Santa Clara — FM-1136*

Source: https://santaclara.courts.ca.gov/system/files/forms/fm-1136_rem.pdf

ATTACHMENT FM-1136 AUTHORIZED FAX FILER FOR COURT USE ONLY

To keep others from seeing what you have entered please press the Reset Form button at the end of the form when finished. SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA

STREET ADDRESS: 191 North First Street

MAILING ADDRESS: 191 North First Street

CITY AND ZIP CODE: San José, California 95113

BRANCH NAME: Downtown Courthouse – Probate Division

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

CASE NUMBER:

ELDER ABUSE FACSIMILE TRANSMISSION COVER SHEET

TO THE COURT:

Please find the following transmitted documents marked below:

Document Name Form No.

Request for Order to Stop Elder or Adult Abuse (Elder or Dependent Adult Abuse Prevention) EA-100

Confidential CLETS Information (Domestic Violence, Civil Harassment, Elder Abuse, Juvenile Law) EA-102

Response to Request for Orders to Stop Elder or Dependent Adult Abuse EA-110

Notice of Hearing and Temporary Restraining Order (CLETS-TEA or TEF) (Elder or Dependent
Adult Abuse Protection) EA-120

Request and Order for Reissuance of Temporary Restraining Order (CLETS-TEA or TEF) EA-125

Order after Hearing Restraining Elder or Dependent Adult Abuse (CLETS-EAR or EAF)
(Elder or Dependent Abuse Protection) EA-130

Proof of Personal Service - CLETS EA-140

Proof of Service by Mail - CLETS EA-141

Proof of Firearms Turned in or Sold EA-145

Declaration in Support of Ex Parte Application for Orders FM-1013

Request for Sheriff to Serve and Sheriff’s Fee Statement FM-1041

How to Safely Turn in Firearms and Ammunition SC-1047

How Can I Respond to a Request for Orders to Stop Elder or Dependent Adult Abuse? EA-151 INFO

Substitution of Attorney FM-1041

Other:

CHECK HERE IF RESUBMITTING DOCUMENTS MC-050

NUMBER OF PAGES ATTACHED:

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FM-1136 REV 01/01/16 ELDER ABUSE DOMESTIC VIOLENCE Page 1 of 1 FACSIMILE TRANSMISSION COVER SHEET (FAX FILING)