Stanislaus — Domestic Violence Restrained Person’s Packet

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/packet-dv-restrained.pdf

Sparse pages use OCR; original PDF remains authoritative.

www.stanislaus.courts.ca.gov (209)530-3100 Street Address: 1100 I Street Modesto, CA 95353 Mailing Address: P.O. Box 1098 Modesto, CA 95353

Self Help Center: 800 11th Street Room #220 Modesto, CA 95353

(PROVIDING ASSISTANCE TO PARTIES REPRESENTING THEMSELVES)

DOMESTIC VIOLENCE

RESTRAINED PERSON’S PACKET

All documents must be typed or printed legibly per Rules of Court 2.104, in blue or black ink.

This packet includes the necessary forms to respond to a temporary restraining order.

Judicial Council forms, local forms, and information are available in the Clerk’s Office, the Stanislaus County Law Library located at 1101 13th Street, Modesto, CA and on the following websites:

Stanislaus County Superior Court: www.stanislaus.courts.ca.gov Judicial Council’s Self Help: www.selfhelp.courts.ca.gov Judicial Council Forms: www.courts.ca.gov/forms-rules/find-your-court-forms Stanislaus County Law Library: www.stanislauslawlibrary.org California’s Free Website for Legal Help: www.lawhelpcalifornia.org

REQUIRED FORMS: CLETS-001 - Confidential CLETS Information DV-120 - Response to Request for Domestic Violence Restraining Order DV-250 - Proof of Service By Mail

ATTACHMENT FORMS: The following forms are provided in this packet and may be used if they apply to your circumstances: CLETS-001 – Confidential CLETS Information DV-125 – Response to Request for Child Custody and Visitation Orders DV-800/JV-270 – Proof of Firearms Turned in, Sold or Stored FL-150 - Income and Expense Declaration(Only required if addressing support issues)

NOTES: If you are responding to an order regarding economic issues (example: child support or spousal support), you MUST file either an Income and Expense Declaration (FL–150) or a Financial Statement (FL-155). The Income and Expense Declaration is included in this packet. If your only source of income is TANF,

Revised 1/2025

SSI, or GA/GR or if you have applied for TANF, SSI, or GA/GR, the Financial Statement is available upon request. Both forms are accessible on the Judicial Council website listed above. The Income and Expense Declaration can be typed directly from the website and the calculations will be computed for you.

Parties are encouraged to review and comply with Local Rules regarding Family Law proceedings. Local Rules can be located on the following Superior Court website: www.stanct.org.

Material distributed by the Superior Court Clerk’s Office or Self Help Center IS INTENDED FOR INFORMATIONAL AND EDUCATIONAL PURPOSES ONLY. Such material is NOT LEGAL ADVICE and is not intended to be legal advice as to your specific case. IT IS NOT INTENDED TO TAKE THE PLACE OF LEGAL ADVICE FROM AN ATTORNEY. You are strongly urged to seek the advice of a licensed attorney before starting or completing your case in order to protect valuable legal rights that you may have, of which you may be unaware of. Please contact an attorney of your choice, the Clerk’s Office cannot give you legal advice.

Revised 1/2025

DV-120-INFO How Can I Respond to a Request for Domestic Violence Restraining Order?

I was served with form DV-100, DV-109, or What can a restraining order do? DV-110. What does this mean? A restraining order can include orders for you to: Someone has asked for a domestic violence restraining order against you. On the forms, you are the "person Not contact or harm the protected person, including in 2 " and the person who wants a restraining order children or others listed as protected people against you is listed in 1 on all the forms. Stay away from all protected people and places Form DV-100: This form has all the orders that the person in 1 has asked the judge to order. Not have any firearms (guns), firearm parts, ammunition, or body armor. This includes Form DV-109: Your court hearing (court date) is homemade or untraceable guns, like "ghost guns." listed on this form. You should attend the court hearing if you do not agree to the orders requested. If Move out of the place that you share with the you do not attend, the judge can make orders against protected person you without hearing from you. Follow custody and visitation orders Form DV-110: If you were served with form DV-110, it means that the judge granted a temporary Pay child support restraining order against you. You must follow the orders. Pay spousal support

Pay debt for property

What is a Domestic Violence Restraining Give control of property (examples: cell phone,Order? car, home) to the person asking for protection. It is a court order that can help protect people who have been abused by someone they have been intimate with, or are closely related to. To be eligible, the person asking for How long does the order last? the restraining order must be: If the judge granted a temporary restraining order (form DV-110), it will last until the hearing date. At your court Someone you date or used to date hearing, the judge will decide whether to extend the order or cancel the order. The judge can extend the order for up A spouse, ex-spouse, registered domestic partner, or to five years. Custody, visitation, child support, and ex-domestic partner spousal support orders can last longer than five years and they do not end when the restraining order ends. Someone you live or lived with (more than a roommate) What if I don't obey the order? Your parent, sibling, child, grandparent, or grandchild The police can arrest you. You can go to jail and pay a related by blood, marriage, or adoption fine. You must still follow the orders even if you are not a U.S. citizen. If you are worried about your immigration status, talk to an immigration lawyer.What if I have children with the person asking for a restraining order? What if I want to leave the county or state? A restraining order can include orders for your children, including listing them as protected persons. It can also You must still comply with the restraining order, include child custody and visitation orders and orders to including custody and visitation orders. The restraining limit your ability to travel with your children. order is valid anywhere in the United States.

