Stanislaus — Domestic Violence Protected Person’s Packet

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/dv-protected.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 PROTECTED 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 obtain 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-100 - Request for Domestic Violence Restraining Order DV-109 - Notice of Court Hearing DV-110 - Temporary Restraining Order DV-200 - Proof of Personal Service

ATTACHMENT FORMS: The following forms are provided in this packet and may be used if they apply to your circumstances: MC-020 - Attachment to Domestic Violence DV-101 – Description of Abuse DV-105 - Child Custody, Visitation and Support Request (attachment to DV-100) DV-140 - Child Custody and Visitation Order FL-150 - Income and Expense Declaration (Only required if addressing support issues)

Revised 1/6/25

If you are requesting Child Abduction Prevention Orders, then you MUST attach the following forms to DV-105 and DV-140. These forms are available at the clerk’s office, Self Help Center or at the Judicial Council’s Website: www.courts.ca.gov/formsrules.htm.

DV-108 – Request for Order; No Travel with Children (attachment to DV-105) DV-145 – Order: No Travel with Children (attachment to DV-140)

NOTES: If you are seeking orders 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, 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, the Clerk’s Office cannot give you legal advice.

Revised 1/6/25

DV-500-INFO Can a Domestic Violence Restraining Order Help Me?

What is a “domestic violence restraining How soon can I get the order? order”? If you decide to ask for a restraining order, you will It is a court order that can help protect people who have need to complete court papers. Once you turn in your been abused by someone they've had an intimate court papers, a judge will decide the same day or next relationship with, are closely related to, or have lived with business day on whether to grant you a temporary as more than just roommates. restraining order.

How can a restraining order help me? How old must I be to ask for one?

A judge can order the restrained person to: To ask for a restraining order on your own, you must be 12 years old or older. In some cases, the judge may Not contact you, your children or relatives, or people ask that an adult (someone 18 years old or older), like you live with; a trusted relative, help you in your case. Stay away from you, your children or relatives, or people you live with, your home, your job, etc.;

Not have any firearms (guns, including "ghost guns"), What if I don’t have a green card? firearm parts, ammunition, or body armor; You can get a restraining order even if you are not a Move out of a home that you live in; U.S. citizen. If you are worried about deportation, you Obey child custody and visitation orders; may want to talk with an immigration lawyer.

Pay child support;

Pay spousal support; Can a restraining order protect my Pay debt for property; and children? Give you control of property (examples: cell phone, Yes, you can ask the judge to protect your children. If car, home). you are asking for a restraining order against someone you have children with, you can also ask the judge to make child custody and visitation orders. And if you think that the other parent might abduct (kidnap) your Does this request cost money to file? children, you can ask for orders to prevent kidnapping.

No, filing this request with the court is free.

Can I use a restraining order to get divorced or terminate a registered domestic partnership? How long can a restraining order last? No. These forms will not end your marriage or If the judge makes a temporary order, it will last until registered domestic partnership. You must file other your hearing date (court date). Your hearing is usually forms to end your marriage or registered domestic three weeks after you turn in your court papers. At your partnership. hearing, the judge will decide whether to grant you a long-term restraining order that can last up to five years.

Judicial Council of California, www.courts.ca.gov DV-500-INFO, Page 1 of 3 Rev. January 1, 2025, Optional Form Can a Domestic Violence Restraining Order Help Me? (Domestic Violence Prevention)

DV-500-INFO Can a Domestic Violence Restraining Order Help Me?

Am I eligible? What if I don’t qualify for a domestic violence restraining order? To qualify for a domestic violence restraining order, you must have a (1) required relationship and (2) show that There are other kinds of restraining orders you can ask the person you want a restraining order against has been for. Here are some examples: abusive.

Civil harassment order (can be used for neighbors,

Required relationship roommates, cousins, uncles, and aunts).

Your spouse, ex-spouse, registered domestic Dependent adult or elder abuse restraining order (if partner, or ex-registered domestic partner; you are at least 65 or a dependent adult). Someone you have a child with; Gun violence restraining order (to prevent someone Your parent, child, sibling, or grandparent from hurting themselves or others with a firearm). (includes in-laws and step relationships);

Someone you live with or used to live with (more Note that all restraining orders include a firearms and than just roommates); ammunition restriction. A gun violence restraining order gives limited protection because it only restrains the person from having firearms and ammunition. To learn more about other kinds of restraining orders, go Abuse to: https://selfhelp.courts.ca.gov/restraining-orders.

Abuse can be spoken, written, or physical. It can be physical, sexual, or emotional. It includes threats to harm you or your family, stalking, harassment, destroying personal property, repeated contact, and disturbing the peace. How do I ask for a domestic violence restraining order? What does disturbing the peace mean? See form DV-505-INFO, How to Ask for a Domestic It means to destroy someone's mental or emotional Violence Restraining Order. The forms are available calm. Disturbing the peace includes coercive online at www.courts.ca.gov/forms. If you want a paper control. Coercive control means a number of acts copy, go to any California courthouse. You can also that unreasonably limit the free will and individual check with your county's law library. rights of any person. Examples include:

Isolating someone from their friends,
relatives, or other support;
Keeping them from food or basic needs; Will I have a court hearing (court date)?

Controlling or keeping track of them, Yes. The court will give you a day and time to attend
including their movements, contacts, actions, court. If you want to attend court remotely (by phone or
money, or access to services; videoconference), go to the court's website to find out
how to attend remotely. To learn more about what to
Threats to immigration status;
expect at your hearing, read form DV-520-INFO, Get
Making them do something that they don't Ready for Your Restraining Order Court Hearing, or go
want to do; and to: https://selfhelp.courts.ca.gov/DV-restraining-order/
prepare-court-date.
Controlling or interfering with someone's
contraception (birth control, condoms);
pregnancy or ability to become a parent; or
access to health information.

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DV-500-INFO Can a Domestic Violence Restraining Order Help Me?

Do I need a lawyer to make this request? Confidential Address Program

No, but this type of request can be hard to get through If you are a victim of domestic violence or live with a on your own. Free help may be available at your local victim of domestic violence, there is a special program court's self-help center. (See below.) called Safe At Home that you can apply for. It is a free program that would help you keep your address private. To learn more about the program, go to: https://www.sos.ca.gov/registries/safe-home/. Where can I find a self-help center? Note that it may take several weeks to be approved.

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 For more information on other steps of give you information to help you decide what to do the process in your case, and help you with the forms. Form DV-505-INFO, How to Ask for a Domestic Violence Restraining Order

Form DV-200-INFO, What Is "Proof of PersonalWhat if I need an interpreter? Service"?

If you decide to ask for a restraining order, you Form DV-520-INFO, Get Ready For Your will need to talk to a judge. If you need an Restraining Order Court Hearing interpreter, use form INT-300 to request an interpreter or ask the court clerk how you can Form DV-530-INFO, How to Enforce Your request one. Restraining Order

I have a disability. How can I get help? Information about the court process is also available online You may use form MC-410 to request assistance. Contact the disability or ADA coordinator at your local https://selfhelp.courts.ca.gov/DV-restraining-order/ court for more information. process.

Request for Accommodations Where can I find other help?

The National Domestic Violence Hotline provides free Assistive listening systems, computer-assisted and private safety tips. Help is available every day, 24 real-time captioning, or sign language hours a day, and in over 100 languages. Visit online at interpreter services are available if you ask at www.thehotline.org or least five days before the hearing. Contact the call 1-800-799-7233; 1-800-787-3224 (TTY). clerk’s office or go to www.courts.ca.gov/ forms.htm for Disability Accommodation Request (form MC-410). (Civil Code section 54.8.)

Rev. January 1, 2025 DV-500-INFO, Page 3 of 3 Can a Domestic Violence Restraining Order Help Me? (Domestic Violence Prevention)

DV-505-INFO How to Ask for a Domestic Violence Restraining Order

Part 1: Complete court forms Tips for completing form DV-100 You will need to complete at least three forms to ask for a domestic violence restraining order:

Required forms: Required relationship

Form DV-100; At item 3 , you must have one of the listed Form DV-109; relationships between you and the person you want protection from. If none apply, go to https://selfhelp. Form DV-110; and courts.ca.gov/restraining-orders. for information on Form CLETS-001. other types of restraining orders you might qualify for.

Optional forms:
Describe the abuse
If you have a child or children with the other
side, you can ask for additional protection, like At items 5 – 7 , you must describe the abuse that
child custody orders. To make these requests, happened. This part is important, because a judge will
you must complete two more forms: decide whether to give you a restraining order based on
the information you give. For more information of
Form DV-105; and
what abuse means under the law, see form DV-500-
Form DV-140. INFO, Can A Domestic Violence Restraining Order
Help Me?
If you want to ask for child support or spousal
support, make the request on form DV-100 I don't want people to see my address
(see item 24 or 25 ) and complete one more
form:
You may not want someone to be able to see certain
Form FL-150. information, like your address. You do not have to
give the address to where you live on form DV-100,
item 1 . You can use a different address, like aMost court forms are public documents.
friend's address or P.O. box. Just be sure to get the

What does "public" mean? person's permission to use their address first, because any papers the court or other side mails to you will go When you file papers with the court, those papers to the address you list in item 1 . And make sure that become "public." This means that anyone may ask the person will tell you right away if you get mail from court to see the information you put on your papers. the court. Also, the person you are asking for protection from will see all the information on your court papers, because you will have to have these papers personally I don't want people to see information I delivered to the them. This is called "personal service," provide about a child (minor) and more information is available on form DV-200- INFO, What Is "Proof of Personal Service"? You can ask the court to make some of the information you provide about a child private (confidential). If the court makes information about a child private, theHow old must I be to ask for my own public will not be able to see this information on your restraining order against someone? court papers. See form DV-160-INFO for help with asking the court to make a child's information private. To ask for a restraining order, you must be 12 years old or older. In some cases, the judge may ask that an adult (someone 18 years old or older), like a trusted relative, help you in your case.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2024, Optional Form How to Ask for a Domestic Violence DV-505-INFO, Page 1 of 3 Restraining Order (Domestic Violence Prevention)

DV-505-INFO How to Ask for a Domestic Violence Restraining Order

What if the other side has firearms (guns) What is a "Batterer Intervention

or ammunition? Program" (item 27 )?

