DV-110 1 Temporary Restraining Order Clerk stamps date here when form is filed. Person in 1 must complete items 1 , 2 , and 3 only. Name of Protected Person: 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 information. If you do not have a lawyer and want to keep your home address private, give a different mailing address instead. You do not have to give your telephone, fax, or e-mail.): Address: City: State: Zip: Fax: Telephone: E-mail Address: Fill in court name and street address: Superior Court of California, County of 2 Name of Restrained Person: Description of restrained person: Sex: M F Height: Race: Address (if known): City: Relationship to protected person: Weight: Age: Court fills in case number when form is filed. Case Number: Hair Color: Eye Color: Date of Birth: Zip: State: 3 Additional Protected Persons In addition to the person named in 1 , the following persons are protected by temporary orders as indicated in items 6 and 7 (family or household members): Full name Relationship to person in 1 Sex Age Check here if there are additional protected persons. List them on an attached sheet of paper and write, "DV-110, Additional Protected Persons" as a title. The court will complete the rest of this form. 4 Court Hearing This order expires at the end of the hearing stated below: Hearing Date: Time: a.m. p.m. This is a Court Order. Judicial Council of California, www.courts.ca.gov Revised July 1, 2016, Mandatory Form Family Code, § 6200 et seq. Approved by DOJ Temporary Restraining Order (CLETS--TRO) (Domestic Violence Prevention) DV-110, Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 5 a. b. Criminal Protective Order A criminal protective order on Form CR-160, Criminal Protective Order--Domestic Violence, is in effect. County: Expiration Date: Case Number: No information has been provided to the judge about a criminal protective order. To the person in 2 The court has granted the temporary orders checked below. If you do not obey these orders, you can be arrested and charged with a crime. You may be sent to jail for up to one year, pay a fine of up to $1,000, or both. 6 Personal Conduct Orders Not requested Denied until the hearing Granted as follows: persons in 3 : a. You must not do the following things to the person in 1 and Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal property, disturb the peace, keep under surveillance, impersonate (on the Internet, electronically or otherwise), or block movements Contact, either directly or indirectly, in any way, including but not limited to, by telephone, mail, e-mail or other electronic means Take any action, directly or through others, to obtain the addresses or locations of the persons in 1 and 3 . (If this item is not checked, the court has found good cause not to make this order.) b. Peaceful written contact through a lawyer or process server or another person for service of Form DV-120 (Response to Request for Domestic Violence Restraining Order) or other legal papers related to a court case is allowed and does not violate this order. c. Exceptions: Brief and peaceful contact with the person in 1 , and peaceful contact with children in 3 , as required for court-ordered visitation of children, is allowed unless a criminal protective order says otherwise. Not requested Denied until the hearing Granted as follows: 7 Stay-Away Order a. You must stay at least (specify): yards away from (check all that apply): The person in 1 School of person in 1 Home of person in 1 The persons in 3 The job or workplace of person in 1 The child(ren)'s school or child care Vehicle of person in 1 Other (specify): b. Exceptions: Brief and peaceful contact with the person in 1 , and peaceful contact with children in 3 , as required for court-ordered visitation of children, is allowed unless a criminal protective order says otherwise. 8 Move-Out Order 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): This is a Court Order. Revised July 1, 2016 Temporary Restraining Order (CLETS--TRO) (Domestic Violence Prevention) DV-110, Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 9 No Guns or Other Firearms or Ammunition a. You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get guns, other firearms, or ammunition. b. You must: · Sell to, or store with, a licensed gun dealer, or turn in to a law enforcement agency, any guns or other firearms within your immediate possession or control. Do so within 24 hours of being served with this order. · Within 48 hours of receiving this order, file with the court a receipt that proves guns have been turned in, stored, or sold. (You may use Form DV-800, Proof of Firearms Turned In, Sold, or Stored, for the receipt.) Bring a court filed copy to the hearing. c. The court has received information that you own or possess a firearm. 10 Record Unlawful Communications Not requested Denied until the hearing Granted as follows: The person in 1 can record communications made by you that violate the judge's orders. Not requested Denied until the hearing Granted as follows: The person in 1 is given the sole possession, care, and control of the animals listed below. The person in 2 must stay at least yards away from and not take, sell, transfer, encumber, conceal, molest, attack, strike, threaten, harm, or otherwise dispose of the following animals: 11 Care of Animals 12 Child Custody and Visitation Not requested Denied until the hearing Granted as follows: Child custody and visitation are ordered on the attached Form DV-140, Child Custody and Visitation Order or (specify other form): . The parent with temporary custody of the child must not remove the child from California unless the court allows it after a noticed hearing (Fam. Code, § 3063). 13 14 Child Support Not ordered now but may be ordered after a noticed hearing. Property Control 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: 15 Not requested Denied until the hearing The person in 2 must make these payments until this order ends: Pay to: For: Amount: $ Pay to: For: Amount: $ Debt Payment Granted as