Judicial Council of California, www.courts.ca.gov How Can I Respond to a Request for DV-120-INFO, Page 1 of 3Rev. January 1, 2025 Domestic Violence Restraining Order? (Domestic Violence Prevention)

DV-120-INFO How Can I Respond to a Request for Domestic Violence Restraining Order?

What do I do next?

Part 1: Turn in or sell prohibited items Part 3: Respond in writing (optional)

If there is a temporary restraining order against "Respond" means to let the judge and the other side you (see form DV-110), then you must know whether you agree or disagree with the request for immediately turn in, sell, or store any restraining order, and why. Responding in writing is prohibited items you have or own. optional and there is no penalty if you don't. If you need Prohibited items include: more time to prepare for your case, talk to a lawyer or self-help center staff before you file a response. Firearms, including any handgun, rifle, shotgun, and assault weapon If you want to respond in writing, complete form DV-120, Response to Request for Domestic Violence Firearm parts, meaning receivers, frames, and any Restraining Order. After you complete the form, file it item that may be used as or easily turned into a receiver with the court. There is no court fee to file this form. or frame Then "serve" the form on the person asking for the Ammunition, including bullets, shells, cartridges, restraining order. "Serve" means to have someone 18 and clips years old or older mail a copy to the person asking for the restraining order. You cannot be the one to mail your You must then prove to the court that you've complied papers. The person who mails your form must fill out with the orders. Bring form DV-800/JV-270, Receipt for form DV-250, Proof of Service by Mail. After form Firearms, Firearm Parts, and Ammunition, to a gun DV-250 is completed, file it with the court. dealer or law enforcement when you turn in your items. After DV-800/JV-270 is complete, file it with the court. You may ask the court for information on how to turn in, Part 4: Get ready and go to your court hearing sell, or store these items in your city or county. You can also read form DV-800-INFO/JV-270-INFO, How Do I Your court hearing is listed on form DV-109, Notice of Turn In, Sell, Or Store My Firearms, Firearm Parts, and Court Hearing. You have the option of attending your Ammunition?. hearing in-person or remotely (by phone, or videoconference if available). For information on how to attend your hearing remotely, go to the court's website. Part 2: Relinquish body armor Some courts may require advance notice. At the hearing, you and the other side will have the opportunity to tell If there is a temporary restraining order against you (see your side of the story. For more information, read form form DV-110), you must relinquish any body armor that DV-520-INFO, Get Ready for the Restraining Order you have or own. Court Hearing. If you need more time to prepare your case, you may ask the judge for a new court date. The judge will decide whether to grant your request. Read Note: If you need to have and use body armor for your form DV-115-INFO, How to Ask For a New Hearing work, livelihood, or safety, you may ask for an exception Date, for more information. Note that if the judge does with a chief of police or sheriff in the county where you give you a new court date and if there is a temporary will have and use the body armor (see Penal Code section restraining order against you, the judge will usually 31360(c)). extend the temporary restraining order until the next court date.

Rev. January 1, 2025 How Can I Respond to a Request for DV-120-INFO, Page 2 of 3 Domestic Violence Restraining Order? (Domestic Violence Prevention)

DV-120-INFO How Can I Respond to a Request for Domestic Violence Restraining Order?

Do I need a lawyer? Where can I find a self-help center? It’s possible to go through this process without a lawyer. Free legal help is available at your court's self-help But having a restraining order against you may have a lot center. Find your local court's self-help center at of consequences, and you may want to hire a lawyer. www.selfhelp.courts.ca.gov/find. Self-help center staff If you don't hire a lawyer, you can get free help from will not act as your lawyer but may be able to give you your court's self-help center. information to help you decide what to do in your case, and help you with the forms. Staff may also refer you to other agencies who may be able to help you.What if I was arrested or have criminal charges against me? Information about the court process is also Anything you write in your court papers or say at a available online hearing for this case and for any criminal case can be used against you. Talk to a lawyer if you have any https://selfhelp.courts.ca.gov/respond-to-DV- concerns about what you can do and say. restraining-order

What if I am a victim or survivor of domestic

What if I have more than one restraining violence? order against me? The National Domestic Violence Hotline provides free If the police are called to enforce the order, they will need and private safety tips. Help is available in over 100 to follow the rules of enforcement (see "Priority of languages. Visit online at www.thehotline.org or Enforcement" listed on the back of form DV-110, call 1-800-799-7233; 1-800-787-3224 (TTY). DV-130, and CR-160). If you have questions about any of the orders against you, contact your local self-help center or talk to a lawyer. Find your local court's self-help center What if I need an interpreter? at www.selfhelp.courts.ca.gov/find. You may use form INT-300 to request an interpreter or ask the clerk how you can request one. What if I need a restraining order against the other person? Request for Accommodations Do not use form DV-120 to request a domestic violence You may use form MC-410 to request assistance. restraining order. For information on how to file your own Contact the disability/ADA coordinator at your local restraining order, read form DV-505-INFO. You can also court for more information. ask the court clerk about free or low-cost legal help.

Assistive listening systems, computer-assisted real-time captioning, or sign languageCan I use the restraining order to get interpreter services are available if you ask atdivorced or end a domestic partnership? least five days before the hearing. Contact the

No. These forms will not end your marriage or registered clerk’s office or go to www.courts.ca.gov/ domestic partnership. You must file other forms to end forms.htm for Disability Accommodation your marriage or registered domestic partnership. Request (form MC-410). (Civil Code section 54.8.)

