

               Request for Accommodations. Assistive listening systems, computer-assisted real-time captioning, or sign
               language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk’s
               office for Request for Accommodation, Form MC-410. (Civil Code, § 54.8.)

                                                         Clerk's Certificate of Service
I certify that I am not involved in this case and (check one):          A certificate of mailing is attached.
     I handed a copy of this order to the party and attorney, if any, listed in 1 and 2 , at the court, on the date below.
     This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in 1 and 2 ,
     from (city):                                        , California on the date below.
Date:                                                                                        Clerk, by                                                   , Deputy
Revised July 1, 2009                                                                                                                           FW-003, Page 2 of 2
                                                             This is a Court Order.
                                            Order on Court Fee Waiver (Superior Court)
                                            For your protection and privacy, please press the Clear This Form button after you have
           Print This Form                                                      printed the form.                                        Clear This Form
          THIS FORM IS TO BE USED FOR YOUR
          ‘PERMANENT RESTRAINING ORDER’

Prepare this form and bring it with you to the second
hearing.    If the Judge grants your request for a
permanent restraining order, you must file the signed
original with the clerk and take a copy to the local
law enforcement agency.

Keep a copy with you at all times.




G:\COMMON\Admin\Family Law\Packet Instructions & Forms\Civl Harassment permanent restraining order.doc
                                                 Restraining Order After Hearing
              CH-140                             to Stop Harassment                                     Clerk stamps date here when form is filed.

      1 Your name (person asking for protection):                                                             To keep other people from
                                                                                                             seeing what you entered on
            Your address (skip this if you have a lawyer): (If you want your                                 your form, please press the
                                                                                                            Clear This Form button at the
            address to be private, give a mailing address instead):
                                                                                                            end of the form when finished.


            City:                                                   State:            Zip:
                                                                                                       Fill in court name and street address:
             Your telephone (optional): ( ______ )________________________                             Superior Court of California, County of

             Your lawyer (if you have one): (Name, address, telephone
             number, and State Bar number):



     2       Name of person to be restrained:                                                          Fill in case number:
                                                                                                       Case Number:




                  Description:
                  Sex:          M            F Height:                           Weight:                    Race:
                  Hair Color:                                         Eye Color:                     Age:             Date of Birth:

    3       Hearing
            There was a hearing:
            on (date):                                     at (time):                   a.m.        p.m. Dept.:                   Rm:
                                                                                             made the orders at the hearing.
            (Name of judicial officer)
            These people were at the hearing:
             a.          Plaintiff (the person in      1    )          c.     Plaintiff’s lawyer (name):
             b.         Defendant (the person in            2   )      d.     Defendant’s lawyer (name):

      4       This Is a Court Order
              You must obey all the orders indicated below. If you do not obey this Order, you can be arrested and charged
              with a crime. And you may have to go to jail, pay a fine of up to $1,000, or both.

     5        Expiration Date
             This Order, except for an award of lawyer’s fees, expires at:
             (time):                       a.m.      p.m. or      midnight on (date):
             If no date is present, this Order expires three years from the date of issuance.




                                                                      This is a Court Order.
Judicial Council of California, www.courtinfo.ca.gov
Revised July 1, 2007, Mandatory Form
                                                            Restraining Order After Hearing                                         CH-140, Page 1 of 3
Code of Civil Procedure, §§ 527.6 and 527.9                  to Stop Harassment (CLETS)
Approved by DOJ
                                                                             (Civil Harassment)                                        American LegalNet, Inc.
                                                                                                                                       www.FormsWorkflow.com
                                                                                                Case Number:

Your name:

     6             Personal Conduct Orders
                   You must not do the following things to the people listed in 1 and 11 :
                   a.     Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, destroy personal
                          property, keep under surveillance, or block movements.
                   b.     Contact (directly or indirectly), telephone, send messages, mail, or e-mail.
                   c.     Take any action, directly or through others, to obtain the addresses or locations of the persons in 1 and
                          11 . (If item c is not checked, the court has found good cause not to make this order.)

