Transcription of DV-100 Request for Domestic Violence Restraining Order
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DV-100 Request for Domestic Violence Restraining Order
Request for Domestic Clerk stamps date here when form is filed. DV-100 Violence Restraining Order You must also complete form CLETS-001, Confidential CLETS Information, and give it to the clerk when you file this Request . 1 Name of Person Asking for Protection: Age: Your lawyer in this case (if you have one): Name: State Bar No.: Firm Name: Address (If you have a lawyer for this case, give your lawyer's Fill in court name and street address: information. If you do not have a lawyer and want to keep your home Superior Court of California, County of address private, give a different mailing address instead. You do not have to give your telephone, fax, or e-mail.): Address: City: State: Zip: Telephone: Fax: E-Mail Address: Court fills in case number when form is filed. 2 Name of Person You Want Protection From: Case Number: Description of person you want protection from: Sex: M F Height: Weight: Hair Color: Eye Color: Race: Age: Date of Birth: Address (if known): City: State: Zip: 3 Do you want an Order to protect family or household members?
If the judge makes this order, you will be financially responsible for these accounts, including monthly service fees and costs of any mobile devices connected to these phone numbers.
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