Rev. January 1, 2025 How Can I Respond to a Request for DV-120-INFO, Page 3 of 3 Domestic Violence Restraining Order? (Domestic Violence Prevention)

How Do I Turn In, Sell, or Store My Firearms, DV-800-INFO/JV-270-INFO Firearm Parts, and Ammunition?

What do I need to turn in, sell, or store? How do I take prohibited items to law enforcement? You must turn in, sell, or store all of the following prohibited items that you have or own: Call your local law enforcement agency to ask about their procedures. They will give you specific Firearms, including any handgun, rifle, shotgun, instructions, like making sure your firearms are and assault weapon; unloaded and in the trunk of the car. Take a copy of the restraining order with you. Do not bring your firearms Firearm parts, includes receivers, frames, and any to court. item that may be used as or easily turned into a receiver or frame (also called "ghost guns"); and Ammunition, including bullets, shells, cartridges, If I turn in my firearms to law enforcement, and clips. how long will they keep them?

It depends. There are procedures for getting your

firearms back after a restraining order expires. Ask theHow do I properly turn in, sell, or store the

law enforcement agency.prohibited items?

You must take them to:

Law enforcement, who will accept all prohibited items for safekeeping or to destroy, After I give my firearms to law enforcement, can I change my mind? or Yes. You are allowed to make one sale through a A licensed gun dealer, who can buy or store your licensed gun dealer. To do this, a licensed gun dealer firearms. If you have firearm parts or ammunition, must present a bill of sale to your local law enforcement call ahead for more information. agency. The law enforcement agency will give the licensed gun dealer the firearms you are selling. When do I turn in, sell, or store prohibited items? How do I prove to the judge that I have Immediately, if law enforcement asks you to. complied with (obeyed) the orders? Otherwise, within 24 hours of being served, or told by a judge to do so. 1 Bring a copy of form DV-800/JV-270, Receipt for Firearms, Firearm Parts, and Ammunition, with Can I give my prohibited items to family or you, and ask the dealer or officer to complete and friends? sign the form.

No, only to law enforcement or a licensed gun dealer. 2 File form DV-800/JV-270 with the court. Make You cannot give your prohibited items to a family sure you get two copies. All receipts must be filed member, friend, or anyone else. with the court within 48 hours from the time you were served with the restraining order, unless the Do I have to pay a fee to store prohibited judge gave you another deadline. items?

You may have to pay a fee. Contact law enforcement or a licensed gun dealer about fees and whether they have space to store your items.

Judicial Council of California, www.courts.ca.gov DV-800-INFO/JV-270-INFO, Page 1 of 2 Rev. January 1, 2024, Optional Form How Do I Turn In, Sell, or Store My Firearms, Firearm Parts, and Ammunition?

How Do I Turn In, Sell, or Store My Firearms, DV-800-INFO/JV-270-INFO Firearm Parts, and Ammunition?

Do I need to bring a copy of the receipt to anyone besides the judge?

Yes, if:

Law enforcement served you with the restraining order, you must give them a copy of your receipt (example: form DV-800/JV-270). If you don't know who served you with the restraining order, ask the court clerk for a copy of the proof of service form for the restraining order. The law enforcement agency is listed on that form.

You did not obey the order when you were supposed to, and the court notified law enforcement or a prosecuting attorney. (Tip: Look at forms DV-110, DV-130, or DV-820 to see if the court notified another agency. If the court did, give a copy of the receipt to the agencies listed on any of the forms).

Where can I find free help?

Free legal help is available at your court's self-help center. Find your local court's self-help center at www.selfhelp.courts.ca.gov/find. Self-help center staff will not act as your lawyer but may be able to give you information to help you decide what to do in your case, and help you with the forms. Staff may also refer you to other agencies who may be able to help you.

More information on how to obey these orders is available online

https://selfhelp.courts.ca.gov/respond-to-DV- restraining-order/obey-firearms-orders.

Rev. January 1, 2024 DV-800-INFO/JV-270-INFO, Page 2 of 2 How Do I Turn In, Sell, or Store My Firearms, Firearm Parts, and Ammunition?

Yes, I need an Interpreter!

Sí, necesito un Intérprete!

Name (Nombre): __________________________________ Case Number (Número de caso): _______________________ Language/Dialect Spoken (Que idioma/dialecto habla): □ Spanish (Español) Dialecto: _________________ □ Other: ___________ Dialect: __________________

Person requesting an Interpreter is:

Persona que solicita el intérprete es:

(Solicitante) □ Petitioner

(Demandado) □ Respondent (Persona Protegida) □ Protected Person (Persona Restringida) □ Restrained Person (Otro): ___________________________ □ Other

CLETS-001 Confidential Information for Law Enforcement

Instructions: If you are asking for a restraining order, you must complete To Court Clerk: Do not file this form. this form and give it to the court clerk, along with the other court forms The information on this form must be required in your case. If the judge grants the restraining order, information entered into the protective order you give on this form will be entered into a database (called CLETS) to help registry in CLETS. law enforcement enforce the order. If information changes later, you may complete this form again and turn it in to the court. Court fills in case number when form is received. Case Number: Information that has a star (*) next to it is required. All other information is helpful.

Date received by court:

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

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

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.)

2 *Your Name:

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

3 Your information *Age: Date of Birth (month, day, year): *Gender: M F X (nonbinary)

Race: 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 and write "Item 4" at the top and attach it to this form.