                   Peaceful written contact through a lawyer or a process server or other person for service of legal papers
                   related to a court case does not violate these orders.

      7            Stay-Away Order
                       You must stay at least (specify):                yards away from:
                       a.     The person listed in   1                    e.    Vehicle of person in 1      Vehicles of persons in    11

                       b.     The people listed in   11                   f.    The protected children’s school or child care
                       c.     The home of the persons in 1 and     11     g.    Other (specify):
                       d.     Jobs or workplaces of the persons
                              in 1 and 11
             This stay-away order does not prevent the person in          2   from going to or from that person’s home or place of
             work.
      8       No Guns or Other Firearms
              You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get a gun or
              firearm.
      9      Turn In or Sell Guns or Firearms
              You must:
              • Sell to a licensed gun dealer or turn in to police any guns or firearms that you possess or control.
                This must be done within 24 hours of being served with this order.
              •   File a receipt with the court within 48 hours of receiving this order that proves guns have been turned
                  in or sold. (You may use CH-145 for this.)
     10                Other Orders (specify):




      11               Other Protected Persons
              List of the full names of all family and household members protected by these orders:




                                                           This is a Court Order.
Revised July 1, 2007
                                                 Restraining Order After Hearing                                     CH-140, Page 2 of 3
                                                  to Stop Harassment (CLETS)
                                                              (Civil Harassment)
                                                                                                        Case Number:

Your name:

                                     Instructions for the Protected Person
           To the person in      1   (Write the name of the person in            1   ):
   12            Delivery to Law Enforcement
                If the court issues restraining orders, by the close of business on the date this Order is made, you or your
                attorney must deliver a copy of this Order and any proof of service forms to each law enforcement agency
                listed below:
                Name of Law Enforcement Agency:                         Address (City, State, Zip)




   13            No Fee for Service of Order by Law Enforcement
                The sheriff or marshal will serve this Order without charge because:
                a.     The Order is based on stalking.
                b.     The Order is based on a credible threat of violence.
                c.     The person in 1 is entitled to a fee waiver.

          Date:
                                                                             Judicial Officer

                                Warnings and Notices to the Restrained Person in 2
                                               You Cannot Have Guns or Firearms
       You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get a gun while this Order
       is in effect. If you do, you can go to jail and pay a $1,000 fine. You must sell to a licensed gun dealer or turn in to
       police any guns or firearms that you have or control in accordance with item 9 above. The court will require you
       to prove that you did so. If you do not obey this Order, you can be charged with a crime.

                                               Instructions for Law Enforcement
       This Order is effective when made. It is enforceable anywhere in all 50 states, the District of Columbia, all tribal
       lands, and all U.S. territories and shall be enforced as if it were an Order of that jurisdiction by any law enforcement
       agency that has received the Order, is shown a copy of the Order, or has verified its existence on the California
       Law Enforcement Telecommunications System (CLETS). If the law enforcement agency has not received proof
       of service on the restrained person, and the restrained person was not present at the court hearing, the agency
       shall advise the restrained person of the terms of the Order and then shall enforce it. Violations of this restraining
       order are subject to criminal penalties.
                                                    (Clerk will fill out this part)
                                                   Clerk's Certificate
       Clerk's Certificate           I certify that this Restraining Order After Hearing to Stop Harassment (CLETS) is a true
       [seal]                        and correct copy of the original on file in the court.


                                     Date:                            Clerk, by                                                       , Deputy
                                                         This is a Court Order.
Revised July 1, 2007                                                                                                         CH-140, Page 3 of 3
                                                 Restraining Order After Hearing
                                                  to Stop Harassment (CLETS)
                                                               (Civil Harassment)
                                             For your protection and privacy, please press the Clear This Form
            Print This Form                               button after you have printed the form.                      Clear This Form
                                                NOTICE

LEAVE THESE FORMS BLANK AND SERVE
ON THE DEFENDANT ALONG WITH A COPY
OF THE PETITION AND TEMPORARY
RESTRAINING ORDERS.