In item 9 , list information you have about any In most cases, it is a year-long program that helps a firearms (guns), firearm parts, or ammunition that the person recognize abusive behavior so that they will other side might own or have access to. This stop the abuse. Unlike anger management programs, information is important to the judge. The judge can the goal of batterer intevention programs is to stop a notify law enforcement about any firearms, including person from using power and control in their illegal or untraceable firearms called "ghost guns." relationships. If ordered to complete the program by a Once notified, law enforcement must do what they can judge, the restrained person will have to pay program to get the firearms if there is a restraining order in place. fees. The program will keep track of progress and attendance. What does "Other orders" (item 14 ) mean? Part 2: File your court papers

This section allows you to make any special requests Filing is when you turn in your completed court papers that you need to prevent more abuse by the other side. to the court. To file your court papers, you can call the court clerk to find out which courthouse to go to. If What is the difference between "Pay Debts you want to file online (e-file), check your local court's website for more information. To find your local courtOwed for Property (item 22 ) and "Pay or their website, go to: Expenses Caused by the Abuse (item 23 )? www.courts.ca.gov/find-my-court.htm.

If you want the other side to pay a debt owed for Part 3: Get your papers from court property, like a car or mortgage, you can make this request at item 22 . If you want the other person to pay After you turn in your court papers, you will need to you back for damage that happened because of their get them back from the court. Your papers will be abuse, like breaking your cellphone or for medical bills, ready the same day or the next business day. Ask the you can make this request at item 23 . court clerk when your court papers will be ready. You may have to return to the courthouse to pick up your papers if the court cannot return them to you What is "Spousal Support" (item 25 )? electronically. Look at your papers to see if the judge granted you a temporary restraining order, on form If you are married to the person you want protection DV-110. from or in a registered domestic partnership, you can ask a judge to order them to pay you spousal support. If the judge granted you temporary protection The amount of spousal support depends on different and you want it to last longer, make sure you factors, including how much you make versus how attend your court hearing (listed on form much the other side makes. It is important to know that DV-109). in California, you cannot get spousal support for "common law" marriages, where parties have lived like If the judge did not grant you a temporary a married couple but never legally married. California restraining order, the judge can grant you a does not recognize "common law" marriage. restraining order at your court hearing (listed on form DV-109).

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DV-505-INFO How to Ask for a Domestic Violence Restraining Order

Part 4: Have someone serve your papers Where can I find free help?

You must have an adult personally give a copy of all Free legal help is available at your court's self-help your court papers to the person you want a restraining center. Find your local court's self-help center at order against. It cannot be you or anyone listed on the www.selfhelp.courts.ca.gov/find. Self-help center restraining order. Serving papers can be a dangerous staff will not act as your lawyer but may be able to situation. If you want the sheriff to serve your papers, give you information to help you decide what to do in they will do so for free. For more information on your case, and help you with the forms. Staff may service, read form DV-200-INFO, What Is "Proof of also refer you to other agencies who may be able to Personal Service"? help you.

Part 5: Get ready for and go to your What if I am worried about my safety?

court hearing The National Domestic Violence Hotline provides free and private safety tips. Help is available every day, 24 At your court hearing, the judge will decide whether to hours a day, and in over 100 languages. Visit online at grant you a long-term restraining order that can last up www.thehotline.org or to five years. You have the option of attending your call 1-800-799-7233; 1-800-787-3224 (TTY). 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. Some courts may require advance notice. At the hearing, you and the other side will have the opportunity to tell your side of the story. For more information, read form DV-520-INFO, Get Ready for the Restraining Order Court Hearing. If you need more time to prepare your case, you may ask for a new court date. Read form DV-115-INFO, How to Ask For a New Hearing Date, for more information.

Information about the process is also

available online

https://selfhelp.courts.ca.gov/DV-restraining-order/ process.

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DV-520-INFO Get Ready For Your Restraining Order Court Hearing

Make arrangements before your court Bring evidence or witnesses to your court hearing hearing If you or a witness wants to attend court If you have evidence or witnesses, read the information remotely (by phone or videoconference) below. Bringing evidence or witnesses is optional and not required. Your statements alone can be proof for Check the court's website as soon as possible to see your case. If you are the person asking for the what you need to do to attend remotely. You can restraining order you will have to convince the judge use www.courts.ca.gov/find-my-court.htm to find that abuse occurred. The judge will make a decision your court's website. based on all evidence and statements made by both sides. Court interpreter: If you need an interpreter, use form INT-300 to request an interpreter or ask the Evidence: Evidence can include pictures, emails, court clerk how you can request one. You can also medical records showing injuries, police reports, etc. use this form to ask for an interpreter for a witness. If you have evidence, you will need to make it available to the judge and other side to see. Childcare: Find childcare because court may take Sometimes the judge cannot look at or consider all morning or afternoon, even all day. Some courts certain documents. The judge will decide which have a Children's Waiting Room, a safe place for documents can be included in your case. If you are children to wait while parents are in court. You can attending court in person, bring three copies of your check with your court in advance to see if this is written evidence, if you have not already filed and available. served it on the other side. If you have evidence and want to attend your court date by phone or videoconference, contact your local self-help center Support person: You can have someone attend for information on how to share your evidence with court with you. The person you bring cannot the judge and other side speak for you but can sit next to you when your case is called (if you attend in person). If you attend by videoconference, your support person Witnesses: You can ask the judge to allow witnesses can also attend with you. to speak at your court hearing. If you have a lot of witnesses, you may need to complete paperwork before your court hearing. Ask your local self-help Disability accommodation: You may use form center for more information. MC-410 to request assistance. Contact the disability/ADA coordinator at your local court for more information.

Request for Accommodations

Assistive listening systems, computer- assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing. Contact the clerk’s office or go to www.courts.ca.gov/forms.htm for Disability Accommodation Request (form MC-410). (Civil Code section 54.8.)

Judicial Council of California, www.courts.ca.gov Get Ready for Your Restraining Order DV-520-INFO, Page 1 of 4 Rev. January 1, 2023, Optional Form Court Hearing (Domestic Violence Prevention)

DV-520-INFO Get Ready For Your Restraining Order Court Hearing

Tips for your court hearing What will happen during my case?

Plan what you want to say to the judge The judge will give both sides time to speak

It may help to plan out and make notes about what you Usually, the judge asks the person who wants the want to say to the judge. If needed, you can use your restraining order to talk first. No matter who talks first, notes for your court hearing. Read over the court papers you will both get a chance to speak. Attending court in your case and write out anything else you want the can be difficult and stressful but it is important not to judge to know. Focus on the facts and details that talk over anyone. If you have something to say and it support your side of the story. Go over any papers you is not your turn, let the person finish talking and then received from the other side. Try to understand what ask the judge for permission to speak. they are asking for and arguing in the case (their allegations). If you do not agree, tell the judge. Think about and write down how you want to defend against The judge will reschedule your court hearing or their arguments make a decision

There are a few reasons why the judge may haveAttend early and safely rescheduled your court date. This is called a

Show up or call in to your hearing early. If you are continuance. Here are some examples: attending online, practice using the technology, like Person asking for the restraining order did not Zoom, before your court date. If you are late, you may serve the other side in time (by the deadline). miss your case being called. If you might be late, try to call the court right away to let courtroom staff know that The judge needs to set aside more time to hear you will be late. your case.

If you attend in person, do not sit near or talk to the If the restrained person has not filed a response

other person. If you are afraid of the other person, tell (form DV-120) and asks for more time to the officer who is in the courtroom. prepare for the case, the judge must grant their request if they ask for one at the first court date. If you attend by videoconference, and you don't want the other side to see where you are or your phone If the judge reschedules your court date, the judge number (if you call in), talk with an advocate about will usually extend the temporary restraining order, how to safely attend using videoconference. This if one was granted. If the judge reschedules your may include using a virtual background or using court date, make sure you get a new order (form another phone number to call in. You can contact the DV-116, Order on Request to Continue Hearing). National Domestic Violence Hotline for free help. See page 4 for information. If the restraining order is denied, this means that the judge has decided that there was not enough Follow courtroom rules evidence to prove that abuse happened. This means that your restraining order case is finished and any Here are some common rules: temporary protection expires. Put your cellphone on silent mode, if you're attending in person. If the restraining order is granted, this means that the judge has decided that there is enough evidence to Do not eat or drink during your hearing, except for prove that abuse happened. You should go over the water. restraining order to make sure you understand all the Do not wear a hat or sunglasses on your head. orders. See the next page for information on next steps. When speaking to the judge, call the judge "Your honor" or "judge."

Don't interrupt anyone who is speaking.

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DV-520-INFO Get Ready For Your Restraining Order Court Hearing

What do I do after a restraining order is granted?

If you've had your day in court and the judge granted you a long-term restraining order, you may have a couple more steps to take. Make sure all steps are completed as soon as possible. If you do not, the police may not be able to enforce your restraining order.

Protected person: Restrained person:

1 Your restraining order will be on form DV-130, 1 You must obey orders the judge makes. The Restraining Order After Hearing. If you don't have orders will be on form DV-130, Restraining a form DV-130 that is signed by the judge, check Order After Hearing. If you do not obey them, with the clerk to see if one was filed. If it has, ask you could be arrested, or convicted of a crime. for a copy. If one has not been filed, you will need to fill out: 2 If you have any prohibited items (firearms Form DV-130 (required). (guns), firearm parts, ammunition), you must bring all items to a licensed gun dealer or police. Form DV-140, Child Custody and Visitation For more information, read form DV-800- Order (required if court made orders for your INFO/JV-270-INFO, How Do I Turn In, Sell, or children). Store My Firearms, Firearm Parts, and Form FL-342, Child Support Information and Ammunition? The information is also available Order Attachment, or form FL-343, Spousal, online at: www.selfhelp.courts.ca.gov/respond- Domestic Partner, or Family Support Order to-DV-restraining-order/obey-firearms-orders. Attachment, if the judge orders child support or Free help is also available at your local self-help spousal support. center. Find your local court's self-help center at www.courts.ca.gov/selfhelp. 2 Turn in your completed form(s) to the court clerk. The clerk will then give it to the judge to review and sign. You will need to pick it up once it is signed. Ask the court clerk when your forms will be ready. There is no fee for turning in this form, and you should receive some free copies.

3 Look at form DV-130 to see if the judge ordered you to serve the form by mail or in person. If you are ordered to serve the form by mail, this means your server only has to mail a copy of the restraining order. But, serving someone in person is always best. When you mail court papers, it may be hard to prove that the person actually received a copy especially if the person moves a lot. Learn more about service at: https://selfhelp.courts.ca. gov/DV-restraining-order/serve-longterm-order.

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DV-520-INFO Get Ready For Your Restraining Order Court Hearing

What if I have a child with the other side? Where can I find a self-help center?