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

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2025, Mandatory Form Confidential Information for Law Enforcement CLETS-001, Page 1 of 1 Cal. Rules of Court, rule 1.51

Response to Request for Domestic Clerk stamps date here when form is filed. DV-120 Violence Restraining Order

Use this form if someone has asked for a domestic violence restraining order against you, and you want to respond in writing. You will need a copy of form DV-100, Request for Domestic Violence Restraining Order, that was filled out by the person who asked for a restraining order against you. There is no cost to file this form with the court. Do not use this form if you want to ask for your own restraining order. Read form DV-500-INFO, Can a Domestic Violence Restraining Order Help Me? to find out more about this type of restraining order. Fill in court name and street address:

Superior Court of California, County of 1 Name of Person Asking for Protection: STANISLAUS
(See form DV-100, item 1 ): 1100 I STREET
P.O. BOX 1098
MODESTO, CA 95353

2 Your Name: Fill in case number: Address where you can receive court papers Case Number:

(This address will be used by the court and by the person in 1 to
send you official court dates, orders, and papers. For privacy, you
may use another address like a post office box, a Safe at Home address,
or another person's address, if you have their permission and can get
your mail regularly. If you have a lawyer, give their information.)
Address:
City: State: Zip:

Your contact information (optional)

(The court could use this information to contact you. If you don't want the person in 1 to have this information,
leave it blank or provide a safe phone number or email address. If you have a lawyer, give their information.)

E-Mail Address: Telephone: Fax:

Your lawyer's information (if you have one)

Name: State Bar No.:
Firm Name:

3 Your Hearing Date (Court Date)

Your hearing date is listed on form DV-109, Notice of Court Hearing. If you do not agree to having a restraining order against you, attend your hearing date. If you do not attend your hearing, the judge could grant a restraining order that could last up to five years.

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2025, Mandatory Form Response to Request for DV-120, Page 1 of 8 Family Code, § 6200 et seq. Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

How to complete this form: To answer the questions below, look at the form DV-100 filled out by the person in 1 . Tip: When the restraining order forms say "the person in 2 " that means you, and the "person in 1 " means the person who is asking for a restraining order against you.

4 Information About You (see item 2 on form DV-100)

The person in 1 listed your name, age, gender, and date of birth. If any of the information is incorrect, use the space below to give the correct information.

5 Your Relationship to the Person in 1

In item 3 of form DV-100, has the person in 1 correctly described your relationship with them?
Yes No If no, what is your relationship with the person in 1 ?:

6 History of Court Cases and Restraining Orders(see item 4 on form DV-100)

The person in 1 may have listed other court cases or restraining orders involving you. If information is incorrect or missing, use the space below to give information.

Check here if you are including a copy of restraining order or court order that you want the judge to know about.

7 Other Protected People

If the judge grants a restraining order, it can include family or household members of the person in 1 . See item 8
on form DV-100 to see if the person in 1 is asking for other people to be protected by the restraining order.

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

8 Order to Not Abuse (see item 10 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

This is not a Court Order.

Rev. January 1, 2025 Response to Request for DV-120, Page 2 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

9 No-Contact Order (see item 11 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

10 Stay-Away Order (see item 12 on form DV-100)

a. I agree to the orders requested.
b. I do not agree to the orders requested.
Explain why you disagree, or describe a different order that you would agree to:

11 Order to Move Out (see item 13 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

12 Other Orders(see item 14 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

13 Child Custody and Visitation (see item 15 on form DV-100 and DV-105)

a. I am not the parent of the child listed in form DV-105, Request for Child Custody and Visitation Orders

b. I am the parent of the child or children listed in form DV-105 (check one):

(1) I agree to the orders requested.

(2) I do not agree to the orders requested. (Complete form DV-125, Response to Request for Child
Custody and Visitation Orders, and attach it to this form.)

This is not a Court Order.

Rev. January 1, 2025 Response to Request for DV-120, Page 3 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

14 Protect Animals (see item 16 on form DV-100)

a. I agree to the orders requested.
b. I do not agree to the orders requested.
Explain why you disagree, or describe a different order that you would agree to:

15 Control of Property(see item 17 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

16 Health and Other Insurance (see item 18 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

17 Record Communications (see item 19 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.

18 Property Restraint (see item 20 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

19 Pay Debt (Bills) Owed for Property(see item 22 on form DV-100)

a. I agree to the orders requested.
b. I do not agree to the orders requested.
Explain why you disagree, or describe a different order that you would agree to:

Rev. January 1, 2025 Response to Request for DV-120, Page 4 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

20 Pay Expenses Caused by the Abuse (see item 23 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

21 Child Support (see item 24 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
c. I agree to pay guideline child support. (Learn more about guideline child support at
www.courts.ca.gov/selfhelp-support.htm.)

22 Spousal Support (see item 25 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

23 Lawyer's Fees and Costs

If the person in 1 checked item 26 on form DV-100, this means that they have asked the judge to order you to pay their lawyer's fees and costs. You may also ask for lawyer's fees and costs. The judge can order the person in 1 to pay for your lawyer's fees and cost if: (1) The person in 1 's request for restraining order is denied; (2) The judge decides that the request was frivolous or was made only to abuse, intimidate, or cause unneeded delay; and (3) The person in 1 can afford to pay for your lawyer s fees and costs.

Check here if you want the person in 1 to pay for some or all of your lawyer s fees and costs.

This is not a Court Order.

