Amador — GV-100

Source: https://amador.courts.ca.gov/system/files/forms-and-filings/gv100.pdf

Clerk stamps date here when form is filed. Petition for Gun Violence GV-100 Restraining Order Read Can a Gun Violence Restraining Order Help Me? (form GV-100-INFO) before completing this form. 1 Petitioner a. Your Full Name or Name of Law Enforcement Agency:

I am:
A family member of the Respondent
An officer of a law enforcement agency (A petition may be filed in Fill in court name and street address:
Superior Court of California, County of the name of the law enforcement agency in which the officer is
employed. If you wrote your full name above, write the name of
the law enforcement agency that employs you):

An employer of the Respondent (your position and name of
company): Court fills in case number when form is filed.
Case Number:
A coworker of the Respondent. I have had substantial and regular
interactions with the Respondent for at least one year and I have
obtained the approval of my employer to file this petition (name
of company):

An employee or teacher of a secondary or postsecondary school
that the Respondent has attended in the last 6 months. I have
obtained the approval of a school administrator to file this petition
(name of the school):

b. Your Lawyer (if you have one for this case): Name:
Firm Name: State Bar No.:
c. Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to
keep your home address private, you may give a different mailing address instead. You do not have to give
telephone, fax, or email. Law enforcement officer, give agency information.)

Address:
City: State: Zip:
Telephone: Fax:
Email Address:

2 Respondent Full Name: Age: Address (if known): City: State: Zip: This is not a Court Order.

Judicial Council of California, www.courts.ca.gov Rev. September 1, 2020, Mandatory Form Petition for Gun Violence Restraining Order GV-100, Page 1 of 4 Penal Code, § 18100 et seq. (Gun Violence Prevention)

Case Number:

3 Venue Why are you filing in this county? (Check all that apply): a. The Respondent lives in this county. b. Other (specify): 4 Other Court Cases a. Are you aware of any other court cases, civil or criminal, involving the Respondent? Yes No If yes, check each kind of case and give as much information as you know as to where and when each was filed:

Kind of Case Filed in (County/State) Year Filed Case Number (if known)
(1) Civil Harassment
(2) Domestic Violence
(3) Divorce, Nullity, Legal Separation
(4) Paternity, Parentage, Child Custody
(5) Elder or Dependent Adult Abuse
(6) Eviction
(7) Workplace Violence
(8) Criminal
(9) Other (specify):

b. Are there now any protective or restraining orders in effect relating to Respondent?
Yes No I don’t know If yes, attach a copy if you have one.

5 Description of Respondent's Firearms, Ammunition, or Magazines If you have reason to believe that the respondent is in possession of firearms, ammunition, or magazines, answer (a) or check (b). a. I am informed, and on that basis believe, that Respondent currently possesses or controls the following firearms, ammunition or magazines (describe the number, types, and locations of any firearms, ammunition, or magazines that you believe that the Respondent currently possesses or controls):

b. I am informed, and on that basis believe, that Respondent currently possesses or controls firearms,
ammunition, or magazines, but I have no further specific information as to the number, types, and locations
of those firearms, ammunition, or magazines.
This is not a Court Order.

Rev. September 1, 2020 Petition for Gun Violence Restraining Order GV-100, Page 2 of 4 (Gun Violence Prevention)

Case Number:

6 Grounds for Issuance of a Gun Violence Restraining Order I have reasonable cause to believe both of the following are true: a. The Respondent poses a significant danger in the near future of causing personal injury to themself or another person by having in their custody or control, owning, purchasing, possessing, or receiving a firearm, ammunition, or a magazine.

b. A gun violence restraining order is necessary to prevent personal injury to Respondent or to another person because less restrictive alternatives either have been tried and found to be ineffective, or have been determined to be inadequate or inappropriate for the current circumstances. c. The facts supporting the above statements are set forth: Below On Attached Declaration (form MC-031).

7 Request for Gun Violence Restraining Order I request that the court issue an order prohibiting Respondent from having in their custody or control, owning, purchasing, possessing or receiving, or attempting to purchase or receive, any firearms, ammunition, or magazines. I further request that Respondent be ordered to immediately surrender all firearms, ammunition, and magazines currently in their possession to a law enforcement officer or to sell the firearms, ammunition, and magazines to or store them with a licensed gun dealer. a. I request the order above for years. (Please include a number of years between one and five years.) b. I am asking for this amount of time because:

This is not a Court Order.

Rev. September 1, 2020 Petition for Gun Violence Restraining Order GV-100, Page 3 of 4 (Gun Violence Prevention)

Case Number:

8 No Fee to Serve (Notify) Restrained Person If you want the sheriff or marshal to serve (notify) the restrained person about the orders, they will do it for free.

9 Request for Hearing I request that the court set a hearing in this matter for the purpose of issuing a gun violence restraining order that will last between one and five years.

10 Temporary Gun Violence Restraining Order I request that a Temporary Gun Violence Restraining Order (TGV) be issued against the Respondent to last until the hearing. I am presenting Temporary Restraining Order (form GV-110) for the court’s signature together with this Petition. Has the Respondent been told that you were going to court to seek a TGV? Yes No (If you answered no, explain why below): Reasons stated in Attachment 10.

11 Request to Give Less Than Five Days' Notice of Hearing You must have your papers personally served on Respondent at least five calendar days before the hearing, unless the court orders a shorter time for service. (Form GV-200-INFO explains What Is “Proof of Personal Service”? Proof of Personal Service (form GV-200) may be used to show the court that the papers have been served.) If you want there to be fewer than five days between service and the hearing, explain why below: Reasons stated in Attachment 11.

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

Date:

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 and on all attachments is true and correct.

Date:

Type or print your name Sign your name This is not a Court Order.

Rev. September 1, 2020 Petition for Gun Violence Restraining Order GV-100, Page 4 of 4 (Gun 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