Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/civil-harassment-response-packet.pdf

Sparse pages use OCR; original PDF remains authoritative.

STANISLAUS COUNTY SUPERIOR COURT CIVIL DIVISION www.stanislaus.courts.ca.gov (209) 530-3100 Revised 1/1/2025 CIVIL HARASSMENT RESPONSE All documents must be typed or printed legibly per Rules of Court 2.104. One (1) original plus two (2) copies of the Response and Proof of Service are required for filing. You must obey the Temporary Restraining Order (if one was issued and served on you) until the hearing. In this packet you will find the following forms:

1. | How Can I Respond to a Request for Civil Harassment Restraining Orders (CH-120-INFO)
2. Response to Request for Civil Harassment Restraining Orders (CH-120)
3. Proof of Service of Response by Mail (CH-250) The following forms need to be served on the other party. e Response to Request for Civil Harassment Restraining Orders (CH-120) e Proof of Service of Response by Mail (CH-250) This is the paperwork the restrained person(s) needs to fill out and file with the Court to answer the protected person(s) request for a Civil Harassment Restraining Order.

How Can I Respond to a Request for CH-120-INFO Civil Harassment Restraining Orders? How long does the order last? If the court issued a temporary restraining order before the hearing, it will last until your hearing date. At that time, the court will decide to continue or cancel the order. Any order issued at the hearing can last for up to five years. Do I need a lawyer? Having a lawyer is always a good idea, but it is not required, and you are not entitled to a free, court-appointed attorney. Ask the court clerk about free and low-cost legal services and self-help centers in your county. Will | see the person who asked for the order at the court hearing? Yes. Assume that the person who is asking for the order will attend the hearing. Do not talk to them unless the judge or that person’s attorney says that you can. Can | bring a witness to the court hearing? Yes. You can bring witnesses or documents that support your case to the hearing. But if possible, you should also bring the witnesses’ written statements of what they saw or heard. Their statements must be made under penalty of perjury. You can use form MC-030 for this. What if I don't speak English? When you file your papers, ask the clerk if a court interpreter is available. You can also use form INT-300, Request for Interpreter (Civil), or a local court form or website to request an interpreter. For more information about court interpreters, go to selfhelp.courts.ca.gov/ request-interpreter. Information about the process is also available online. See selfhelp.courts.ca.gov/CH-restraining-order. For help in your area, contact: [Local information may be inserted.] What if | have a firearm (gun), firearm part, or ammunition? If a restraining order is issued, you cannot own, possess, or have a firearm (gun), firearm parts, ammunition, or body armor while the order is in effect. If you have a firearm (gun), firearm parts, or ammunition, you must sell it to or store it with a licensed gun dealer, or turn it in to a law enforcement agency. What if | need to have a firearm or ammunition for my job? If the judge grants a restraining order against you, you cannot have firearms or ammunition. The judge may give you permission to have a firearm or ammunition for work. Before permission 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 that you will have to prove. For more information, go to selfhelp.courts.ca.gov/respond-to-CH-restraining-order/ obey-firearms-orders/exception, or see Code of Civil Procedure section 527.9(f). What if | need to have body armor? If you need to have and use body armor for your work, livelihood, or safety, you may ask for an exception with the chief of police or sheriff in the county where you will have and use the body armor (see Penal Code section 31360(c)). Can | agree with the protected person to cancel the order? No. Once the order is issued, only the judge can change or cancel it. You or the protected person would have to file a request with the court to cancel the order. What if | have a disability? If you have a disability and need an accommodation while you are at court, you can use form MC-410, Disability Accommodation Request, to make your request. You can also ask the ADA Coordinator in your court for help. For more information, see form MC-410-INFO, How to Request a Disability Accommodation for Court. Rev. January 1, 2026 How Can | Respond to a Request for Civil CH-120-INFO, Page 2 of 2 Harassment Restraining Orders? (Civil Harassment Prevention)