Rev. January 1, 2025 Response to Request for DV-120, Page 5 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

24 Batterer Intervention Program (see item 27 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

25 Transfer Wireless Phone Account (see item 28 on form DV-100)

a. I agree to the order requested.
b. I do not agree to the order requested.
Explain why you disagree, or describe a different order that you would agree to:

26 Firearms (Guns), Firearm Parts, or Ammunition (see item 29 on form DV-100) If you were served with form DV-110, Temporary Restraining Order, you must follow the orders in 5 on form DV-110. You must file a receipt with the court from the law enforcement agency or a licensed gun dealer within 48 hours after you received form DV-110. You may use form DV-800/JV-270, Receipt for Firearms, Firearm Parts, and Ammunition. (Check all that apply) a. I do not own or have any prohibited items (firearms (guns), prohibited firearm parts, or ammunition). b. I have turned in all prohibited items that I have or own to law enforcement or sold/stored them with a licensed gun dealer. A copy of the receipt showing that I turned in, sold, or stored the prohibited items (check all that apply): is attached has already been filed with the court.

c. I ask for an exception to carry a firearm for work only. (You will have to show the judge that your work
requires you to have a firearm, and that your employer cannot reassign you to another position where a
firearm is not needed. If you are a peace officer, there are additional requirements. Note: Even if the judge
grants an exception under California law, you may be subject to federal prosecution for possessing or
controlling a firearm.)

(Give details, like what your job is and why you need a firearm):

This is not a Court Order.

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Case Number:

27 No Body Armor (see item 30 on form DV-100)

If you were served with form DV-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.)

28 Cannot Look for Protected People (see item 31 on form DV-100)

a. I agree to the order.
b. I do not agree to the order.
Explain why you disagree, or describe a different order that you would agree to:

29 Additional Reasons I Do Not Agree with the Request (optional) Explain why you do not agree to any of the orders requested by the person in 1 (give specific facts and reasons):

Check here if you need more space. Attach a sheet of paper and write "DV-120, Additional Reasons I Do Not Agree with the Request" at the top.

This is not a Court Order.

Rev. January 1, 2025 Response to Request for DV-120, Page 7 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Case Number:

30 My Out-of-Pocket Expenses

If the request for restraining order is denied by the judge at the court hearing, I ask the judge to order the
person in 1 to pay my out-of-pocket expenses because the temporary restraining order was granted without
enough supporting facts. The expenses are:

For: Because: Amount: $
For: Because: Amount: $
For: Because: Amount: $

31 Additional Pages

Number of pages attached to this form, if any:

32 Your 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

33 Your lawyer's signature (if you have one)

Date:

Lawyer’s name Lawyer’s signature

Your Next Steps

Turn in your completed form with the court.

If the person in 1 asked for child support, spousal support, or lawyer's fees, you must complete form FL-150 Income and Expense Declaration. If the person in 1 is only asking for child support (item 24 on form DV-100), you may be eligible to fill out a simpler form, form FL-155. Read form DV-570 to see if you are eligible to fill out form FL-155. Before your court date, you must file form FL-150 or FL-155 with the court.

Have someone else (not you) mail the person in 1 a copy of your forms, and complete form DV-250, Proof of Service by Mail. File form DV-250 with the court. (The person who mails this form must be at least 18 years old and cannot be you or someone protected on the restraining order.)

Prepare for your court date by gathering evidence or witnesses, if you have any. Learn more at https://selfhelp.courts.ca.gov/respond-domestic-violence-restraining-order. More information is also available on form DV-120-INFO, How Can I Respond to a Request for Domestic Violence Restraining Order?

This is not a Court Order.

Rev. January 1, 2025 Response to Request for DV-120, Page 8 of 8 Domestic Violence Restraining Order (Domestic Violence Prevention)

Response to Request for Child Case Number: DV-125 Custody and Visitation Orders

This form is attached to form DV-120.

How to complete this form: To answer the questions below, look at the form DV-105 filled out by the person in 1 . Tip: Where form DV-105 refers to "person in 2 ," that means you. If you need more space to complete your answer, you can use a separate piece of paper and attach it to this form. Include a title at the top of the paper (example: DV-125, Custody of Children).

1 Person Asking for Protection (see 1 on form DV-105)

a. Name:

b. Relationship to children: Parent Legal Guardian Other (describe):

2 Your Information

a. Name:

b. Relationship to children: Parent Legal Guardian Other (describe):

3 Children (see 3 on form DV-105)

a. I am the parent of the child or children listed on form DV-105.

b. I am not the parent of all the children listed on form DV-105.

c. I am not the parent of the following children (list names):

d. Other (describe):

4 City and State Where Children Lived (see 4 on form DV-105)

a. I agree with the information given by the person in 1 .

b. I do not agree. (Use form DV-105(A) to list where the children have lived.)

5 History of Court Cases Involving Children (see 5 on form DV-105) The person in 1 may have listed other court cases involving your children. If information is incorrect or missing, use the space below to give information.

(Check all that apply. List where it was filed (city, state, or tribe), year it was filed, and case number, if known.)

Custody or Divorce Criminal Juvenile Court (child welfare, juvenile justice) Guardianship Other (example: child support case)

(If a judge has already made a custody or visitation order for children in this case, attach a copy of the order if

you have one.)