If you ask for child custody or visitation (parenting Find your local court's self-help center at time) orders, the judge may have you meet with a court www.courts.ca.gov/selfhelp. Self-help center staff will professional to see if you and the other parent can agree not act as your lawyer but may be able to give you on parenting time. This process is called "mediation." information to help you decide what to do in your case. You can ask to meet separately and not with the other side in your case. Ask the court staff how you can make this request. For more information on mediation, go to: www.selfhelp.courts.ca.gov/child-custody/what- Where can I find other help?to-expect-mediation. The National Domestic Violence Hotline provides free and private safety tips. Help is available every day, 24 hours a day, and in over 100 languages. What happens if I don't attend the court Visit online at www.thehotline.org or hearing? call 1-800-799-7233; 1-800-787-3224 (TTY).

If you asked for a restraining order and you do not

attend the hearing, any protection you have in this case will expire. If the other side attends the hearing and you don't, the judge could make some orders against you, like lawyer's fees. To get another restraining order, you would have to fill out and file a new set of forms. If you've changed your mind and no longer want a restraining order, talk with self-help center staff or a lawyer.

If someone asked for a restraining order against you,

and you do not attend the hearing, a judge may grant a restraining order against you without hearing your side. The order can last for up to five years, and can include orders regarding children or property that you have with the person asking for protection.

Information about the court process is also available online

https://selfhelp.courts.ca.gov/DV-restraining-order/ process.

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DV-530-INFO How to Enforce Your Restraining Order

Report a violation to the police What form is my restraining order on?

Now that you have a domestic violence restraining Here are some examples: order, you may need to enforce it if the restrained person violates the order. Enforce usually means to call the police to report a violation. To have the police DV-730 DV-116 enforce your order, call 911. If the restrained person has firearms (guns), "ghost guns" (a homemade or unregistered gun), or other weapons, make sure to tell the police.

Keep a copy of your restraining order with you

What can the police do? You should have a copy of your restraining order with The police can arrest the restrained person for you at all times. Make sure it is the most recent violating the restraining order. Based on your report of restraining order and still in effect (not expired). If you the violation, the district attorney or prosecutor can have more than one, have a copy of each one. If you charge the restrained person with a crime. If you have have a cellphone, use your cellphone to take a picture of questions about a case or whether a criminal case was all the pages so you always have proof of it. If the filed, you can call the District Attorney's Office in restrained person was not at the court hearing, make your county, or the county where the violation sure you have a copy of the proof of service form too. happened. The restrained person can go to jail or pay a The proof of service proves that the restrained person fine if convicted of violating your restraining order. knows about the restraining order and must follow the order.

Ask the judge to act on the violation What if the judge granted orders to protect Violating the restraining order means that the restrained my children? person did not obey the judge's order. This could have consequences for the restrained person. For example, if You can give a copy of the restraining order to any you have a child with the restrained person, a violation place that your child will be. If the restrained person is could affect the restrained person's parenting time with not allowed to have access to your child's medical your child. You can ask the judge to change custody or records, school records, or other information, make sure visitation orders because of the violation. You can also to let your child's providers know right away. It may be ask the judge to order the restrained person to pay you a good idea to change your passwords to any shared or the court money as “sanctions” or to hold the online accounts, and update your contact information restrained person “in contempt of court,” and the with those providers. restrained person can be ordered to pay money to the court, do community service, and/or spend up to five days in jail per violation. For more information about what a judge can do, contact your local self-help center or talk to a lawyer. For more information about self- help centers, see page 2.

Judicial Council of California, www.courts.ca.gov How to Enforce Your Restraining Order DV-530-INFO, Page 1 of 2 Rev. January 1, 2023, Optional Form (Domestic Violence Prevention)

DV-530-INFO How to Enforce Your Restraining Order

Give copies of the order to other people Where can I find other help?

If you want other people to know about your restraining The National Domestic Violence Hotline provides free order and help you enforce it, give them a copy. This is and private safety tips. Help is available every day, 24 optional and should only be done if it is safe to do so. hours a day, and in over 100 languages. Visit online at Here are some examples: www.thehotline.org or call 1-800-799-7233; 1-800-787-3224 (TTY). Your child's school or childcare, if your restraining order protects your child.

Other people protected by your restraining order, when appropriate.

Your employer, if you are worried about being harassed or abused at work.

Local police department: Giving a copy to your local police department is optional because all law enforcement agencies have access to restraining orders through a law enforcement database.

What if I have more than one restraining order against the same person?

Keep a copy of all active restraining orders with you. If you call the police to enforce the order, the police will need to follow the rules of enforcement (see "Priority of Enforcement" listed on the back of forms DV-110, DV-130, and CR-160). If you have questions about any of the orders, contact your local self-help center or talk to a lawyer.

Where can I find a self-help center?

Find your local court's self-help center at www.courts.ca.gov/selfhelp. 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.

Rev. January 1, 2023 How to Enforce Your Restraining Order DV-530-INFO, Page 2 of 2 (Domestic Violence Prevention)

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

Request for Domestic Clerk stamps date here when form is filed. DV-100 Violence Restraining Order

Instructions To ask for a domestic violence restraining order, you will need to complete this form and other forms (see page 13 for list of forms). If this case includes sensitive information about a minor child (under 18 years old), see form DV-160-INFO, Privacy Protection For a Minor (Person Under 18 Years Old) for more information on how to protect the child's information.

Fill in court name and street address:

1 Person Asking for Protection Superior Court of California, County of a. Your name: STANISLAUS b. Your age: P.O. BOX 1098 c. Address where you can receive court papers

(This address will be used by the court and by the person in 2 to
Court fills in case number when form is filed.
sena you official court dates, orders, and papers. For privacy, you may
Case Number:
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:

d. Your contact information (optional)

(The court could use this information to contact you. If you don’t want the person in 2 to have this information,
leave it blank or provide a safe phone number or email address. If you have a lawyer, give their information.)

Telephone: Fax:

Email Address:

e. Your lawyer’s information (if you have one)

Name: State Bar No.:

Firm Name:

2 Person You Want Protection From

a. Full Name:

b. Age (give estimate if you do not know exact age):

c. Date of birth (if known):

d. Gender: M F Nonbinary

e. Race:

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2025, Mandatory Form Request for Domestic Violence Restraining Order DV-100, Page 1 of 13 Family Code, § 6200 et seq. (Domestic Violence Prevention)

Case Number:

3 Your Relationship to the Person in 2

(If you do not have one of these relationships with the person in 2 , do not complete the rest of this form. You may
be eligible for another type of restraining order. Learn more at https://selfhelp.courts.ca.gov/restraining-orders.)

(Check all that apply)

a. We have a child or children together (names of children):

b. We are married or registered domestic partners.

c. We used to be married or registered domestic partners.

d. We are dating or used to date.

e. We are or used to be engaged to be married.

f. We are related. The person in 2 is my (check all that apply):

Parent, stepparent, or parent-in-law Brother, sister, sibling, step-sibling, or sibling in-law

Child, stepchild, or legally adopted child Grandparent, step-grandparent, or grandparent-in-law

Child’s spouse Grandchild, step-grandchild, or grandchild-in-law

g. We live together or used to live together. (If checked, answer question below):

Have you lived together with the person in 2 as a family or household (more than just roommates)?

Yes No (If no, you do not qualify for this kind of restraining order unless you checked one of
the other relationships listed above.)

4 Other Restraining Orders and Court Cases a. Are there any restraining orders currently in place or that have expired in the last six months (examples: Did the police give you a restraining order that lasts a few days? Do you have one from the criminal court?)

No

Yes (If yes, give information below and attach a copy if you have one.)

(1) (date of order): (date it expires):

(2) (date of order): (date it expires):

b. Are you involved in any other court case with the person in 2 ?

No

Yes (If you know, list where the case was filed (city, state, or tribe), the year it was filed, and case number.)

Custody

Divorce

Juvenile (child welfare or juvenile justice):

Criminal

Guardianship

Other (what kind of case?):

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 2 of 13 (Domestic Violence Prevention)

Case Number:

Describe Abuse

In this section, explain how the person in 2 has been abusive. The judge will use this information to decide your request. Listed below are some examples of what "abuse" means under the law. It is not a complete list of all examples of abuse. Give information on any incident that you believe was abusive.

made repeated unwanted contact with you harassed you
tracked, controlled, or blocked your movements hit, kicked, pushed, or bit you
kept you from getting food or basic needs injured you or tried to
isolated you from friends, family, or other support threatened to hurt or kill you
made threats based on actual or suspected immigration status sexually abused you
made you do something by force, threat, or intimidation abused a pet or animal
stopped you from accessing or earning money destroyed your property
tried to control/interfere with your contraception, birth control, choked or strangled you
pregnancy, or access to health information abused your children

5 Most recent abuse

a. Date of abuse (give an estimate if you don't know the exact date):

b. Did anyone else hear or see what happened on this day?

I don't know No Yes (If yes, give names):

c. Did the person in 2 use or threaten to use a gun or other weapon?

No Yes (If yes, describe gun or weapon):

d. Did the person in 2 cause you any emotional or physical harm?

No Yes (If yes, describe harm):

e. Did the police come? I don't know No Yes (If the police gave you a restraining order, list it in 4 .)

f. Give more details about how the person in 2 was abusive on this day. Details can include what was said, done,
or sent to you (examples: text messages, emails, or pictures), how often something happened, etc.

g. How often has the person in 2 abused you like this?

Just this once 2–5 times Weekly Other:

Give dates or estimates of when it happened, if known:

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 3 of 13 (Domestic Violence Prevention)

Case Number:

6 Has the person in 2 abused you in a different way from the abuse you described in 5 ?

If yes, describe below.

a. Date of abuse (give an estimate if you don't know the exact date):

b. Did anyone else hear or see what happened on this day?

I don't know No Yes (If yes, give names):

c. Did the person in 2 use or threaten to use a gun or other weapon?

No Yes (If yes, describe gun or weapon):

d. Did the person in 2 cause you any emotional or physical harm?

No Yes (If yes, describe harm):

e. Did the police come? I don't know No Yes (If the police gave you a restraining order, list it in 4 .)

f. Give more details about how the person in 2 was abusive on this day. Details can include what was said,
done, or sent to you (examples: text messages, emails, or pictures), how often something happened, etc.

g. How often has the person in 2 abused you like this?

Just this once 2–5 times Weekly Other:

Give dates or estimates of when it happened, if known:

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 4 of 13 (Domestic Violence Prevention)

Case Number:

7 Is there other abuse by the person in 2 that you want the judge to know about?

If yes, describe below.

a. Date of abuse (give an estimate if you don't know the exact date):

b. Did anyone else hear or see what happened on this day?

I don't know No Yes (If yes, give names):

c. Did the person in 2 use or threaten to use a gun or other weapon?