IF THE SHERIFF IS SERVING YOUR PAPERS,
BE SURE TO GIVE THE SHERIFF THESE
BLANK FORMS ALSO.




G:\COMMON\Admin\Family Law\Packet Instructions & Forms\Civil Harassment Notice.doc
                                          COURT
          COUNTY . .
          . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                 :
                                                                           Index
                                          How Can I Answer a Request for OrdersNo.
       CH-151                             to Stop Harassment?          :   Calendar No.

                                                                                                                :
What is a Civil Harassment Restraining Plaintiff(s)
                                       Order?                                                                          JUDICIAL SUBPOENA
It is a court order.                                   -against-                                                :

What does the order do?                                                                                         :
The court can order you to:
• Not contact the person who asked for the order                                               :
• Stay away from that person and the person’s home and workplace
                                                              Defendant(s)                     :
• Not .have.any guns .while .the . . . . . is. in. effect. . . . . . . . . . . . . . . . . . . .
     . . . . . . . . . . . . . . . . . order . . . . . .

Who can ask for a Civil Harassment Restraining Order?
A person who is worried about safety because they are being:
     THE PEOPLE OF THE STATE OF NEW YORK
• Stalked
     TO
• Harassed
• Sexually assaulted or
• Threatened with violence
          GREETINGS:
 How long does the order last?
               WE a temporary order, it will business your hearing date. At that time, the court will decide before
If the Court makesCOMMAND YOU, that all last until and excuses being laid aside, you and each of you attendto
          or cancel
continue Honorablethe order. The order could last for up to 3 years.
      the                                                at the              Court                                         ,
      County of                          located at
      in room            , the order? of
What if I don't obey on the             day              , 20   , at         o'clock in the      noon, and at any recessed
                            testify and to jail and pay witness in this action on the part of the
      or adjourned date, to You can gogive evidence asaafine.
The police can arrest you.

 What if I do not agree with what the order says?
                Your failure to comply with this
You still must obey the order until the hearing. subpoena is punishable as a contempt of court and will make you liable to
      the party with the orders the person is asking for, fill out a maximum penalty of $50 and all damages sustained as a
If you disagree on whose behalf this subpoena was issued for
      CH-110 your failure to comply.
Form result of before your hearing date and file it with the court.

Do I have to Witness, Honorable person with a copy of
              serve the other                                                                                               , one of the Justices of the
     Court in
my answer?              County,     day of        , 20
Yes. Have someone—other than yourself—mail a copy of
completed Form CH-110 to the person who asked for the order
(or that person's lawyer). (This is called “Service.”)                                                       (Attorney must sign above and type name below)

The person who serves the form by mail must fill out Form
CH-131, Proof of Service by Mail. Make a copy of the proof of
service and file it with the court clerk.                                                                    Attorney(s) for


Should I go to the court hearing?
Yes. Go to court on the date listed on Form CH-120. If you do
not go to court, the judge can make orders without hearing from                                              Office and P.O. Address
you.

                                                                                     Telephone No.:
                                                                                     Facsimile No.:
                                                                                     E-Mail Address:
Judicial Council of California, www.courtinfo.ca.gov             How Can I Answer a Request for                                                     CH-151, Page I of 2
                                                                                     Mobile Tel.
                                                                  Orders to Stop Harassment? No.:
New January 1, 2005, Optional Form

                                                                                  (Civil Harassment)
                                                                                                                                                     American LegalNet, Inc.
                                                                                                                                                     www.USCourtForms.com
                             How Can I Answer a Request for Orders
      CH-151                 to Stop Harassment?

Do I need a lawyer?
No. But it is a good idea. Ask the court clerk about legal services and self-help centers in your county.


Will I see the person who asked for the order at the court hearing?
If the person goes to the hearing, yes. Do not talk to that person unless the judge says you can.


