Amador — WV-120

Source: https://amador.courts.ca.gov/system/files/forms-and-filings/wv120.pdf

Response to Petition for Workplace Clerk stamps date here when form is filed. WV-120 Violence Restraining Orders

Use this form to respond to the Petition (form WV-100)

• Read How Can I Respond to a Petition for Workplace Violence Restraining Orders? (form WV-120-INFO) to protect your rights. • Fill out this form and take it to the court clerk. • Have someone age 18 or older—not you—serve the petitioner or the petitioner’s lawyer by mail with a copy of this form and any attached Fill in court name and street address: pages. (Use form WV-250, Proof of Service of Response by Mail.) Superior Court of California, County of 1 Petitioner (Employer) Name: 2 Employee Seeking Protection Full Name: Fill in case number: Case Number: 3 Respondent (Person From Whom Protection Is Sought) a. Your Name: Your Lawyer (if you have one for this case) Name: State Bar No.: Firm Name: b. Your Address (You may give a mailing address if you want to keep your street address private; skip this if you have a The court will consider your response at the lawyer.) hearing. Write your hearing date, time, and place Address: from form WV-109, item 4 here: City: State: Zip: Date: Time: Hearing Telephone: Fax: Date Dept.: Room: E-Mail Address: If you were served with a Temporary 4 Personal Conduct Orders Restraining Order, you must obey it until the hearing. At the hearing, the court may make a. I agree to the orders requested. orders against you that last for up to three years. b. I do not agree to the orders requested. (Specify why you disagree in item 11 on page 3.) c. I agree to the following orders (specify below or in item 11 on page 3):

5 Stay-Away Orders a. I agree to the orders requested. b. I do not agree to the orders requested. (Specify why you disagree in item 11 on page 3.) c. I agree to the following orders (specify below or in item 11 on page 3):

Judicial Council of California, www.courts.ca.gov Revised January 1, 2018, Mandatory Form Response to Petition for Workplace Violence WV-120, Page 1 of 4 Code of Civil Procedure, §§ 527.8 and 527.9 Restraining Orders (Workplace Violence Prevention)

Case Number:

6 Additional Protected Persons a. I agree that the persons listed in item 4 of the Petition may be protected by the order requested. b. I do not agree that the persons listed in item 4 of the Petition may be protected by the order requested. 7 Firearms Prohibition and Relinquishment If you were served with form WV-110, Temporary Restraining Order, you cannot own or possess any guns, other firearms, or ammunition. You must sell to or store with a licensed gun dealer, or turn in to a law enforcement agency, any guns or other firearms in your immediate possession or control within 24 hours of being served with form WV-110. (See item 8 of form WV-110.) You must file a receipt with the court. You may use form WV-800, Proof of Firearms Turned In, Sold, or Stored for the receipt. a. I do not own or control any guns or other firearms. b. I ask for an exemption from the firearms prohibition under Code of Civil Procedure section 527.9(f) because carrying a firearm is a condition of my employment, and my employer is unable to reassign me to another position where a firearm is unnecessary. (Explain): Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 7b—Firearms Surrender Exemption” as a title. You may use form MC-025, Attachment.

c. I have turned in my guns and firearms to the police or sold them to or stored them with a licensed gun
dealer. A copy of the receipt is attached. has already been filed with the court.

8 Other Orders a. I agree to the orders requested. b. I do not agree to the orders requested. (Specify why you disagree in item 11 on page 3.) c. I agree to the following orders (specify below or in item 11 on page 3):

9 Denial I did not do anything described in item 8 of form SV-100. (Skip to 11 .)

Revised January 1, 2018 Response to Petition for Workplace Violence WV-120, Page 2 of 4 Restraining Orders (Workplace Violence Prevention)

Case Number:

10 Justification or Excuse If I did some or all of the things that the petitioner has accused me of, my actions were justified or excused for the following reasons (explain): Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 10—Justification or Excuse” as a title. You may use form MC-025, Attachment.

11 Reasons I Do Not Agree to the Orders Requested Explain your answers to each order requested that you do not agree with. Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 11—Reasons I Disagree” as a title. You may use form MC-025, Attachment.

Revised January 1, 2018 Response to Petition for Workplace Violence WV-120, Page 3 of 4 Restraining Orders (Workplace Violence Prevention)

Case Number:

12 No Fee for Filing a. I ask the court to waive the filing fee because the petitioner claims in form WV-100 item 14 to be entitled to free filing. b. I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form FW-001, Request to Waive Court Fees, must be filed separately.) 13 Costs a. I ask the court to order the petitioner to pay my court costs. The amounts requested are: Item Amount Item Amount $ $ $ $ $ $ Check here if there are more items. Put the items and amounts on the attached sheet of paper and write “Attachment 13—Costs” for a title. You may use form MC-025, Attachment.

b. I ask the court to deny the request of the person asking for protection that I pay his or her lawyer’s
fees and costs.

14 Number of pages attached to this form, if any:

Date:

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Lawyer’s name (if any) Lawyer’s signature

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

Date:

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Type or print your name Sign your name

Revised January 1, 2018 Response to Petition for Workplace Violence WV-120, Page 4 of 4 Restraining Orders (Workplace Violence Prevention) For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form