No Yes (If yes, describe gun or weapon):

d. Did the person in 2 cause you any emotional or physical harm?

No Yes (If yes, describe harm):

e. Did the police come? I don't know No Yes (If the police gave you a restraining order, list it in 4 .)

f. Give more details about how the person in 2 was abusive on this day. Details can include what was said,
done, or sent to you (examples: text messages, emails, or pictures), how often something happened, etc.

g. How often has the person in 2 abused you like this?

Just this once 2–5 times Weekly Other:

Give dates or estimates of when it happened, if known:

Check this box if you need more space to describe the abuse. You can use form DV-101, Description of
Abuse, and turn it in with this form. You can also use a separate sheet of paper, write "Describe Abuse" abuse at
the top, and turn it in with this form.

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 5 of 13 (Domestic Violence Prevention)

Case Number:

8 Other Protected People

Do you want the restraining order to protect your children, family, or someone you live with?

a. No

b. Yes (If yes, complete the section below):

(1) Full name Age Relationship to you Lives with you?

Yes No

Yes No

Yes No

Yes No

Check this box if you need to list more people. Use a separate piece of paper and write "DV-100, Other
Protected People" at the top. Turn it in with this form.

(2) Why do these people need protection?

9 Does person in 2 have firearms (guns), firearm parts, or ammunition?

(A firearm includes a handgun, rifle, shotgun, and assault weapon. A firearm part means a receiver or frame or any
item that may be used as or easily turned into a receiver or frame. Ammunition includes bullets, shells, cartridges,
and clips.)

a. I don’t know

b. No

c. Yes (If you have information, complete the section below.)

Describe Firearms (Guns), Firearm Parts, or Ammunition Number or Amount Location, if known

(1)

(2)

(3)

(4)

(5)

(6)

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 6 of 13 (Domestic Violence Prevention)

Case Number:

Choose the Orders That You Want a Judge to Make

In this section, you will choose the orders you want a judge to make now. Every situation is different. Choose the orders that fit your situation.

Check all the orders that you want a judge to make (order).

10 Order to Not Abuse I ask the judge to order the person in 2 to not do the following things to me or anyone listed in 8 :

Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal property, keep under surveillance, impersonate (on the internet, electronically, or otherwise), block movements, annoy by phone or other electronic means (including repeatedly contact), or disturb the peace. (For more information on what "disturbing the peace" means, read form DV-500-INFO, Can A Domestic Violence Restraining Order Help Me?)

11 No-Contact Order

I ask the judge to order the person in 2 to not contact me or anyone listed in 8 .

12 Stay-Away Order

a. I ask the judge to order the person in 2 to stay away from: (Check all that apply)

Me. My school.

My home. Each person in 8 .

My job or workplace. My children’s school or childcare.

My vehicle. Other (please explain):

b. How far do you want the person to stay away from all the places you checked above?

100 yards (300 feet) Other (give distance in yards):

c. Do you and the person in 2 live together or live close to each other?

No Yes (If yes, check one):

Live together (If you live together, you can ask that the person in 2 move out in 13 .)

Live in the same building, but not in the same home

Live in the same neighborhood

Other (please explain):

d. Do you and the person in 2 have the same workplace or go to the same school?

No Yes (If yes, check all that apply):

Work together at (name of company):

Go to the same school (name of school):

Other (please explain):

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 7 of 13 (Domestic Violence Prevention)

Case Number:

13 Order to Move Out

a. I ask the judge to order the person in 2 to move out of the home, located at:

(Give address):

b. I have a right to live at this address because:

(Check all that apply)

I own the home. I have lived at this address for years, months.

My name is on the lease. I pay for some or all the rent or mortgage.

I live at this address with my child(ren). Other (please explain):

14 Other Orders

(Describe any additional orders you want the judge to make to keep you, your children, or the people in 8 safe.):

15 Child Custody and Visitation

Check this box if you have a child with the person in 2 and want the judge to make or change a child custody or
visitation order. You must fill out form DV-105, Request for Child Custody and Visitation Orders, and attach it
to this form.)

Orders that you can request on form DV-105 include:

Child custody No visits with your children

Stop person in 2 from accessing your Virtual visits with your children
child's school or medical information
Supervised (monitored) visits with your children

Unsupervised (unmonitored) visits with your children

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 8 of 13 (Domestic Violence Prevention)

Case Number:

16 Protect Animals

a. (You may ask the court to protect your animals, your children’s animals, or the person in 2 ’s animals.)

Name (or other way to ID animal) Type of animal Breed (if known) Color

(1)

(2)

(3)

(4)

b. I ask the judge to protect the animals listed above by ordering the person in 2 to:

(Check all that apply)

(1) Stay away from the animals by at least: 100 yards (300 feet) Other (number of yards):

(2) Not take, sell, hide, molest, attack, strike, threaten, harm, get rid of, transfer, or borrow against the
animals.

(3) Give me sole possession, care, and control of the animals because (check all that apply):

Person in 2 abuses the animals. I take care of these animals.

I purchased these animals. Other (please explain):

17 Control of Property a. I ask the judge to give only me temporary use, possession, and control of the property listed here (describe):

b. Explain why you want control of the property you listed:

18 Health and Other Insurance I ask the judge to order the person in 2 to not make any changes to any insurance or other coverage for me, the person in 2 , or our children, including not being allowed to cancel, cash, borrow against, transfer, dispose of, or change the beneficiaries for the insurance.

19 Record Communications

I ask the judge to allow me to record calls or communications the person in 2 makes to me, when those calls or communications violate this restraining order.

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 9 of 13 (Domestic Violence Prevention)

Case Number:

20 Property Restraint (only if you are married or a registered domestic partner with the person in 2 .) I ask the judge to order the person in 2 not to borrow against, sell, hide, or get rid of or destroy any possessions or property, except in the usual course of business or for necessities of life. I also ask the judge to order the person in 2 to notify me of any new or big expenses and to explain them to the court.

21 Extend My Deadline to Give Notice to Person in 2

(Usually, the judge will give you about two weeks to give notice, or to "serve" the person in 2 of your request. If you need more time to serve, the judge may be able to give you a few extra days.)

I ask the judge to give me more time to serve the person in 2 because (explain why you need more time):

22 Pay Debts (Bills) Owed for Property

(If you want the person in 2 to pay any debts owed for property, list them and explain why. The amount can be
for the entire bill or only a portion. Some examples include rent, mortgage, car payment, etc.)

a. I ask the judge to order the person in 2 to make these payments while the restraining order is in effect:

(1) Pay to: For: Amount: $ Due date:

(2) Pay to: For: Amount: $ Due date:

(3) Pay to: For: Amount: $ Due date:

Explain why you want the person in 2 to pay the debts listed above:

b. Special decision (finding) by the judge if you did not agree to the debt (optional)
(If you did not agree to the debt or debts listed above, you can ask the judge to decide (find) that one or more
debts was made without your permission and resulted from the person in 2 's abuse. This may help you
defend against the debt if you are sued in another case.)

Do you want the judge to make this special decision (finding)?

No Yes (If yes, answer the questions below.)

(1) Which of the debts listed above resulted from the abuse? (check all that apply):

a(1) a(2) a(3)

(2) Do you know how the person in 2 made the debt or debts?

No Yes

(If yes, explain how the person in 2 made the debt or debts):

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 10 of 13 (Domestic Violence Prevention)

Case Number:

Orders That You Want a Judge to Make at Your Court Date

Below is a list of orders that a judge cannot make right away but can make at your court date in a few weeks. The person in 2 must be notified of your court date before the judge can consider making any of the orders listed below. Check all the orders that you want the judge to make at your court date.

23 Pay Expenses Caused by the Abuse I ask the judge to order the person in 2 to pay for things caused directly by the person in 2 (damaged property, medical care, counseling, temporary housing, etc.). Bring proof of these amounts to your court date.

Pay to: For: Amount: $

Pay to: For: Amount: $

Pay to: For: Amount: $

Pay to: For: Amount: $

24 Child Support (this applies only if you have a minor child with the person in 2 )

(Check all that apply)

a. I do not have a child support order and I want one.

b. I have a child support order and I want it changed (attach a copy if you have one).

c. I now receive or have applied for TANF, Welfare, or CalWORKS.

25 Spousal Support

(You must be married or a registered domestic partner with person in 2 )

I ask the judge to order the person in 2 to give me financial assistance.

26 Lawyer's Fees and Costs

I ask that the person in 2 pay for some or all of my lawyer's fees and costs. (If you ask for fees and costs and the

court grants your restraining order, the court must award you fees and costs if the respondent can afford to pay.)

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 11 of 13 (Domestic Violence Prevention)

Case Number:

27 Batterer Intervention Program

I ask the judge to order the person listed in 2 to go to a 52-week batterer intervention program. (The goal of this program is to stop abuse. There are weekly classes on accountability, abuse effects, and gender roles. If ordered, the person in 2 has to show the judge that they enrolled and completed the program.

28 Transfer of Wireless Phone Account

(If the person in 2 holds the rights to your cell phone account, you can ask the judge to transfer your number or
your child's number to you. This means you will be financially responsible for these accounts. If you want to have
control over a mobile device, like a cell phone, make this request at 17 .)

I ask the judge to order the wireless service provider to transfer the billing responsibility and rights to the wireless
phone numbers listed below to me because the account currently belongs to the person in 2 :

a. My number Number of child in my care (including area code):

b. My number Number of child in my care (including area code):

c. My number Number of child in my care (including area code):

d. My number Number of child in my care (including area code):

Automatic Orders if the Judge Grants Restraining Order

In this section are orders that the person in 2 would have to follow if the judge grants a restraining order.

29 No Firearms (Guns), Firearm Parts, or Ammunition

Cannot own, possess, or buy firearms (guns), firearm parts, and ammunition.

Must turn in, sell, or store any firearms (guns), firearm parts, or ammunition that they have or control.

30 No Body Armor

Cannot own, possess, or buy body armor.

Must relinquish any body armor in their possession.

31 Cannot Look for Protected People

Cannot look for the address or location of any person protected by the restraining order, unless the court finds good cause not to make this order.

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 12 of 13 (Domestic Violence Prevention)

Case Number:

32 Additional pages

If you used additional paper or forms, enter the number of extra pages attached to this form:

33 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

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

Date:

Lawyer’s name Lawyer’s signature

Your Next Steps 1 You must complete at least three additional forms: Form DV-110, Temporary Restraining Order (only items 1, 2 and 3) Form DV-109, Notice of Court Hearing (only items 1 and 2) Form CLETS-001, Confidential Information for Law Enforcement If you are asking for child custody and visitation orders, you must complete form DV-105, Request for Child Custody and Visitation Orders, and form DV-140, Child Custody and Visitation Order.