Can I bring a witness to the court hearing?
Yes. You can bring witnesses or documents that support your case. But if possible, you should also bring the witnesses’
written statements of what they saw or heard to the hearing. Their statements must be made under penalty of perjury.
You can use Form MC-030 for this.


Can I bring someone with me to court?
Yes. You can bring someone to sit with you during the hearing. But that person cannot speak for you in court.
Only you or your lawyer (if you have one) can speak for you.


What if I don't speak English?
When you file your papers, ask the clerk if a court interpreter is available. You may have to pay a fee for the
interpreter. If an interpreter is not available for your court date, bring someone to interpret for you. You cannot ask
a child under 18 to interpret for you.

What if I am deaf?
If you are deaf, contact the clerk at least 5 days before the hearing. (See information on Requests for Accommodations
below.)


Need more information?
Ask the court clerk about free or low-cost legal help.


For help in your area, contact:
[Local information may be inserted]




                                            Requests for Accommodations
       Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter
       services are available if you ask at least 5 days before the hearing. Contact the clerk's office for
       Request for Accommodations by Persons With Disabilities and Order (Form MC-410). (Civil
       Code, § 54.8)




New January 1, 2005                              How Can I Answer a Request for                               CH-151, Page 2 of 2
                                                  Orders to Stop Harassment?
                                                             (Civil Harassment)
           Print This Form
                         COURT
         COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
         ......... ..
                           Answer to Request for Orders :                                                   Clerk No.
                                                                                                           Index stamps date here when form is filed.
      CH-110                               to Stop Harassment                                                 To keep other people from seeing
                                                                                                     :     Calendar No. entered on your form,
                                                                                                               what you
 1        Name of person who asked for the order:                                                             please press the Clear This Form
                                                                                                     :
                                                                        Plaintiff(s)
                                                                                                                 button at the end of the
                                                                                                           JUDICIAL SUBPOENA form
                                                                                                                        when finished.
 2         Your name:                  -against-                            :
           Your address (skip this if you have a lawyer): (If you want your
           address to be private, give a mailing address instead):          :

                                                                                                   :
           City:                                            State:     Zip:                          Fill in court name and street address:
                                                                  Defendant(s)                     :
               telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
         Your . . . . . . . . .(optional):.(____) ._____________________________ Superior Court of California, County of
         .....
         Your lawyer (if you have one): (Name, address, telephone number,
         and State Bar number):

         THE PEOPLE OF THE STATE OF NEW YORK

         TO this form to give the court your answers to CH-100 Fill in case number:
         Use
          • Read Form CH-151 to protect your rights.                                  Case Number:
          • Fill out this form and then take it to the court clerk.
         GREETINGS:
          • Serve the person in 1 with a copy of this form and any attached
             pages.
                    WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
 3            Personal
         the Honorable Conduct Orders                          at the     The court will consider your Answer at the hearing. ,
                                                                                   Court
                                             located at
         County of I agree to the order requested.                        Write your hearing date and time here:
              a.
         in room
              b.       I do not agree to theday of requested. , 20
                             , on the        order                                 o'clock in
                                                                      , at Hearing Date: the        noon, and at any recessed
                                                                                                              Time:
                                                                              action Dept.:
         or adjourned date, to testify and give evidence as a witness in thisDate on the part of the      Room:
              c.      I agree to the following order (specify):
                                                                          You must obey the court's orders until the
                                                                          hearing. If you do not come to this hearing, the
                                                                          court a contempt of court requested against liable
                   Your failure to comply with this subpoena is punishable as may make the ordersand will make you you to
         the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
                                                                          last for up to 3 years.
 4       result of your failure to comply.
              Stay Away Orders
             a.     I agree to the order requested.
             b.   Witness, Honorablethe order requested.
                    I do not agree to                                                                           , one of the Justices of the
         Court in              the following day of(specify):
                    I agree toCounty,        order                                    , 20
             c.

