Mendocino — WV-120

Source: http://www.courts.ca.gov/documents/wv120.pdf

Clerk stamps date here when form is filed. Response to Petition for Workplace WV-120 Violence Restraining Orders

Use this form to respond to the Petition (form WV-100) Read How Can I Respond to a Petition for Workplace Violence Restraining Orders? (form WV-120-INFO) to protect your rights. Fill out this form and take it to the court clerk. Have someone age 18 or older—not you—serve the petitioner or the petitioner’s lawyer by mail with a copy of this form and any attached pages. (Use form WV-250, Proof of Service of Response by Mail.) Fill in court name and street address: Superior Court of California, County of 1 Petitioner (Employer or Collective Bargaining Representative) Name: 2 Employee Who Petitioner Asserts Suffered Harassment, Violence, or Threat of Violence Fill in case number: Full Name: Case Number: 3 Respondent (Person From Whom Protection Is Sought) a. Your Name: Your Lawyer (if you have one for this case) Name: State Bar No.: Firm Name: b. Your Address (You may give a mailing address if you want to keep your street address private; skip this if you have a The court will consider your response at the lawyer.) hearing. Write your hearing date, time, and place from form WV-109, item 4, here: Address: City: State: Zip: Date: Time: Hearing Telephone: Fax: Date Dept.: Room: Email Address: If you were served with a temporary 4 Personal Conduct Orders restraining order, you must obey it until the hearing. At the hearing, the court may make a. I agree to the orders requested. orders against you that last for up to three years. b. I do not agree to the orders requested. (Specify why you disagree in 12 on page 4.) c. I agree to the following orders (specify below or in 12 on page 4):

5 Stay-Away Orders a. I agree to the orders requested. b. I do not agree to the orders requested. (Specify why you disagree in 12 on page 4.) c. I agree to the following orders (specify below or in 12 on page 4):

Judicial Council of California, courts.ca.gov WV-120, Page 1 of 5Rev. January 1, 2026, Mandatory Form Response to Petition for Workplace Violence Code Civ. Proc., §§ 527.8, 527.9 Restraining Orders (Workplace Violence Prevention)

Case Number:

6 Protected Persons Not Listed in 2 a. I agree that the persons listed in item 4 of the Petition may be protected by the order requested.

b. I do not agree that the persons listed in item 4 of the Petition may be protected by the order requested.

7 Firearms (Guns), Firearm Parts, and Ammunition If you were served with form WV-110, Temporary Restraining Order, you cannot own or possess any firearms (guns), firearm parts, or ammunition. This includes firearms receivers and frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code section 16531). (See item 7 of form WV-110.) You must sell or store with a licensed gun dealer, or turn in to a law enforcement agency, any firearms (guns), firearm parts, and ammunition in your immediate possession or control within 24 hours of being served with form WV-110. You must file a receipt with the court. You may use form WV-800, Receipt for Firearms, Firearm Parts, and Ammunition, for the receipt. a. I do not own or control any firearms (guns), firearm parts, or ammunition. b. I have turned in my firearms (guns), firearm parts, and ammunition to law enforcement or sold them to or stored them with a licensed gun dealer. A copy of the receipt (1) is attached. (2) has already been filed with the court. c. I ask for an exception to carry a firearm or ammunition for work. (Complete items (1)–(3) below): (1) Are you a sworn peace officer? No Yes (2) Are there any orders or state or federal laws that prohibit you from having firearms or ammunition? No I don’t know (explain):

Yes (explain):

(3) (Explain what your job is and why you need a firearm or ammunition):

(Note: You must follow any orders to turn in, sell, or store prohibited items until the judge decides whether to grant you an exception. Before an exception can be granted, you will be required to show the judge that (1) carrying a firearm or ammunition is required for your work, and (2) your employer is unable to reassign you to another position where carrying a firearm or ammunition is not necessary. There are other things you will need to prove. For more information on what you need to show the judge to qualify for this exception, go to selfhelp.courts.ca.gov/ respond-to-WV-restraining-order/obey-firearms-orders/exception or see Code of Civil Procedure section 527.9(f).)

Rev. January 1, 2026 Response to Petition for Workplace Violence WV-120, Page 2 of 5 Restraining Orders (Workplace Violence Prevention)

Case Number:

8 No Body Armor If you were served with form WV-110, Temporary Restraining Order, you are prohibited from owning, possessing, or buying body armor. You must also relinquish any body armor you have in your possession. (Check all that apply): a. I do not own or have any body armor. b. I have relinquished all body armor that I have in my possession.

c. I was granted an exception, or will ask for an exception, to have body armor. Note: This exception is granted
by a chief of police or sheriff. See Penal Code section 31360(c). (Attach a copy of the letter granting
permission, if you have one.)

9 Other Orders a. I agree to the orders requested. b. I do not agree to the orders requested. (Specify why you disagree in 12 on page 4.) c. I agree to the following orders (specify below or in 12 on page 4):

10 Denial I did not do anything described in item 8 of form WV-100. (Skip to 12 .)

Rev. January 1, 2026 Response to Petition for Workplace Violence WV-120, Page 3 of 5 Restraining Orders (Workplace Violence Prevention)

Case Number:

11 Justification or Excuse If I did some or all of the things that the petitioner has accused me of, my actions were justified or excused for the following reasons (explain): Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 11—Justification or Excuse” as a title. You may use form MC-025, Attachment.

12 Reasons I Do Not Agree to the Orders Requested Explain your answers to each order requested that you do not agree with. Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 12—Reasons I Disagree” as a title. You may use form MC-025, Attachment.

Rev. January 1, 2026 Response to Petition for Workplace Violence WV-120, Page 4 of 5 Restraining Orders (Workplace Violence Prevention)

Case Number:

13 No Fee for Filing a. I ask the court to waive the filing fee because the petitioner claims in form WV-100, item 14, to be entitled to free filing. b. I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form FW-001, Request to Waive Court Fees, must be filed separately.)

14 Costs a. I ask the court to order the petitioner to pay my court costs. The amounts requested are:

Item Amount Item Amount
$ $
$ $
$ $

Check here if there are more items. Put the items and amounts on the attached sheet of paper and write
“Attachment 14—Costs” for a title. You may use form MC-025, Attachment.
b. I ask the court to deny the request of the person asking for protection that I pay their lawyer’s fees and costs.

15 Number of pages attached to this form, if any:

Date:

Lawyer’s name (if any) Lawyer’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

Page 5 of 5Rev. January 1, 2026 Response to Petition for Workplace Violence WV-120,
Restraining Orders
(Workplace Violence Prevention)

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