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov New January 1, 2023, Mandatory Form Response to Request for Child DV-125, Page 1 of 3 Family Code, §§ 3048, 3063, 6323, 6323.5 Custody and Visitation Orders (Domestic Violence Prevention)

Case Number:

6 No Travel With Children Without Permission (see 6 on form DV-105)

a. I agree to the order requested.

b. I do not agree to the order requested because:

c. I would agree to a different order (describe the order you would agree to):

7 Stop Access to Children's School, Health, and Other Information (see 7 on form DV-105)

a. I agree to the order requested.

b. I do not agree to the order requested because:

c. I would agree to a different order (describe the order you would agree to):

8 Request for Orders to Prevent Child Abduction (see 4 – 10 on form DV-108)

a. I agree to the order requested.

b. I do not agree to the order requested because:

c. I would agree to a different order (describe the order you would agree to):

9 Custody of Children (see 9 on form DV-105)

a. I agree to the order requested.

b. I do not agree to the order requested because:

c. I would agree to a different order:
Legal Custody (The person that makes decisions about the child's health, education, and welfare.)
(check one):
Sole to me
Sole to person in 1
Jointly (shared) by persons in 1 and me.
Other (describe):

Physical Custody (The person that the child regularly lives with.)
(check one):
Sole to me
Sole to person in 1
Jointly (shared) by persons in 1 and me.
Other (describe):

This is not a Court Order.

New. January 1, 2023 Response to Request for Child DV-125, Page 2 of 3 Custody and Visitation Orders (Domestic Violence Prevention)

Case Number:

10 Your Visitation (Parenting TIme) with Children (see pages 3–5 on form DV-105)

a. I agree to the order requested.

b. I do not agree to the order requested because:

c. I would agree to a different order:
(Use the lines or chart below to describe the parenting time you want. Give as much detail as you can.)

Time Person to bring children to Location of drop-off/pick-up
and from visit

Start:
Monday
End, if applies:

Start:
Tuesday
End, if applies:

Start:
Wednesday
End, if applies:

Start:
Thursday
End, if applies:

Start:
Friday
End, if applies:

Start:
Saturday
End, if applies:

Start:
Sunday
End, if applies:
Follow the schedule listed above (check one):
Every week Every other week Other

Start date for visits (month, day, year)

11 The statements made on this form are made under penalty of perjury as declared on form DV-120.

This is not a Court Order.

New. January 1, 2023 Response to Request for Child DV-125, Page 3 of 3 Custody and Visitation Orders (Domestic Violence Prevention)

Receipt for Firearms, Firearm Clerk stamps date here when form is filed. DV-800/JV-270 Parts, and Ammunition

1 Person Asking For Protection: Name:

2 Your Information (Restrained Person) a. Your Name:

b. Your Address
(This address could be used by the court and by the person in 1 to
send you official court dates, orders, and papers. For privacy, you may
use another address like a post office box, or another person's address,
Fill in court name and street address:
if you have their permission and can get your mail regularly. If you
have a lawyer, give their information.) Superior Court of California, County of
STANISLAUS
Address: 1100 I STREET
P.O. BOX 1098 City: State: Zip: MODESTO, CA 95353
Telephone: Fax:
Email Address:
c. Your Lawyer (if you have one for this case): Court fills in case number when form is filed.
Case Number:
Name: State Bar No.:
Firm Name:

3 To the Restrained Person: If a judge has ordered you to turn in, sell, or store your firearms (guns), firearm parts, and ammunition, use this form to prove to the judge that you have obeyed their orders. Take this form to a law enforcement officer or a licensed gun dealer to complete 4 or 5 . For more information on how to properly turn in your items, read form DV-800-INFO/JV-270-INFO, How Do I Turn In, Sell, or Store My Firearms, Firearm Parts, and Ammunition?

4 To Law Enforcement

(Complete the section below. Keep a copy and give the original to the person in 2 .)
Name of Law Enforcement Agency:
Name of Law Enforcement Agent:
Address:
Telephone number: Email address:

Items Surrendered
a. Firearms, firearm parts, and ammunition transferred on:
Date: Time: a.m. p.m.

b. List of items. (List all the items surrendered by the person in 2 . You may attach a separate form from your
agency (e.g., a property report), use 6 , or both.) Check below if you have attached a separate form:
Separate form is attached. (If it does not include all surrendered items, list additional items in 6 .)

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

Signature of law enforcement agent

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2023, Optional Form Receipt for Firearms, Firearm Parts, DV-800/JV-270, Page 1 of 3 Family Code, § 6389 et seq., Cal. Rules of Court, rules 5.630 and 5.495 and Ammunition (Domestic Violence Prevention)

Case Number:

5 To Licensed Gun Dealer

(Complete the section below. Keep a copy and give the original to the person in 2 .)
Name of Licensed Gun Dealer:
License number:
Address:
Telephone number: Email address:

Items Stored or Sold
a. Firearms, firearm parts, and ammunition transferred on:
Date: Time: a.m. p.m.

b. List of items. (List all the items surrendered by the person in 2 . You may attach a separate form (e.g.,
DOJ's Report of Firearm Acquisition), use 6 , or both.) Check below if you have attached a separate form:
Separate form is attached. (If it does not include all surrendered items, list additional items in 6 .)

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

Signature of licensed gun dealer

6 List of Items Surrendered

a. Firearms and firearm parts Serial Number, To be
Make Model if there is one Sold Stored destroyed
(1)
(2)
(3)
(4)
(5)
(6)

b. Ammunition To be
Brand Type Amount Sold Stored destroyed
(1)
(2)
(3)
(4)
(5)
(6)

Check here if there is not enough space above for your answer. Use a separate sheet of paper to list other
items and attach it to this form. Use "DV-800/JV-270, List of Surrendered Items" as a title.

