Mendocino — CLETS-001

Source: http://www.courts.ca.gov/documents/clets001.pdf

CLETS-001 Confidential Information for Law Enforcement

To Court Clerk: Do not file this form.

Instructions: The information on this form must be • If you are asking for a restraining order, you must complete this form and entered into the protective order give it to the court clerk, along with the other court forms required in your registry in CLETS. case. For juvenile orders, list the primary protected person’s information in 2 and 3 . Court fills in case number when form is received. Case Number: • If the judge grants the restraining order, information you give on this form will be entered into a California database (called CLETS) to help law enforcement enforce the order. Date received by court: • If information changes later, you may complete this form again and turn it in to the court.

Information that has a star (*) next to it is required. All other information is helpful.

1 Person You Want a Restraining Order Against *Name: Other names used: Marks, scars, or tattoos: Driver’s license (number and state): SSN: Vehicle type: Model: Year: Plate number: Telephone: Name of employer and address:

Does the person speak English? Yes No (list language): I don’t know

Does the person have any firearms (guns), firearm parts, ammunition, or body armor? No I don’t know Yes (Give any information you have below, like the type, amount, or location of any items, if known.)

This is not a Court Order—Do not place in court file.

Judicial Council of California, courts.ca.gov CLETS-001, Page 1 of 2Rev. January 1, 2026, Mandatory Form Confidential Information for Law Enforcement Cal. Rules of Court, rule 1.51

Case Number:

2 *Your Name:

(Skip 3 and 4 if you are asking for a gun violence (form GV-100) or retail crime (form RT-100) restraining order.)

3 Your Information *Gender: M F X (nonbinary) Race: *Age:

Date of Birth (month, day, year): (If the judge grants your restraining order, your information will be entered into California’s law enforcement database. If you give your date of birth, it will also be entered into the federal law enforcement database. If your information is not in the federal law enforcement database, your restraining order may be more difficult to enforce outside of California.)

Telephone:

Do you speak English? Yes No (list language):

4 Other People You Want Protected *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth:

Check here if you have more people to list. Write them on a separate piece of paper, write “Item 4” at the top, and attach it to this form.

This is not a Court Order—Do not place in court file.

Rev. January 1, 2026 Confidential Information for Law Enforcement CLETS-001, Page 2 of 2 For your protection and privacy, please press the Clear button after you have printed the form. Print Save Clear