2 Turn in your completed forms to the court. Find out when your forms will be ready for you.

3 Once you get your forms back from the court, have someone "serve" a copy of all forms on the person in 2 . The
sheriff or marshal can do this for free. See form SER-001, Request for Sheriff to Serve Court Papers. Learn more
about service at https://selfhelp.courts.ca.gov/sheriff-serves-your-request-restraining-order.

4 If you are asking for child support or spousal support you must also complete form FL-150, Income and Expense
Declaration. If you are only asking for child support, you may be eligible to fill out a simpler form, FL-155. Read
form DV-570 to see if you are eligible. Turn in your completed form to the court before your court date. You
must also have someone mail or personally deliver a copy to the person in 2 .

This is not a Court Order.

Rev. January 1, 2025 Request for Domestic Violence Restraining Order DV-100, Page 13 of 13 (Domestic Violence Prevention)

DV-101 Description of Abuse Case Number:

This form is attached to DV-100, Request for Domestic Violence Restraining Order.

1 Name of person asking for protection:

2 Name of person you want protection from:

3 Describe abuse to you or your children. a. Date of abuse: b. Who was there?

c. Describe how the person in 2 abused you or your children:

d. Describe any use or threatened use of guns or other weapons:

e. Describe any injuries:

f. Did the police or other law enforcement come? No Yes
If yes, did they give you or the person in 2 an Emergency Protective Order? Yes No I don't know
The Emergency Protective Order protects You The person in 2
Attach a copy of the Emergency Protective Order if you have one.

Judicial Council of California, www.courts.ca.gov Description of Abuse DV-101, Page 1 of 2 Rev. January 1, 2017, Optional Form Family Code, § 6200 et seq. (Domestic Violence Prevention)

Case Number:

4 Describe abuse to you or your children. Has the person in 2 abused you (or your children) other times? a. Date of abuse: b. Who was there?

c. Describe how the person in 2 abused you or your children:

d. Describe any use or threatened use of guns or other weapons:

e. Describe any injuries:

f. Did the police or other law enforcement come? No Yes
If yes, did they give you or the person in 2 an Emergency Protective Order? Yes No I don't know
The Emergency Protective Order protects You The person in 2
Attach a copy of the Emergency Protective Order if you have one.

5 Describe abuse to you or your children.

Check here if you need more space. Attach a sheet of paper and write “DV-101—Description of Abuse” for a title.

Rev. January 1, 2012 Description of Abuse DV-101, Page 2 of 2 (Domestic Violence Prevention)

MC-025 SHORT TITLE: CASE NUMBER:

ATTACHMENT (Number) : (This Attachment may be used with any Judicial Council form.)

(If the item that this Attachment concerns is made under penalty of perjury, all statements in this Page of Attachment are made under penalty of perjury.) (Add pages as required)

Form Approved for Optional Use ATTACHMENT www.courtinfo.ca.gov Judicial Council of California MC-025 [Rev. July 1, 2009] to Judicial Council Form

Clerk stamps date here when form is filed. DV-110 Temporary Restraining Order

Original Order Amended Order

Instruction: The person asking for a restraining order must complete 1 , 2 , and 3 only. The court will complete the rest of this form.

1 Protected Person (name):

2 Restrained Person

*Full Name:
Fill in court name and street address:
*Gender: M F Nonbinary *Race: Superior Court of California, County of
*Age: (estimate, if age unknown) Date of Birth: STANISLAUS
1100 I STREET Height: Weight: P.O. BOX 1098
Hair Color: Eye Color: MODESTO, CA 95353
Relationship to person in 1 :
Address of restrained person: Court fills in case number when form is filed.
City: State: Zip: Case Number:

Firearms, firearm parts, or ammunition that restrained person may have:
(Include information from form DV-100, item 9)

(Information that has a star (*) next to it is required to add this order
into a California police database. Give all the information you know.)

3 Other Protected People In addition to the person named in 1 , the people listed below are protected by the orders listed in 9 through 12 .

Full name Relationship to person in 1 Age

Check here if you need to list more people. List them on a separate piece of paper, write "DV-110, Other
Protected People" at the top, and attach it to this form.

(The court will complete the rest of this form)

4 Your Hearing Date (Court Date)

This order expires at the end of the hearing listed below:

Hearing Date: Time: a.m. p.m.

This order must be enforced throughout the United States. See page 7.

This is a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2025, Mandatory Form Temporary Restraining Order DV-110, Page 1 of 9 Family Code, § 6200 et seq. (CLETS-TRO) (Domestic Violence Prevention)Approved by DOJ

Case Number:

To the Person in 2 : The judge has granted temporary orders. See 5 through 21 . If you do not obey these orders, you can be charged with a crime, go to jail or prison, and/or pay a fine. It is a felony to take or hide a child in violation of this order.

5 No Firearms (Guns), Firearm Parts, or Ammunition a. You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get any prohibited item listed below in b.

b. Prohibited items are (1) Firearms (guns); (2) Firearm parts, meaning receivers, frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code section 16531); and (3) Ammunition.

c. Within 24 hours of receiving this order, you must sell to or store with a licensed gun dealer, or turn in to law enforcement, any prohibited items you have in your immediate possession or control.

d. If law enforcement asks you for your prohibited items, you must turn them over immediately

e. Within 48 hours of receiving this order, you must file a receipt with the court that proves all prohibited items have been turned in, sold, or stored. (You may use form DV-800/JV-270, Receipt for Firearms, Firearm Parts, and Ammunition.) If law enforcement served you with the restraining order, you must give a copy of the receipt to that law enforcement agency.

6 Restrained Person Has Prohibited Items The court finds that you have the following prohibited items: a. Firearms and/or firearm parts Proof of compliance Description (include serial number, if known) Location, if known received by the court (1) (date): (2) (date): (3) (date): (4) (date):

b. Ammunition Amount, if Proof of compliance
Description known Location, if known received by the court
(1) (date):
(2) (date):

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 2 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

7 Court Hearing to Review Firearms (Guns), Firearm Parts, and Ammunition Compliance In addition to the hearing listed on form DV-109, item 3 , you must attend the court hearing listed below to prove that you have properly turned in, sold, or stored all prohibited items (described in 5 b) you still have or own, including any items listed in 6 . If you do not attend the court hearing listed below, a judge may find that you have violated the restraining order and notify law enforcement and a prosecuting attorney of the violation.

Name and address of court, if different than court
address listed on page 1

Date: Dept.:
Time: Room:

8 No Body Armor You cannot own, possess, or buy body armor (defined in Penal Code section 16288). You must relinquish any body armor you have in your possession.

9 Cannot Look for Protected People You must not take any action to look for any person protected by this order, including their addresses or locations. If checked, this order was not granted because the judge found good cause not to make the order.

10 Order to Not Abuse Not requested Denied until the hearing Granted as follows: You must not do the following things to the person in 1 and any person listed in 3 :

Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal property, keep under surveillance, impersonate (on the internet, electronically, or otherwise), block movements, annoy by phone or other electronic means (including repeatedly contact), or disturb the peace.

"Disturb the peace" means to destroy someone's mental or emotional calm. This can be done directly or indirectly, such as through someone else. This can also be done in any way, such as by phone, over text, or online. Disturbing the peace includes coercive control.

"Coercive control" means a number of acts that unreasonably limit the free will and individual rights of any person protected by this restraining order. Examples include isolating them from friends, relatives, or other support; keeping them from food or basic needs; controlling or keeping track of them, including their movements, contacts, actions, money, or access to services; and making them do something by force, threat, or intimidation, including threats based on actual or suspected immigration status. Coercive control includes reproductive coercion meaning controlling someone's reproductive choices, such as using force, threat, or intimidation to pressure someone to be or not be pregnant, and to control or interfere with someone's contraception, birth control, pregnancy, or access to health information.

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 3 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

11 No-Contact Order Not requested Denied until the hearing Granted as follows:

a. You must not contact the person in 1 the persons in 3
directly or indirectly, by any means, including by telephone, mail, email, or other electronic means.

b. Exception to 11a:
(1) You may have brief and peaceful contact with the person in 1 only to communicate about your
children for court-ordered visits.
(2) You may have contact with your children only during court-ordered contact or visits.
(3) Other (explain):

c. Peaceful written contact through a lawyer or process server or another person for service of legal papers related
to a court case is allowed and does not violate this order.

12 Stay-Away Order Not requested Denied until the hearing Granted as follows: a. You must stay at least (specify): yards away from (check all that apply): Person in 1 . School of person in 1 . Home of person in 1 . Persons in 3 . Job or workplace of person in 1 . Children’s school or child care. Vehicle of person in 1 . Other (explain):

b. Exception to 12a:
The stay-away orders do not apply:
(1) For you to exchange your children for court-ordered visits. You must do so briefly and peacefully.
(2) For you to visit with your children for court-ordered contact or visits.
(3) Other (explain):

13 Order to Move Out Not requested Denied until the hearing Granted as follows:

You must take only personal clothing and belongings needed until the hearing and move out immediately from (address):

14 Other Orders Not requested Denied until the hearing Granted as follows:

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 4 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

15 Child Custody and Visitation Not requested Denied until the hearing Granted as follows: Granted on the attached form DV-140, Child Custody and Visitation Order, and (list other form): .

16 Protect Animals Not requested Denied until the hearing Granted as follows: a. You must stay at least yards away from the animals listed below. b. You must not take, sell, hide, molest, attack, strike, threaten, harm, get rid of, transfer, or borrow against the animals. c. The person in 1 is given the sole possession, care, and control of the animals listed below.

Name (or other way to ID animal) Type of animal Breed (if known) Color

17 Control of Property Not requested Denied until the hearing Granted as follows: Until the hearing, only the person in 1 can use, control, and possess the following property:

18 Health and Other Insurance Not requested Denied until the hearing Granted as follows: The person in 1 in 2 is ordered not to cash, borrow against, cancel, transfer, dispose of, or change the beneficiaries of any insurance or coverage held for the benefit of the parties—or their children, if any—for whom support may be ordered, or both.

19 Record Communications Not requested Denied until the hearing Granted as follows: The person in 1 may record communications made by the person in 2 that violate this order.

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 5 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

20 Property Restraint Not requested Denied until the hearing Granted as follows: The person in 1 in 2 must not transfer, borrow against, sell, hide, or get rid of or destroy any property, including animals, except in the usual course of business or for necessities of life. In addition, each person must notify the other of any new or big expenses and explain them to the court. (If the court granted 11 , the person in 2 must not contact the person in 1 . To notify the person in 1 of new or big expenses, have a server mail or personally give the information to the person in 1 or contact their lawyer, if they have one.)