Rev. January 1, 2023 Receipt for Firearms, Firearm Parts, DV-800/JV-270, Page 2 of 3 and Ammunition (Domestic Violence Prevention)

Case Number:

7 To the Restrained Person:

Besides the items listed on page 2 or in an attached form, do you have or own any other
firearms (guns), firearm parts, or ammunition?

No

Yes (If yes, check one of the boxes below:)

a. I filed a Receipt for Firearms, Firearm Parts, and Ammunition (form DV-800/JV-270) or other
proof for those items with the court on (date):

b. I am filing the proof for those firearms (guns), firearm parts, or ammunition along with this proof.

c. I have not yet filed the proof for the other firearms (guns), firearm parts, or ammunition. (Explain why not):

Your 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

Your Next Steps

After the form is complete, make two additional copies. Take the copies and original to the court clerk to file.

If law enforcement served you with the restraining order, give a copy to the law enforcement agency that served

you with the restraining order.

Keep a copy for yourself.

Note that failure to file a receipt with the court and with the law enforcement agency is a violation of the judge's order.

Rev. January 1, 2023 Receipt for Firearms, Firearm Parts, DV-800/JV-270, Page 3 of 3 and Ammunition (Domestic Violence Prevention)

FL-150

PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY

NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

BRANCH NAME:

PETITIONER:

RESPONDENT:

OTHER PARTY/PARENT/CLAIMANT: INCOME AND EXPENSE DECLARATION CASE NUMBER:

1. Employment (Give information on your current job or, if you're unemployed, your most recent job.)

Attach copies a. Employer: of your pay b. Employer's address: stubs for last c. Employer's phone number: two months d. Occupation: (black out e. Date job started: Social f. If unemployed, date job ended: Security g. I work about hours per week. numbers). h. I get paid $ gross (before taxes) per month per week per hour.

(If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other jobs. Write "Question 1—Other Jobs" at the top.)

2. Age and education a. My age is (specify): b. I have completed high school or the equivalent: Yes No If no, highest grade completed (specify): c. Number of years of college completed (specify): Degree(s) obtained (specify): d. Number of years of graduate school completed (specify): Degree(s) obtained (specify): e. I have: professional/occupational license(s) (specify): vocational training (specify):

3. Tax information a. I last filed taxes for tax year (specify year): b. My tax filing status is single head of household married, filing separately married, filing jointly with (specify name): c. I file state tax returns in California other (specify state): d. I claim the following number of exemptions (including myself) on my taxes (specify):

4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $ This estimate is based on (explain):

(If you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and write the question number before your answer.) Number of pages attached:

I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and any attachments is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

Form Adopted for Mandatory Use INCOME AND EXPENSE DECLARATION Family Code, §§ 2030–2032, 2100–2113, Judicial Council of California 3552, 3620–3634, 4050–4076, 4300–4339 FL-150 [Rev. September 1, 2024] www.courts.ca.gov

FL-150 PETITIONER: CASE NUMBER:

RESPONDENT:

OTHER PARTY/PARENT/CLAIMANT:

Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax return to the court hearing. (Black out your Social Security number on the pay stub and tax return.)

5. Income (For average monthly, add up all the income you received in each category in the last 12 months Average and divide the total by 12.) Last month monthly a. Salary or wages (gross, before taxes) ...........................................................................................................................................$ b. Overtime (gross, before taxes) ...........................................................................................................................................................$ c. Commissions or bonuses .........................................................................................................................................................................$ d. Public assistance (for example: TANF, SSI, GA/GR) currently receiving .............................................$ e. Spousal support from this marriage from a different marriage federally taxable* $ f. Partner support from this domestic partnership from a different domestic partnership $ g. Pension/retirement fund payments ...................................................................................................................................................$ h. Social Security retirement (not SSI) .................................................................................................................................................$ i. Disability: Social Security (not SSI) State disability (SDI) Private insurance $ j. Unemployment compensation ...............................................................................................................................................................$ k. Workers' compensation .............................................................................................................................................................................$ l. Other (military allowances, royalty payments) (specify): ...................................................................................................$

6. Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.) a. Dividends/interest .........................................................................................................................................................................................$ b. Rental property income ..............................................................................................................................................................................$ c. Trust income ......................................................................................................................................................................................................$ d. Other (specify): ..............................................................................................................................................................................................$

7. Income from self-employment, after business expenses for all businesses ........................................$ I am the owner/sole proprietor business partner other (specify): Number of years in this business (specify): Name of business (specify): Type of business (specify): Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your Social Security number. If you have more than one business, provide the information above for each of your businesses.

8. Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and amount):

9. Change in income. My financial situation has changed significantly over the last 12 months because (specify):

10. Deductions Last month a. Required union dues ......................................................................................................................................................................................................................$ b. Required retirement payments (not Social Security, FICA, 401(k), or IRA) ..........................................................................................$ c. Medical, hospital, dental, and other health insurance premiums (total monthly amount) ........................................................$ d. Child support that I pay for children from other relationships ..........................................................................................................................$ e. Spousal support that I pay by court order from a different marriage federally tax deductible* .............................. $ f. Partner support that I pay by court order from a different domestic partnership ..............................................................................$ g. Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") ......$

11. Assets Total a. Cash and checking accounts, savings, credit union, money market, and other deposit accounts .......................................$ b. Stocks, bonds, and other assets I could easily sell ...............................................................................................................................................$ c. All other property, real and personal (estimate fair market value minus the debts you owe) .............. $

• Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change

maintains the spousal support payments as taxable income to the recipient and tax deductible to the payor.

FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 2 of 4

FL-150 PETITIONER: CASE NUMBER:

RESPONDENT:

OTHER PARTY/PARENT/CLAIMANT:

12. The following people live with me: How the person is That person's gross Pays some of the

Name Age related to me (ex: son) monthly income household expenses? a. Yes No b. Yes No c. Yes No d. Yes No e. Yes No

13. Average monthly expenses Estimated expenses Actual expenses Proposed needs a. Home: h. Laundry and cleaning .............................................$ (1) Rent or mortgage ..................$ i. Clothes ............................................................................$ If mortgage: j. Education ..........................................................................$ (a) average principal: $ k. Entertainment, gifts, and vacation ................$ (b) average interest: $ l. Auto expenses and transportation (2) Real property taxes ......................................$ (insurance, gas, repairs, bus, etc.) ..............$ (3) Homeowner's or renter's insurance m. Insurance (life, accident, etc.; do not include (if not included above) ...............................$ auto, home, or health insurance) $ (4) Maintenance and repair .............................$ n. Savings and investments ....................................$ b. Health-care costs not paid by insurance .... $ o. Charitable contributions ......................................$ c. Child care .......................................................................$ p. Monthly payments listed in item 14 d. Groceries and household supplies ...............$ (itemize below in 14 and insert total here) $ e. Eating out .......................................................................$ q. Other (specify): ........................................................$ f. Utilities (gas, electric, water, trash) ...........$ g. Telephone, cell phone, and e-mail ...............$ r. TOTAL EXPENSES (a-q) (do not add in the amounts in a(1)(a) and (b)) $ s. Amount of expenses paid by others $

14. Installment payments and debts not listed above Paid to For Amount Balance Date of last payment $ $ $ $ $ $ $ $ $ $ $ $

15. Attorney fees (This information is required if either party is requesting attorney fees.): a. To date, I have paid my attorney this amount for fees and costs (specify): $ b. The source of this money was (specify): c. I still owe the following fees and costs to my attorney (specify total owed): $ d. My attorney's hourly rate is (specify):

I confirm this fee arrangement.

Date:

(TYPE OR PRINT NAME OF ATTORNEY) (SIGNATURE OF ATTORNEY)

FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 3 of 4

FL-150 PETITIONER: CASE NUMBER:

RESPONDENT:

OTHER PARTY/PARENT/CLAIMANT:

CHILD SUPPORT INFORMATION

(NOTE: Fill out this page only if your case involves child support.)

16. Number of children a. I have (specify number): children under the age of 18 with the other parent in this case. b. The children spend percent of their time with me and percent of their time with the other parent. (If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)

17. Children's health-care expenses a. I do I do not have health insurance available to me for the children through my job. b. Name of insurance company: c. Address of insurance company:

    d. The monthly cost for the children's health insurance is or would be (specify): $ (Do not include the amount your employer pays.)

18. Additional expenses for the children in this case Amount per month a. Child care so I can work or get job training .................................................................................. $ b. Children's health care not covered by insurance ...................................................................... $ c. Travel expenses for visitation ................................................................................................................ $ d. Children's educational or other special needs (specify below): .................................. $

19. Special hardships. I ask the court to consider the following special financial circumstances (attach documentation of any item listed here, including court orders) : Amount per month For how many months? a. Extraordinary health expenses not included in 18b ................................................................. $

    b. Major losses not covered by insurance (examples: fire, theft, other insured loss) ....................................................................................................................................................... $

    c. (1) Expenses for my minor children who are from other relationships and are living with me ......................................................................................................................................$ (2) Names and ages of those children (specify):

    (3) Child support I receive for those children ...............................................................................$

The expenses listed in a, b and c create an extreme financial hardship because (explain):

20. Other information I want the court to know concerning support in my case (specify):

FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 4 of 4

Clerk stamps date here when form is filed. DV-250 Proof of Service by Mail

1 Name of Person Asking for Protection:

2 Name of Person to Be Restrained:

3 Notice to Server The server must: Be 18 years of age or over. Not be listed in items 1 , 2 or 3 of form DV-100, Request for Fill in court name and street address: Superior Court of California, County of Domestic Violence Restraining Order. STANISLAUS Mail a copy of all documents checked in 4 1100 I STREET to the person in 5 . P.O. BOX 1098 MODESTO, CA 95353

4 I (the server) am 18 years of age or over and live in or am employed in the county where the mailing took place. I mailed a copy of all Fill in case number: documents checked below to the person in 5 : Case Number: a. DV-112, Waiver of Hearing on Denied Request for Temporary Restraining Order b. DV-120, Response to Request for Domestic Violence Restraining Order c. FL-150, Income and Expense Declaration d. FL-155, Simplified Financial Statement e. DV-130, Restraining Order After Hearing (Order of Protection) f. Other (specify):

5 I placed copies of the documents checked above in a sealed envelope and mailed them as described below: a. Name of person served: b. To this address: City: State: Zip: c. Mailed on (date): d. Mailed from (city): (state):

6 Server's Information Name: Address: City: State: Zip: Telephone: If you are a registered process server: County of registration: Registration number:

7 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) DV-250, Page 1 of 1 Revised January 1, 2020, Optional Form Family Code, §§ 6324, 6340-6344 (Domestic Violence Prevention)