Response to Request for Civil CH-120 Harassment Restraining Orders Use this form to respond to the Request (form CH-100) Read How Can I Respond to a Request for Civil Harassment Restraining Orders? (form CH-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 person in @ or their lawyer by mail with a copy of this form and any attached pages. (Use form Clerk stamps date here when form is filed. CH-250, Proof of Service by Mail.) Person Seeking Protection Full name of person seeking protection (see form CH-100, item 1): Fill in court name and street address: Superior Court of California, County of Person From Whom Protection Is Sought a. Your Name: Stanislaus 801 10th Street 4th Floor Modesto, CA 95354 Your Lawyer (if you have one for this case) Name: Firm Name: State Bar No.: Court fills in case number when form is filed. b. Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or email.) Address: Case Number: City: State: Zip: Telephone: Fax: Present your response and any opposition at the hearing. Write your hearing date, time, and place from form CH-109, item 3, here: Email Address: (3) ( Personal Conduct Orders a. (-] Lagree to the orders requested. b. [1 I do not agree to the orders requested. (Specify why you disagree in 42) on page 4.) (Hearing> Date: Time: Date Dept.: Room: If you were served with a temporary restraining order, you must obey it until the hearing. At the hearing, the court may make orders against you that last for up to five years. c. [] Lagree to the following orders (Specify below or in 2) on page 4.) (4) (1 Stay-Away Orders a. (] [agree to the orders requested. b. 1 Ido not agree to the orders requested. (Specify why you disagree in @) on page 4.) c. [[] Lagree to the following orders (specify below or in @ on page 4): Judicial Council of California, courts.ca.gov. Rev. January 1, 2026, Mandatory Form Code Civ, Proc., §§ 527.6, 527.9 Response to Request for Civil Harassment Restraining Orders > CH-120, Page 1 of 5 (Civil Harassment Prevention)

Case Number: (6) C1 Additional Protected Persons a. (] I agree that the persons listed in item 3 of form CH-100 may be protected by the order requested. b. CJ I do not agree that the persons listed in item 3 of form CH-100 may be protected by the order requested. ) Firearms (Guns), Firearm Parts, and Ammunition If you were served with form CH-110, Temporary Restraining Order, you cannot own or possess any firearms (guns), firearm parts, or ammunition. This includes firearm 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 CH-110.) You must sell to 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 CH-110. You must file a receipt with the court. You may use Receipt for Firearms, Firearm Parts, and Ammunition (form CH-800) for the receipt. a. [[] Ido not own or control any firearms (guns), firearm parts, or ammunition. b. (J Ihave 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) (1 is attached. (2) (J has already been filed with the court. c. (] Lask for an exception to carry a firearm or ammunition for work. (Complete items (1)-(3) below): (1) Are you a sworn peace officer? [1 No ( Yes (2) Are there any orders or state or federal laws that prohibit you from having firearms or ammunition? C1 No (1 I don’t know (explain): LC 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.gow/ respond-to-CH-restraining-order/obey-firearms-orders/exception or see Code of Civil Procedure section 527.9(f).) Rev. January 1, 2026 Response to Request for Civil Harassment CH-120, Page 2 of 5 Restraining Orders > (Civil Harassment Prevention)

Case Number: @) No Body Armor If you were served with form CH-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. CJ Thave relinquished all body armor that I have in my possession. c. [1] 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.) 1 Possession and Protection of Animals a. (] IL agree to the orders requested. b. [1] I do not agree to the orders requested. (Specify why you disagree in @) on page 4.) c. [] Lagree to the following orders (specify below or in @2)on page 4): (9) ( Other Orders a. (] Lagree to the orders requested. b. [1] I do not agree to the orders requested. (Specify why you disagree in @ on page 4.) c. [] Lagree to the following orders (specify below or in @) on page 4): C1 Denial I did not do anything described in item 7 of form CH-100. (Skip to 2). ) Rev. January 1, 2026 Response to Request for Civil Harassment CH-120, Page 3 of 5 Restraining Orders > (Civil Harassment Prevention)

Case Number: (1) (CO Justification or Excuse If] did some or all of the things that the person in (has accused me of, my actions were justified or excused for the following reasons (explain): (1 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. (42) (1 Reasons | Do Not Agree to the Orders Requested Explain your answers to each order requested that you do not agree with. C] 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 Request for Civil Harassment CH-120, Page 4 of 5 Restraining Orders —-> (Civil Harassment Prevention)

Case Number: (43) 1 No Fee for Filing a. [] Trequest that I not be required to pay the filing fee because the person in @) claims in form CH-100, item 13, to be entitled to free filing. b. [J 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.) [] Lawyer's Fees and Costs a. [1] Iask the court to order payment of my [] Lawyer’s fees [[] Court costs. The amounts requested are: Item Amount Item Amount $ $ $ $ $ $ Check here if there are more items. Put the items and amounts on an attached sheet of paper and write “Attachment 14—Lawyer’s Fees and Costs” for a title. You may use form MC-025, Attachment. b. [1 [ask the court to deny the request of the person asking for protection that I pay their lawyer’s fees and costs. (45) 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 and on all attachments is true and correct. Date: Type or print your name Sign your name Rev. January 1, 2026 Response to Request for Civil Harassment CH-120, Page 5 of 5 Restraining Orders (Civil Harassment Prevention)