21 Pay Debts Owed for Property Not requested Denied until the hearing Granted as follows: The person in 2 must make these payments until this order ends: Pay to: For: Amount: $ Due date: Pay to: For: Amount: $ Due date: Pay to: For: Amount: $ Due date:

22 Orders That May Be Made at the Hearing Date (Court Date) If the person in 1 checked any of these orders on form DV-100, a judge could grant them at your court date. Child Support Lawyer's Fees and Costs Batterer Intervention Program Spousal Support Pay Expenses Caused by Abuse Transfer of Wireless Phone Account

23 No Fee to Serve (Notify) Restrained Person The sheriff or marshal will serve this order for free. If you want the sheriff to serve your papers, complete form SER-001, Request for Sheriff to Serve Court Papers. Give form SER-001 and a copy of this order to the sheriff.

24 Attached pages (All of the attached pages are part of this order.) a. Number of pages attached to this nine-page form: b. Attachments include forms (check all that apply): DV-140 DV-145 DV-820 Other:

Judge's Signature

Date:

Judge or Judicial Officer

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 6 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

Certificate of Compliance With VAWA

This temporary protective order meets all “full faith and credit” requirements of the Violence Against Women Act, 18 U.S.C. section 2265 (1994) (VAWA), upon notice of the restrained person. This court has jurisdiction over the parties and the subject matter; the restrained person has been or will be afforded notice and a timely opportunity to be heard as provided by the laws of this jurisdiction. This order is valid and entitled to enforcement in each jurisdiction throughout the 50 states of the United States, the District of Columbia, all tribal lands, and all U.S. territories, commonwealths, and possessions and shall be enforced as if it were an order of that jurisdiction.

Warnings and Notices to the Restrained Person in 2

Your Address to Receive Court Orders If the judge makes a restraining order at the hearing (court date), which has the same orders as in this Temporary Restraining Order, you will get a copy of that order by mail at your last known address, which is written in 2 on page 1. If your address was not listed on this form or is incorrect, contact the court. If you did not attend your hearing and want to know if the judge granted a restraining order against you, contact the court.

Child Custody, Visitation, and Support Child custody and visitation: If you do not attend your hearing (court date), the judge can make custody and visitation orders for your children without hearing from you.

Child support: The judge can order child support based on the income of both parents. The judge can also have that support taken directly from a parent's paycheck. Child support can be a lot of money, and usually you have to pay until the child is age 18. File and serve form FL-150, Income and Expense Declaration, or form FL-155, Financial Statement (Simplified), if you want the judge to have information about your finances. Otherwise, the court may make support orders without hearing from you.

Spousal support: File and serve form FL-150, Income and Expense Declaration, so the judge will have information about your finances. Otherwise, the court may make support orders without hearing from you.

Firearms (Guns), Firearm Parts, and Ammunition Under California law, you cannot have any firearms (guns), certain firearm parts, or ammunition. (Family Code sections 6216 and 6389(a)). Ask the court for information on how to properly turn in, sell, or store these items in your city or county. You can also contact your local police department for instructions.

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 7 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

Instructions for Law Enforcement

This order is effective when made. It is enforceable by any law enforcement agency that has received the order, is shown a copy of the order, or has verified its existence on the California Law Enforcement Telecommunications System (CLETS). If the law enforcement agency has not received proof of service on the restrained person, and the restrained person was not present at the court hearing, the agency shall advise the restrained person of the terms of the order and then shall enforce it. Violations of this order are subject to criminal penalties.

Duties of Officer Serving This Order The officer who serves this order on the Restrained Person must do the following: Ask if the Restrained Person is in possession of any of the prohibited items listed in 6 , or has custody or control of any that they have not already turned in.

Order the Restrained Person to immediately surrender to you all prohibited items

Issue a receipt to the Restrained Person for all prohibited items that have been surrendered.

Complete a proof of personal service and file it with the court. You may use form DV-200 for this purpose.

Within one business day of service, submit the proof of service directly into the California Restraining and Protective Order System (CARPOS), including the serving officer’s name and law enforcement agency.

Arrest Required if Order Is Violated If an officer has probable cause to believe that the restrained person had notice of the order and has disobeyed the order, the officer must arrest the restrained person. (Penal Code sections 836(c)(1), 13701(b).) A violation of the order may be a violation of Penal Code section 166 or 273.6.

If the Protected Person Contacts the Restrained Person

Even if the protected person invites or consents to contact with the restrained person, the orders remain in effect and must be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained person. The orders can be changed only by another court order. (Penal Code section 13710(b).)

Child Custody and Visitation

Child custody and visitation orders are listed on form DV-140 or another attached form. If the judge made these orders, look at items 11 and 12 of this order to see if the judge granted an exception for brief and peaceful contact with the person in 1 as needed to follow court-ordered visits. Contact by the person in 2 that is not brief and peaceful is a violation of this order. Forms DV-100 and DV-105 are not orders. Do not enforce them.

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 8 of 9 (CLETS-TRO) (Domestic Violence Prevention)

Case Number:

Conflicting Orders–Priorities for Enforcement

If more than one restraining order has been issued protecting the protected person from the restrained person, the orders must be enforced in the following priority (see Penal Code section 136.2 and Family Code sections 6383(h)(2), 6405(b)):

1. Emergency Protective Order (EPO): If one of the orders is an Emergency Protective Order (form EPO-001), provisions (e.g., stay away order) that are more restrictive than in the other restraining/protective orders must be enforced. Provisions of another order that do not conflict with the EPO must be enforced.

2. No-Contact Order: If a restraining/protective order includes a no-contact order, the no-contact order must be enforced. Item 11 is an example of a no-contact order.

3. Criminal Protective Order (CPO): If none of the orders include an EPO or a no-contact order, the most recent CPO must be enforced. (Family Code sections 6383(h)(2) and 6405(b).) Additionally, a CPO issued in a criminal case involving charges of domestic violence, Penal Code sections 261, 261.5, or former 262, or charges requiring sex offender registration must be enforced over any civil court order. (Penal Code section 136.2(e)(2).) All provisions in the civil court order that do not conflict with the CPO must be enforced.

4. Civil Restraining Orders: If there is more than one civil restraining order (e.g., domestic violence, juvenile, elder abuse, civil harassment), then the order that was issued last must be enforced. Provisions that do not conflict with the most recent civil restraining order must be enforced.

   (The clerk will fill out this part.)

Instructions to Clerk: You must give up to three free (certified, stamped, and endorsed) copies of this order to the protected party.

Clerk's Certificate —Clerk's Certificate—
[seal]

I certify that this Temporary Restraining Order is a true and correct copy of the
original on file in the court.

Date: Clerk, by , Deputy

This is a Court Order.

Rev. January 1, 2025 Temporary Restraining Order DV-110, Page 9 of 9 (CLETS-TRO) (Domestic Violence Prevention)

DV-109 Notice of Court Hearing Clerk stamps date here when form is filed.

Instruction: The person asking for a restraining order must complete items 1 and 2 . The court will complete the rest of this form.

1 Person Asking for Protection

Name: Fill in court name and street address: Superior Court of California, County of

2 Person to Be Restrained STANISLAUS 1100 I STREET Name: P.O. BOX 1098 MODESTO, CA 95353

Court fills in case number when form is filed.

3 Notice of Hearing Case Number: A court hearing is scheduled on the request for restraining orders against the person in 2 :

Name and address of court if different from above:

Date: Time:
Dept.: Room:

You may attend your court date remotely, such as by phone or videoconference. For more information, go to the

court's website for the county listed above. To find the court's website, go to: www.courts.ca.gov/find-my-court.htm.

At the hearing, the court must consider whether failure to make any of the orders requested by the person in 1

might risk the safety of the person in 1 or any children listed on form DV-105. If child or spousal support was

requested, the court must consider whether failure to make support orders would risk the safety of the person in 1

or any children listed on form DV-105.

To the person in 2 :

If you attend the hearing (in person, by phone, or by videoconference) and the judge grants a restraining order

against you, the order will be effective immediately, and you could be arrested if you violate the order.

If you do not attend the hearing, the judge may still grant the restraining order that could last up to five years.

After you receive a copy of the order, you could be arrested if you violate the order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2025, Mandatory Form Notice of Court Hearing DV-109, Page 1 of 3 Family Code, §§ 242, 6320.5 (Domestic Violence Prevention)Approved by DOJ

Case Number:

4 Temporary Restraining Orders (Any orders granted are attached on form DV-110.)

a. Temporary Restraining Orders (any order requested under Family Code section 6320): (Check one):
(1) All granted until the court hearing.
(2) All denied until the court hearing. (Reasons for denial are given below in b.)
(3) Partly granted and partly denied until the court hearing. (Reasons for denial are given in b.)

4 b. Reasons for denial of some or all of the orders requested on form DV-100.

(1) The facts given in the request (form DV-100) do not show reasonable proof of a past act or acts of abuse.
(Family Code sections 6300, 6320, and 6320.5.)

(2) The facts given in the request do not give enough detail about the most recent incidents of abuse,
including what happened, the dates, who did what to whom, or any injuries or history of abuse.

(3) Other reasons for denial:

5 Confidential Information Regarding Minor a. A request to keep minor's information confidential was made (see form DV-160) and granted. (See form DV-165, Order on Request to Keep Minor's Information Confidential, served with this form.)

b. If the request was granted, the information described on the order (form DV-165, item 7 ) must be kept
CONFIDENTIAL. The disclosure or misuse of the information is punishable as a sanction, with a fine of
up to $1,000 or other court penalties.

6 Service of Documents by the Person in 1 At least five days before the hearing, someone age 18 or older—not you or anyone to be protected—must personally give (serve) a court file-stamped copy of this form (DV-109, Notice of Court Hearing) to the person in 2 along with a copy of all the forms indicated below:

a. DV-100, Request for Domestic Violence Restraining Order (file-stamped)
b. DV-110, Temporary Restraining Order (file-stamped) if granted

c. DV-120, Response to Request for Domestic Violence Restraining Order (blank form)

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

e. DV-170, Notice of Order Protecting Information of Minor, and DV-165, Order on Request to Keep Minor's
Information Confidential (file-stamped), if granted

f. Other (specify):

Judge's Signature

Date:
Judicial Officer

Rev. January 1, 2025 Notice of Court Hearing DV-109, Page 2 of 3 (Domestic Violence Prevention)

Case Number:

To the Person in 1 :

At the hearing: The judge will decide if a restraining order is needed to keep you or your children safe. If the judge grants you a restraining order at the hearing, it can last up to five years. You must attend the hearing if you want the judge to make any of the orders you requested on form DV-100. Bring any evidence or witnesses you have. For more information, read form DV-520-INFO, Get Ready for Your Restraining Order Court Hearing.