 5               Turn In Guns or Other Firearms                                                  (Attorney must sign above and type name below)
                 a.    I do not own or have any guns or firearms.
                 b.            I agree to the order requested.
                 c.            I do not agree to the order requested.                            Attorney(s) for
                 d.            I agree to the following order (specify):

 6               Other Orders
                                                                                                 Office and P.O. Address
                 a.            I agree to the orders requested.
                  b.           I do not agree to the orders requested.
                  c.           I agree to the following orders (specify):
                                                                                   Telephone No.:
                                                                                   Facsimile No.:
Judicial Council of California, www.courtinfo.ca.gov                               E-Mail Address:
                                                       Answer to Request for Orders to Stop Harassment                                   CH-110, Page 1 of 3
Revised January 1, 2005, Mandatory Form
Code of Civil Procedure, §§ 527.6 and 527.9                                        Mobile
                                                                      (Civil Harassment) Tel. No.:
                                                                                                                                         American LegalNet, Inc.
                                                                                                                                         www.USCourtForms.com
                                                                                            Case Number:
Your name:

 7              Emotional Distress
               a.         The person in   1   has not suffered emotional distress. (Explain):



               b.         A reasonable person in the same position as the person in     1   would not have suffered emotional distress.
                          (Explain):



                c.        If the person in 1 has suffered any emotional distress, it is not because of what that person has accused
                          me of doing. (Explain):



 8              Purpose of Actions
               What I did to the person in      1   —if anything—was not done on purpose.

 9             Denial
               a.         I did not do anything described in 6 of Form CH-100. (Skip to 11 .)
               b.         I did some or all of the things described in 6 of Form CH-100. (Explain in 10 – 11 .)
10              Reason or Excuse
               I have done some or all of the things the person in          1   has accused me of, but:
               a.      What I did was legal. (Explain):



               b.         I had a good reason for doing these things. (Explain):



                c.        I have other reasons to justify what I did. (Explain):



11             The court should not make an order against me because: (List facts or reasons below):




                      Check here if you need more space. Attach a sheet of paper and write “CH-110, Item 11   Facts and Reasons”
                      at the top. Give specific facts and reasons.

Revised January 1, 2005
                                        Answer to Request for Orders to Stop Harassment                              CH-110, Page 2 of 3
                                                                (Civil Harassment)
                                                                                        Case Number:
Your name:

12             No Fee for Filing
               I ask the court to waive the filing fee because the person in 1 claims that I have used or threatened to use
               violence against them or have acted in some other way that would make them reasonably fear violence.

13              Lawyer's Fees and Costs
                I ask the court to order payment of my:
                a.       Lawyer's fees
                b.      Out-of-pocket expenses
                because the temporary restraining order was issued without enough supporting facts.
                The amounts requested are:
                Item                             Amount              Item                              Amount
                                                  $                                                     $
                                                  $                                                     $
                                                  $                                                     $

14              Other Relief
                I ask for additional relief as may be proper.
15        Number of pages attached to this form, if any:


          Date:


         Attorney's name                                              Attorney's signature


          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 your name                                      Sign your name




Revised January 1, 2005
                                      Answer to Request for Orders to Stop Harassment                          CH-110, Page 3 of 3
                                                                (Civil Harassment)
                                       For your protection and privacy, please press the Clear
           Print This Form               This Form button after you have printed the form.             Clear This Form
                                                                                                                       VN189


ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address)           Telephone Number                  FOR COURT USE ONLY




           Instructions: The person giving notice must state how
E-MAIL ADDRESS

           notice was given, where the hearing is to be held, and
ATTORNEY FOR (Name):
           what orders are requested.
           If notice CALIFORNIA, COUNTY advance to page two
SUPERIOR COURT OF is not being given, pleaseOF VENTURA
           of this form.
        800 SOUTH VICTORIA AVE. VENTURA, CA 93009

        3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110
PETITIONER: I, ________________________________________, declare:

RESPONDENT:

                          CONSENT FOR COURT ASSIGNMENT                                CASE NUMBER:

                                  (FAMILY LAW)

The undersigned hereby consents that the cause titled and numbered above may be tried by JoAnn Johnson
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6,
Section 21 of the Constitution of the State of California.