How Can I Respond to a Request for ManicAaeaMied Civil Harassment Restraining Orders? What is a civil harassment restraining order? It is a court order that prohibits you from doing certain things and going to certain places. What does the order do? The court can order you to: © Not contact the person who asked for the order e Stay away from that person and the person’s home and workplace © Not have any firearms (guns), firearm parts, ammunition, or body armor as long as the order is in effect. This includes firearm receivers and frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code section 16531). For more information about the items you would not be allowed to have, please see selfhelp.courts.ca.gov/ restraining-orders/prohibited-items. Who can ask for a civil harassment restraining order? A person who is worried about safety because they have been or are being: e Stalked e Harassed e Assaulted, including sexually, or e Threatened with violence I've been served with a request for civil harassment restraining orders. What do! do now? Read the papers served on you very carefully. The Notice of Court Hearing tells you when to appear in court. There may also be a Temporary Restraining Order forbidding you from doing certain things. You must obey the order until the hearing. What if | don't agree with what the order says? You still must obey the order until the hearing. If you disagree with the orders the person is asking for, fill out form CH-120, Response to Request for Civil Harassment Restraining Orders, before your hearing date and file it with the court. If you need to include attachments, you can use form MC-025. You can get the forms from legal publishers or from the California Courts website at courts.ca.gov/rules-forms/find-your-court-forms. Forms may also be at your local courthouse or county law library. What if | don't obey the order? The police can arrest you. You can go to jail and pay a fine. Do I have to serve the other person with a copy of my response? Yes. Have someone age 18 or older—not you—mail a copy of completed form CH-120 to the person who asked for the order (or that person’s lawyer). (This is called “service by mail.”) The person who serves the form by mail must fill out form CH-250, Proof of Service by Mail. Have the person who did the mailing sign the original. Take the completed form back to the court clerk or bring it with you to the hearing. Should | go to the court hearing? Yes. You should go to court on the date listed on form CH-109, Notice of Court Hearing. If you do not go to the hearing, the judge can make orders against you without hearing from you.

| CH-109 | Notice of Court Hearing Tia arise Pa a Re

@® Person Seeking Protection ~ a. Your Full Namo: b. Your Addeess ( Tewyer's Uf you do nat he ep your home address ides instead. You do not ‘ibn cour are ond oboe wees [Superior Cour of California, County OF Emait Address: (& Person From Whom Protection t Full Name: The court will complete the rest of © Notice of Hearing A court hearing is scheduled on the request for restraining orders against the person in @ Name and address of court if different from above: Date: ime: — TT Depts Room: ee —_ (& Temporary Restraining Order a. Temporary resteaining orders for for Cwvl Harassment Restraining (1) CA GRANTED until the cour (2) ©) AILDENIED until dhe cout hs NTED and partly DE! easons for denial in b, belo.) ;D until the court hearing. (Specify reasons for dental mb, below.) Notice of Court Hearing (Civil Harassment Prevention) (CH-109, Page tor Judicial Council of California, courts.ca.gov Rev, January 1, 2026, Optional Form Code Civ. Proc., §§ 527.6, 527.9 How Can | Respond to a Request for Civil Harassment Restraining Orders? > CH-120-INFO, Page 1 of 2 (Civil Harassment Prevention)

. . Clerk stamps date here when form is filed. CH-250 Proof of Service by Mail @ @) @) Name of Person Asking for Protection: Name of Person to Be Restrained: Notice to Server The server must: Fill in court name and street address: Superior Court of California, County of ¢ Not be listed in items (4),@), or @) of form CH-100, Request for Civil | STANISLAUS Harassment Restraining Orders. 801 10TH STREET, 4TH FLOOR MODESTO, CA 95354

• Be 18 years of age or over. e Mail a copy of all documents checked in @ to the person in (6), I (the server) am 18 years of age or over and live in or am employed __ Fill in case number: in the county where the mailing took place. I mailed a copy of all Case Number: documents checked below to the person in(): a. [] CH-120, Response to Request for Civil Harassment Restraining Orders b. [] CH-130, Civil Harassment Restraining Order After Hearing c. [] Other (specify): I placed copies of the documents checked above in a sealed envelope and mailed them as described below:

  Name of person served: b. To this address: City: State: Zip: c. Mailed on (date): d. Mailed from (city): (state): Server’s Information Name: Address: City: State: Zip: Telephone: 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. Date: Type or print server’s name Server to sign here Judicial Council of California, www.courts.ca.gov Proof of Service by Mail (CLETS) CH-250, Page 1 of 1 Rev. September 1, 2022, Optional Form aoe . Code of Civ Procedure, § 6276 (Civil Harassment Prevention)