Option to cancel hearing: If item 4 a(2) or 4 a(3) is checked, you have the option of canceling the hearing. If you cancel the hearing, your request for restraining order will not move forward. Any temporary orders made will expire on the day of the hearing. If you want to cancel the hearing, use form DV-112, Waiver of Hearing on Denied Request for Temporary Restraining Order.

Before the hearing: You must have someone personally serve (give) the person in 2 a copy of all the papers listed in 6 by the deadline listed in 6 . For more information, read form DV-200-INFO, What Is “Proof of Personal Service”? You may ask to reschedule the hearing if you are unable to serve the person in 2 and need more time to serve the documents, or for other good reasons. Read form DV-115-INFO, How to Ask for a New Hearing Date.

To the Person in 2 :

Respond in writing (optional): You can respond in writing by completing form DV-120, Response to Request for Domestic Violence Restraining Order. For more information, read form DV-120-INFO, How Can I Respond to a Request for Domestic Violence Restraining Order?

At the hearing: Whether or not you respond in writing, attend the hearing if you want the judge to hear from you before making an order. At the hearing, tell the judge why you agree or disagree with the orders requested. Bring any evidence or witnesses you have. Read form DV-520-INFO, Get Ready for Your Restraining Order Court Hearing.

If you are unable to attend your court hearing or need more time to prepare your case, you may ask the judge to

reschedule your court date. Read form DV-115-INFO, How to Ask for a New Hearing Date.

Request for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services
are available if you ask at least five days before the hearing. Contact the clerk's office or go to
www.courts.ca.gov/forms for Disability Accommodation Request (form MC-410). (Civil Code section
54.8.)

(Clerk will fill out this part.)

Clerk’s Certificate —Clerk’s Certificate—
[seal]
I certify that this Notice of Court Hearing is a true and correct copy of the original on file
in the court.

Date: Clerk, by , Deputy

Rev. January 1, 2025 Notice of Court Hearing DV-109, Page 3 of 3 (Domestic Violence Prevention)

Request for Child Custody and Case Number: DV-105 Visitation Orders

This form is attached to form DV-100. (Use this form to request orders for children you have with the person in 2 .)

1 Your Information

Name:
Relationship to children: Parent Legal Guardian Other (describe):

2 Person You Want Protection From

Name:
Relationship to children: Parent Legal Guardian Other (describe):

3 Children Under 18 Years Old (list from oldest to youngest)

a. Name: Date of birth:
b. Name: Date of birth:
c. Name: Date of birth:
d. Name: Date of birth:
(Check here if you need more space. Write “DV-105, Children” at the top and attach it to this form.)

4 City and State Where Children Lived

a. Have all the children listed in 3 lived together for the last five years?
Yes (Complete section 4b.)
No (If no, do not complete the section below. Instead, use form DV-105(A)).

b. List where the child or children have lived for the last five years. Start with their current location.

Children lived with (check all that apply):
Dates (month/year) City, State, and Tribal Land Me Person in 2 Other*

From: To present
Check here if you want to keep your
current location private. List the state only.

From: Until:
From: Until:
From: Until:
From: Until:
From: Until:
From: Until:

Other* (relationship to child):

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov DV-105, Page 1 of 6 Rev. January 1, 2024, Mandatory Form Request for Child Custody and Visitation Orders Family Code, §§ 3048, 3063, 6323, 6323.5 (Domestic Violence Prevention)

Case Number:

5 History of Court Cases Involving Your Children

a. Do you know about any other case involving any child listed in 3 ?
No
Yes (If yes, complete section below.)

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

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

b. Is there a current order for custody or visitation in effect?
No
Yes (Complete the section below.)

What did the judge order? (Examples: who has custody of the children and what is the visitation schedule)

(Attach a copy of the order, if you have one.)

Why do you want to change the order?

c. If there is another parent or legal guardian besides you and the person in 2 , complete the section below.

Name: Parent Legal Guardian

This is not a Court Order.

Rev. January 1, 2024 DV-105, Page 2 of 6 Request for Child Custody and Visitation Orders

(Domestic Violence Prevention)

Case Number:

Orders a Judge Can Make to Protect Your Children

To ask for orders to protect your children, answer the questions below.

6 Do you want to limit where the person in 2 can travel with your children?

No Yes (Complete the section below):

I ask the judge to order that the person in 2 must have written permission from me, or a court order, to

take the children outside:

The county of (list): California Other places (list):

7 Do you want the person in 2 to have access to the children's records or information?

Yes No (Complete the section below): a. I ask the judge to order that the person in 2 not access or have access to the records or information for: All the children listed in 3 . Only the children listed here (names):

b. For the following records or information (check all that apply): Medical, dental, and mental health School and daycare Extracurricular activity, including summer camps and sports teams Other (describe):

(If the judge makes this order, providers will not be able to release the protected information to the

person in 2 .)

8 Do you believe the person in 2 might abduct (kidnap) your children?

No Yes (To ask for orders to help prevent abduction, you must complete form DV-108, Request for Orders to Prevent Child Abduction, and attach it to this form.)

This is not a Court Order.

Rev. January 1, 2024 DV-105, Page 3 of 6 Request for Child Custody and Visitation Orders

(Domestic Violence Prevention)

Case Number:

Child Custody

You can ask a judge to make custody orders for your children. There are two types of custody in California: legal and physical custody. Legal custody means the person that makes decisions about the child's health, education, and welfare. Physical custody means the person that the child regularly lives with. For both types of custody, parents can share custody (joint) or one parent can have full custody (sole).

9 Do you want the judge to make child custody orders?

No
Yes (Complete the section):

Legal Custody (check one): Physical Custody (check one):
Sole to me Sole to me
Sole to person in 2 Sole to person in 2
Jointly (shared) by me and person in 2 . Jointly (shared) by me and person in 2 .
Other (describe): Other (describe):

Visitation (Parenting Time) with Children

You can ask a judge to make decisions about when your child spends time with the person in 2 . This is called parenting time or visitation. It means the schedule and exact times each parent spends with the child. If a parent does not get custody, that parent can have parenting time with the child if a judge believes it is safe and in the child’s best interest. Answer the questions below to tell the judge what parenting time you want right now for person in 2 . Any orders the judge makes are temporary for now. They last until the court date (about three weeks away). On your court date, the judge can change or extend the orders.

10 Do you want the person in 2 to have visits (parenting time) with the children?

No, I ask the judge to order that person in 2 have no visits. (Stop here. You have finished completing this form.) Yes (Go to 11 .)

11 Do you want visits with the children to be supervised (monitored) by a third-party?

(To learn about supervised visitations, go to: https://selfhelp.courts.ca.gov/guide-supervised-visitation.)

Yes (Go to 12 .) No (Go to 13 .)

Rev. January 1, 2024 DV-105, Page 4 of 6 Request for Child Custody and Visitation Orders

(Domestic Violence Prevention)

Case Number:

12 Details of Supervised (Monitored) Visits

(Complete a and b):
a. Who do you want to supervise the visits?
(Check one):

Nonprofessional, like a trusted relative or friend (list name, if known):
Professional (list name, if known):

Professional fees paid by: Me % Person in 2 % Other: %

b. How often and how long should the visits be?:
(Check one):

Once a week, for (number of hours):
Twice a week, for (number of hours): each visit.
Other (describe):
Check here if you want to use the chart listed below for a schedule.

Schedule for Supervised Visits
(List the days and times the person in 2 should visit with the children.)

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)

If you completed 12 , you are done completing this form. Do not complete 13 .)

Rev. January 1, 2024 DV-105, Page 5 of 6 Request for Child Custody and Visitation Orders

(Domestic Violence Prevention)

Case Number:

13 Details of Unsupervised Visits

(Complete a and b):
a. If the judge allows the person in 2 to have unsupervised visits with your children, you will have to tell
the judge how you want to handle drop-off and pick-up of the children, also called child exchanges.
Do you want child exchanges to be supervised by a third-party?

No
Yes (Complete the section below):

Who do you want to supervise the exchanges? (Check one):
Nonprofessional, like a trusted relative or friend (list name, if known):
Professional (list name, if known):
Professional fees paid by: Me % Person in 2 % Other: %

b. Describe the parenting time you want the person in 2 to have with the children.

(Use the lines or chart below to explain what days and times the person in 2 should visit with the children.
Give details including when visits will happen, how often the visits should be, and who will be responsible for
transporting the children.)

Schedule for Unsupervised Visits

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)

Rev. January 1, 2024 DV-105, Page 6 of 6 Request for Child Custody and Visitation Orders

(Domestic Violence Prevention)

DV-105(A) City and State Where Children Lived Case Number:

1 This form is attached to (check one): DV-105 (For person in 1 : Use this form if you have children that have not lived together for the last five years.)

DV-125 (For person in 2 : Use this form to list where your children have lived for the last five years.)

DV-305 (Use this form if you have children who have not lived together for the last five years.)

DV-325 (Use this form to list where your children have lived for the last five years.)

2 List where the child or children have lived for the last five years. Start with their current location.

a. Name of child or children:

b. Dates (month/year) City and State Children lived with (check all that apply):
(include tribal land, if applies) Person Person Other (relationship
in 1 in 2 to child)
From: To present
Check here if this address is private
(confidential). List the state only.

From: Until:

From: Until:

From: Until:

From: Until:

From: Until:

From: Until:

3 List another child or children who have not lived with the child or children listed above. List where they have lived for the last five years. Start with their current location.

a. Name of child or children:

b. Dates (month/year) City and State Children lived with (check all that apply):
(include tribal land, if applies) Person Person Other (relationship
in 1 in 2 to child)
From: To present
Check here if this address is private
(confidential). List the state only.

From: Until:

From: Until:

From: Until:

From: Until:

From: Until:

From: Until:

Check here to list other children with a different residence history than the children you’ve already listed. Use
another form DV-105(A) and attach it to this form.

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov DV-105(A), Page 1 of 1 Rev. January 1, 2025, Mandatory Form City and State Where Children Lived Family Code, § 3400 et seq. (Domestic Violence Prevention)

Case Number: DV-140 Child Custody and Visitation Order

This form is attached to (check one): DV-110 DV-130

1 Name of Protected Person: Relationship to children: Parent Legal Guardian Other (describe):

2 Name of Restrained Person: Relationship to children: Parent Legal Guardian Other (describe):

3 Children Under 18 Years Old

a. Name: Date of birth:
b. Name: Date of birth:
c. Name: Date of birth:
d. Name: Date of birth:
(Check here if you have more children to list. On a separate piece of paper write "DV-140, Children" at the
top and attach it to this form.)

