COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : CH-110 1 Answer to Request for Orders to Stop Harassment Name of person who asked for the order: Plaintiff(s) 2 -againstYour name: Your address (skip this if you have a lawyer): (If you want your address to be private, give a mailing address instead): Indexstamps date here when form is filed. No. Clerk : Calendar No. : JUDICIAL SUBPOENA : : : Zip: City: State: Defendant(s) Fill in court name and street address: : .Your. telephone . . . . . . . . . .(____) _____________________________ . . . . . . . . . . . (optional): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Superior Court of California, County of Your lawyer (if you have one): (Name, address, telephone number, and State Bar number): THE PEOPLE OF THE STATE OF NEW YORK TO Use this form to give the court your answers to CH-100 Fill in case number: Case Number: • Read Form CH-151 to protect your rights. • Fill out this form and then take it to the court clerk. GREETINGS: • Serve the person in 1 with a copy of this form and any attached 3 4 pages.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable at the Court The court will consider your Answer at the hearing. , Personal Conduct Orders located at County of Write your hearing date and time here: I agree on the order requested. a. in room , to the day of , 20 , at o'clock in the noon, and at any recessed Time: do not testify and order requested. b. Hearing or adjournedIdate, to agree to thegive evidence as a witness in this action on Date: of the the part Date Dept.: Room: I agree to the following order (specify): c. You must obey the court's orders until the hearing. If you do not come to this hearing, the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to court may make the orders requested against you the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a last for up to 3 years. result of your failure to comply. Stay Away Orders I agree to the order requested. a. Witness, Honorable I do not agree to the order requested. b. Court in County, day of I agree to the following order (specify): c. 5 Turn In Guns or Other Firearms I do not own or have any guns or firearms. a. b. c. d. 6 I agree to the order requested. I do not agree to the order requested. I agree to the following order (specify): Other Orders a. b. c. , one of the Justices of the , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify): Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2005, Mandatory Form Code of Civil Procedure, §§ 527.6 and 527.9 Telephone No.: Facsimile No.: E-Mail Address: Answer to Request for Orders to Stop Harassment Mobile (Civil Harassment) Tel. No.: CH-110, Page 1 of 3 American LegalNet, Inc. www.USCourtForms.com Case Number: Your name: 7 Emotional Distress a. b. A reasonable person in the same position as the person in (Explain): c. 8 The person in If the person in 1 has suffered any emotional distress, it is not because of what that person has accused me of doing. (Explain): 1 has not suffered emotional distress. (Explain): 1 —if anything—was not done on purpose. Denial a. b. 10 I did not do anything described in 6 of Form CH-100. (Skip to 11 .) I did some or all of the things described in 6 of Form CH-100. (Explain in 10 – 11 .) Reason or Excuse I have done some or all of the things the person in a. What I did was legal. (Explain): 1 has accused me of, but: b. I had a good reason for doing these things. (Explain): c. 11 would not have suffered emotional distress. Purpose of Actions What I did to the person in 9 1 I have other reasons to justify what I did. (Explain): The court should not make an order against me because: (List facts or reasons below): Check here if you need more space. Attach a sheet of paper and write “CH-110, Item 11 at the top. Give specific facts and reasons. Revised January 1, 2005 Answer to Request for Orders to Stop Harassment (Civil Harassment) Facts and Reasons” CH-110, Page 2 of 3 Case Number: Your name: 12 No Fee for Filing I ask the court to waive the filing fee because the person in 1 claims that I have used or threatened to use violence against them or have acted in some other way that would make them reasonably fear violence. 13 Lawyer's Fees and Costs I ask the court to order payment of my: Lawyer's fees a. b. Out-of-pocket expenses because the temporary restraining order was issued without enough supporting facts. The amounts requested are: Item Item Amount Amount $ $ $ 14 $ $ $ Other Relief I ask for additional relief as may be proper. 15 Number of pages attached to this form, if any: Date: Attorney's name Attorney'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 your name Revised January 1, 2005 Sign your name Answer to Request for Orders to Stop Harassment (Civil Harassment) CH-110, Page 3 of 3