It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner JoAnn Johnson has been appointed to act as temporary judge to try the above referenced case,
hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner JoAnn Johnson, has been appointed to try the case referred to, and has taken the necessary
oath of office to try the case as temporary judge.




Dated: __________________                                                Signature of litigant or attorney

                                                                         ________________________________
                                                                         ________________________________
                                                                         ________________________________
                                                                         ________________________________




Mandatory Form
VN189 Rev 1/10
                                                 CONSENT FOR COURT ASSIGNMEN T
                           COURT
           COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
           ......... ..
                                                                                                       :          Index No.
                                                                                                                Clerk stamps date here when form is filed.
              CH-131                               Proof of Service by Mail                                :      Calendar No.
                                                                                                                     To keep other people from
       1      Name of person asking for protection:                                                        :        seeing what you entered on
                                                                             Plaintiff(s)                           your form, SUBPOENA
                                                                                                                  JUDICIAL please press the
                                                       -against-                                           :       Clear This Form button at the
       2      Your name:                                                                                           end of the form when finished.
                                                                                                           :

       3       Notice to Server                                                                             :
                                                                                                                Fill in court name and street address:
               The server must:
                                                                           Defendant(s)                     :
                                                                                                                Superior Court of California, County of
           . . • . . .Be .over.18 . . . . . of. age.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
               .       . . . . . . . years . . . .
               • Be a resident or employed in the
                      county where the mailing took place.
               • Not be a party in the case.
           THE PEOPLE OF THE STATE OF NEW YORK
               • Mail a copy of all documents
                     checked in 4 to the person in                                                              Fill in case number:
           TO
                      1 . Complete and sign this form                                                            Case Number:
                     and give it to the person in 2 .
                                                        PROOF OF SERVICE BY MAIL
        GREETINGS:
       4   I am over 18 years of age and am a resident or employed in the county where the mailing took place. I mailed
           the person in 1 a copy of all documents checked below:
                   WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
        the Honorable
                a.                                           at the
                      CH-110, Answer to Request for Orders to Stop Harassment   Court                                       ,
        Countyb. of Other (specify):        located at
        in room            , on the       day of             , 20     , at      o'clock in the    noon, and at any recessed
      5    adjourned date, to testify and give evidence as a in a sealed envelope on mailed of the
        or I placed copies of the documents checked above witness in this actionand the part them as described below:
           a. Mailed from (City):_________________________________________ (State): ____________________
              b. On (Date):________________________________________________
                     Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
               party on Address:______________________________________________________________________
           thec. To this whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
                  of your failure to comply.
           result City: ________________________________________State:_________________ Zip:_____________

       6            Witness, Honorable
               Server's Information                                     , one of the Justices of the
             Name:_______________________________________________________________________________
           Court in         County,     day of         , 20
               Address:______________________________________________________________________________
               City: ______________________________________________State:_______________ Zip:___________
                                                                                                        (Attorney must sign above and type name below)
               Telephone:__________________________
              (If you are a registered process server):
                                                                     Attorney(s) for
              County of registration: _______________________________ Registration number:__________________

         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:_________________________

                                                                                          Telephone No.:
         Type or print server's name                                               Server Facsimile No.:
                                                                                          to sign here
                                                                                          E-Mail Address:
                                                                                          Mobile Tel.
                                                                       Proof of Service by Mail No.:
Judicial Council of California, www.courtinfo.ca.gov
Rev. January 1, 2005, Optional Form
                                                                                                                                                CH-131, Page 1 of 1
Code of Civil Procedure, §§ 527.6 and 527.9                                    (Civil Harassment)                                               American LegalNet, Inc.
                                                                                                                                                www.USCourtForms.com
                                                       For your protection and privacy, please press the Clear
              Print This Form                            This Form button after you have printed the form.                              Clear This Form

								
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