4 No Travel With Children Without Permission

Person in 1 Person in 2 Other (name):
must have written permission from the other parent, or a court order, to take the children outside of:
a. County of (list):
b. State of California
c. United States
d. Other place(s) (list):

5 Stop Access to Children's School, Health, and Other Information a. The person in 2 must not access or have access to the records or information for: All the children listed in 3 . Only the children listed here (names):

b. From the following (check all that apply): Medical, dental, and mental health providers School and daycare providers Extracurricular activity providers, including summer camps and sports teams Child's employers (including volunteer and unpaid positions) Other (describe):

If you are a provider listed above, you must not release information or records regarding the children listed in 5 a to the person in 2 .

This is a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2024, Mandatory Form Child Custody and Visitation Order DV-140, Page 1 of 4 Family Code, §§ 3011, 3020, 3022-3040, 3043, 3100, 6340, (Domestic Violence Prevention)7604

Case Number:

6 Judge's Decision on Request for Orders to Prevent Child Abduction (attach form DV-145)

7 Child Custody

a. Legal Custody (The person that makes decisions about the child's health, education, and welfare.)
Sole to Person in 1 Jointly (shared) by persons in 1 and 2 .
Sole to Person in 2 Other (describe):

b. Physical Custody (The person that the child regularly lives with.)
Sole to Person in 1 Jointly (shared) by persons in 1 and 2 .
Sole to Person in 2 Other (describe):

c. If the judge granted sole or joint custody to the person in 2 , the judge must explain why.
(For judge to complete. Check all that apply):
Judge's reasons given at the hearing (See minute order or ask for the transcript.)
Judge's reasons listed here:

8 Person in 2 must have no visitation with children until further order of the court. (If this form is attached to form DV-110, Temporary Restraining Order, this means that the judge has stopped your right to visit with your children temporarily. If you do not agree with this order, attend your court hearing.)

9 Supervised (Monitored) Visitation with Children

a. Person to be supervised: Person in 1 Person in 2 by:

Nonprofessional (name and relationship to child, if known):
Professional (name, if known):

(1) Fees paid by: Person in 1 % Person in 2 % Other: %

(2) Person in 1 contact provider by (date):
Person in 2 contact provider by (date):

b. Provider's contact information, if known
Address: Telephone:

c. Schedule of supervised visits
(1) Once a week, for (number of hours):
(2) Twice a week, for (number of hours): each visit.
(3) Follow the Visitation Schedule listed in 12 .
(4) Other schedule (describe):

This is a Court Order.

Rev. January 1, 2024 Child Custody and Visitation Order DV-140, Page 2 of 4 (Domestic Violence Prevention)

Case Number:

10 Supervised (Monitored) Child Exchanges (Use item 11 to describe visitation schedule.)

a. Person to be supervised: Person in 1 Person in 2 by:

Nonprofessional (name and relationship to child):
Safe location for exchanges:
(For more information on safe locations, go to https://selfhelp.courts.ca.gov/guide-supervised-visitation.)

Professional (list name, if known):

(1) Fees paid by: Person in 1 % Person in 2 % Other: %

(2) Person in 1 contact provider by (date):
Person in 2 contact provider by (date):
(3) Location of exchanges to be decided by provider.

b. Provider's contact information, if known
Address: Telephone:

11 Visits With No Supervision (Unmonitored)

a. If the judge granted unsupervised visits to the person in 2 , the judge must explain why.
(For judge to complete. Check all that apply):
Judge's reasons given at the hearing (See minute order or ask for the transcript.)
Judge's reasons listed here:

b. Person in 1 Person in 2 will visit with the children as follows:

(1) Visitation schedule described below:

(2) Follow the Visitation Schedule listed in 12 .

This is a Court Order.

Rev. January 1, 2024 Child Custody and Visitation Order DV-140, Page 3 of 4 (Domestic Violence Prevention)

Case Number:

12 Visitation Schedule for Person in 2

Person to bring children to Location of drop-off/pick-up Time
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)

13 Other Orders (Describe additional orders or refer to an attachment (e.g., FL-341(C), Children's Holiday Schedule Attachment)):

14 Country of Habitual Residence The country of habitual residence of the child or children in this case is The United States or Other (specify): .

15 Jurisdiction and Notice This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (part 3 of the California Family Code starting with section 3400). The responding party was given notice consistent with the laws of the State of California.

16 Penalties for Violating This Order If you violate this order, you may be subject to civil or criminal penalties, or both.

This is a Court Order.

Rev. January 1, 2024 Child Custody and Visitation Order DV-140, Page 4 of 4 (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

DV-200-INFO What Is "Proof of Personal Service"?

What is "service"? How do I have my court papers served?

Service is the act of giving your court papers to the other Step 1: Choose a server party in your case. There are different ways to serve the The person who gives your court papers to the other other party: in person, by mail, and others. party is called a server. Your server must be at least 18-years-old. They must not be protected by theWhy do I have to serve my legal papers? restraining order or involved in your case. This Before a judge can grant a domestic violence restraining means that you cannot serve your own court papers. order (that can last up to five years), the person you want a restraining order against must know about your Step 2: Have your server give your court papers request and have a chance to go to court to explain their to the other party side. Also, if a restraining order is in place, the police cannot arrest the restrained person for violating the Give your server these instructions: restraining order until the restrained person is served 1 Before you serve the forms, note which forms with the order. you have, including the name of the form and the form number. See form DV-200 for a list What is "personal service"? of forms. Personal service is when someone, 2 Find the person you need to serve. Make sure known as a server, personally delivers you are serving the right person by asking the your court papers to the other party. person's name.

In most cases, these forms must be served to the other 3 Give the person the papers. If the person refuses party by personal service: to take the papers, put them on the ground or somewhere next to the person. The person Form DV-109; doesn't have to touch or sign for the papers. Form DV-100; It is okay if they tear them up.

Form DV-110; 4 Fill out form DV-200 completely and sign.

Form DV-120 (leave this form blank); 5 File form DV-200 with the court or give form DV-200 to the person who is asking for the Form DV-120-INFO; and restraining order so they can file it. Form DV-250 (leave this form blank). Step 3: File proof with the court Who can serve? The court needs proof that service happened and Any adult who is not protected by the restraining order that it was done correctly. If your server was can serve your court papers. You cannot serve your successful, have your server fully complete and sign own court papers. form DV-200. The person you want restrained does not sign anything. Some situations may be dangerous. Think about Take form DV-200 to the court to file in your case as people's safety when deciding who you want to soon as possible. This information will automatically serve your papers. go into a restraining order database that police have access to. A sheriff or marshal will serve your court papers for free. A registered process server is a business you pay to If the sheriff or marshal served your court papers, deliver papers. To hire a process server, look for they may use another form for proof besides form "process server" on the internet or in the yellow pages. DV-200. Make sure a copy is filed with the court and that you get a copy.

Judicial Council of California, www.courts.ca.gov What Is "Proof of Personal Service"? DV-200-INFO, Page 1 of 2 Revised January 1, 2020, Optional Form (Domestic Violence Prevention)

DV-200-INFO What Is "Proof of Personal Service"?

When is the deadline to serve my What happens if I can't get my court court papers? papers served before the court date?

It depends. To know the exact date, you need to look at You will need to ask the court to reschedule (continue) two items on form DV-109. Follow these steps: your court date. Fill out and file form DV-115 and form DV-116. These forms ask the judge for a new court date Step 1: Look at the court date listed under 3 and to make any temporary orders last until the end of on page 1. the new court date.

If the judge gives you a new court date, the person you
want restrained will have to be served with form
DV-116, form DV-115, and the original papers you
filed. You should keep a copy of form DV-115, form
DV-116, and a copy of your original paperwork. That
way, the police will know your orders are still in effect.

For more information on asking for a new court date,
read form DV-115-INFO.

What if the other party is Step 2: Look at the number of days written in 6
avoiding (evading) service? on page 2.
If you've tried many times to serve the restrained
person, and you can show the judge that the restrained
person is avoiding (evading) service, you may ask the
court to allow you to serve another way. If you want
to make this request, at your first court date tell the
judge details about your attempts to have the restrained
person served. The judge may require a written
statement for this.

Read form DV-205-INFO, What if the Person I Want
Protection From is Avoiding (Evading) Service?, for

Step 3: Look at a calendar. Subtract the number of more information. days in 6 from the court date. That's the deadline to have your court papers served. It's okay to serve your court papers before the deadline.

If nothing is written in 6 , you must have your

court papers served at least five days before your court date.

Revised January 1, 2020, Optional Form What Is "Proof of Personal Service"? DV-200-INFO, Page 2 of 2 (Domestic Violence Prevention)

DV-200 Proof of Personal Service Clerk stamps date here when form is filed.

1 Name of Party Asking for Protection:

2 Name of Party to Be Restrained:

3 Notice to Server The server must: Be 18 years of age or older. Not be listed in items 1 or 8 of form DV-100, Request for Domestic Fill in court name and street address: Violence Restraining Order. Superior Court of California, County of STANISLAUS Give a copy of all documents checked in 4 to the restrained party in 2 1100 I STREET (You cannot send them by mail). Then complete and sign this form, P.O. BOX 1098 and give or mail it to the person in 1 .

4 I gave the party in 2 a copy of all the documents checked: Court clerk fill in case number when form is filed. a. DV-109 with DV-100 and a blank DV-120 (Notice of Court Case Number: Hearing; Request for Domestic Violence Restraining Order; blank Response to Request for Domestic Violence Restraining Order) b. DV-110 (Temporary Restraining Order) c. DV-105 and DV-140 (Request for Child Custody and Visitation Orders, Child Custody and Visitation Order) d. FL-150 with a blank FL-150 (Income and Expense Declaration) e. FL-155 with a blank FL-155 (Financial Statement (Simplified)) f. DV-115 (Request to Continue Hearing) g. DV-116 (Order on Request to Continue Hearing) h. DV-130 (Restraining Order After Hearing) i. Other (specify): 5 I personally gave copies of the documents checked above to the party in 2 on: a. Date: b. Time: a.m. p.m. c. At this address: City: State: Zip: 6 Server's Information Name: Address: City: State: Zip: Telephone: (If you are a registered process server): County of registration: Registration number:

7 Server's 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 server's name Server to sign here

Judicial Council of California, www.courts.ca.gov DV-200, Page 1 of 1Revised January 1, 2023, Optional Form Proof of Personal Service (CLETS) Family Code, §§ 243, 245, and 6345 (Domestic Violence Prevention)