Santa Cruz — SUPCR-1126

Source: https://www.santacruz.courts.ca.gov/system/files/forms-and-filings/supcr-1126-request-hearing-cpo.pdf

SUPCR 1126 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ 701 Ocean Street, Room 120 Santa Cruz, CA 95060 versus DEFENDANT:

REQUEST FOR HEARING ON PROTECTIVE ORDER MODIFICATION CASE NUMBER: AND FAMILY/CIVIL CASE NUMBER: 5 DAY WRITTEN NOTICE TO OFFICE OF THE DISTRICT ATTORNEY

This matter will be set for hearing on (date)_______________at (time) ___________ in Department ________ CLERK OF THE COURT

Date: ____________________ by_______________________, Deputy

My name is: I am the: O Defendant (Restrained Person) O Protected Person O Other: REQUEST FOR HEARING: I am asking for a hearing because the: O Civil Restraining Order is different from the Criminal Protective Order. (Attach a copy of the civil order if possible). The Family/Civil case number is FURTHER HEARING: There is a further hearing scheduled in the Family/Civil case on: (date) at time: __________ in Department: _________. O Protected Person wants to have a “no contact” order in both the Criminal and Civil Cases. O Protected Person wants the Criminal Protective Order to be modified to allow for peaceful contact and to delete the stay away orders. O Restrained Person (defendant) and Protected Person want to live together. O There is a custody/visitation order and the Criminal Protective Order needs to be changed to allow for peaceful contact between the Restrained Person (defendant) and the Protected Person regarding Court-ordered visitation. O Other: I feel that the change is needed because (state reasons why you want the change):

Form Adopted for OPTIONAL USE REQUEST FOR HEARING ON Page 1 of 2 Superior Court of Santa Cruz County PROTECTIVE ORDER MODIFICATION SUPCR 1126 11/03/22 AND 5 DAY WRITTEN NOTICE

PEOPLE OF THE STATE OF CALIFORNIA CASE NUMBER: DEFENDANT:

The name and current address of the other person (restrained or protected party) is:

Date:

SIGN

Name of Requesting Party Signature of Requesting Party

Form Adopted for OPTIONAL USE REQUEST FOR HEARING ON Page 2 of 2 Superior Court of Santa Cruz County PROTECTIVE ORDER MODIFICATION SUPCR 1126 11/03/22 AND 5 DAY WRITTEN NOTICE