COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... .. Clerk stamps below when form is filed.
DV-200 Proof of Service (In Person) : Index No.
: Calendar No.
1 Protected person’s name:
:
Plaintiff(s) JUDICIAL SUBPOENA
-against- :
2 Restrained person’s name:
:
3 Notice to Server :
You must: Defendant(s) : Court name and street address:
. .. . ....
. . . . .Be. 18.or. over. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
■
■ Not be listed on the
Superior Court of California, County of
restraining order.
■ Give a copy of all
THE PEOPLE OF THE STATE OF NEW YORK
documents checked in ❹ to the restrained person in ❷. (You
TO cannot send them by mail.) Then sign this form and give or
mail it to the protected person.
Case Number:
4 I gave the person in ❷ a copy of all documents checked below:
GREETINGS:
a. DV-110 with DV-100 and a blank DV-120
(Temporary Restraining Order and Notice of Hearing;
Request for Order; blank all business and excuses being laid aside,
WE COMMAND YOU, thatAnswer to Temporary Restraining Order) you and each of you attend before
the Honorable at the Court ,
County of DV-105 and DV-140located at
b. (Child Custody, Visitation, and Support Request; Child Custody and Visitation
in room Order) on the
, day of , 20 , at o'clock in the noon, and at any recessed
c.
or adjournedFL-150 with a blank FL-150 (Income and Expense Declaration) part of the
date, to testify and give evidence as a witness in this action on the
d. FL-155 with a blank FL-155 (Simplified Financial Statement)
e. DV-125 (Reissue Temporary Restraining Order)
f. Your failure(Restraining Order After Hearing)
DV-130 to comply with this subpoena is punishable as a contempt of court and will make you liable to
whose behalf
the party on Other (specify): this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
g.
result of your failure to comply.
5 I gave copies of the documents checked above to the person in ❷ on:
Witness, Honorable
a. Date: b. Time: a.m. one
,p.m. of the Justices of the
Court in County, day of , 20
c. At this address:
6 Server’s Information
(Attorney must sign above and type name below)
Name:
Address:
Telephone: Attorney(s) for
(If you are a process server):
County of registration: Registration number:
7 Office and P.O. the information above is true and
I declare under penalty of perjury under the laws of the State of California thatAddress
correct.
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.: DV-200, Page 1 of 1
Rev. January 1, 2003, Optional Form Proof of Service (In Person) (CLETS)
Family Code, §§ 6324, 6340–6344 (Domestic Violence Prevention) American LegalNet, Inc.
www.USCourtForms.com