CR-160 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: CRIMINAL PROTECTIVE ORDER--DOMESTIC VIOLENCE (CLETS - CPO) (Pen. Code, §§ 136.2, 1203.097(a)(2), 136.2(i)(1), 273.5(j), 368(l), and 646.9(k)) ORDER UNDER PENAL CODE, § 136.2 MODIFICATION PROBATION CONDITION ORDER (Pen. Code, § 1203.097) PENAL CODE, § 273.5(j) ORDER UNDER: PENAL CODE, § 136.2(i)(1) PENAL CODE, § 646.9(k) PENAL CODE, § 368(l) PERSON TO BE RESTRAINED (complete name): Sex: M F Ht.: Wt.: Hair color: CASE NUMBER: This Order May Take Precedence Over Other Conflicting Orders; See Item 4 on Page 2. Eye color: Race: Age: Date of birth: 1. This proceeding was heard on (date): in Dept.: Room: at (time): by judicial officer (name): . If no date is listed, this order expires three years from date of issuance. 2. This order expires on (date): Defendant was personally served with a copy of this order at the court hearing, and no additional proof of service of this order 3. is required. 4. FULL NAME, AGE, AND GENDER OF EACH PROTECTED PERSON: 5. For good cause shown, the court grants the protected persons named above the exclusive care, possession, and control of the following animals: 6. The court has information that the defendant owns or has a firearm or ammunition, or both. GOOD CAUSE APPEARING, THE COURT ORDERS THAT THE ABOVE-NAMED DEFENDANT 7. must not harass, strike, threaten, assault (sexually or otherwise), follow, stalk, molest, destroy or damage personal or real property, disturb the peace, keep under surveillance, or block movements of the protected persons named above. 8. must not own, possess, buy or try to buy, receive or try to receive, or otherwise obtain a firearm or ammunition. The defendant must surrender to local law enforcement, or sell to or store with a licensed gun dealer any firearm owned by the defendant or subject to his or her immediate possession or control within 24 hours after service of this order and must file a receipt with the court showing compliance with this order within 48 hours of receiving this order. The court finds good cause to believe that the defendant has a firearm within his or her immediate possession or control and sets a review hearing for (date): to ascertain whether the defendant has complied with the firearm relinquishment requirements of Code Civ. Proc., § 527.9. (Cal. Rules of Court, rule 4.700.) The court has made the necessary findings and applies the firearm relinquishment exemption under Code Civ. Proc., § 527.9(f).The defendant is not required to relinquish this firearm (specify make, model, and serial number of firearm): 9. must not attempt to or actually prevent or dissuade any victim or witness from attending a hearing or testifying or making a report to any law enforcement agency or person. 10. must take no action to obtain the addresses or locations of protected persons or their family members, caretakers, or guardian The court finds good cause not to make the order in item 10. unless good cause exists otherwise. must be placed on electronic monitoring for (specify length of time): . (Not to exceed 1 year from 11. the date of this order. Pen. Code, § 136.2(a)(1)(G)(iv) and Pen. Code, § 136.2(i)(2).) 12. must have no personal, electronic, telephonic, or written contact with the protected persons named above. 13. must have no contact with the protected persons named above through a third party, except an attorney of record. must not come within yards of the protected persons and animals named above. 14. 15. must not take, transfer, sell, encumber, conceal, molest, attack, strike, threaten, harm, or otherwise dispose of the animals described in item 5. 16. may have peaceful contact with the protected persons named above, as an exception to the "no-contact" or "stay-away" provision in item 12, 13, or 14 of this order, only for the safe exchange of children and court-ordered visitation as stated in: a. the Family, Juvenile, or Probate court order in case number: issued on (date): b. any Family, Juvenile, or Probate court order issued after the date this order is signed. 17. The protected persons may record any prohibited communications made by the restrained person. 18. Other orders including stay-away orders from specific locations: Executed on: (DATE) Form Adopted for Mandatory Use Judicial Council of California CR-160 [Rev. January 1, 2017] Approved by Department of Justice (SIGNATURE OF JUDICIAL OFFICER) Department/Division: Page 1 of 2 Penal Code, §§ 136.2, 166, 1203.097(a)(2), 273.5(j), 368(l), 646.9(k), and 136.2(i)(1) www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com CRIMINAL PROTECTIVE ORDER--DOMESTIC VIOLENCE (CLETS--CPO) CR-160 WARNINGS AND NOTICES 1. VIOLATION OF THE ORDER IS SUBJECT TO CRIMINAL PROSECUTION. Violation of this protective order may be punished as a misdemeanor, a felony, or a contempt of court. Taking or concealing a child in violation of this order may be a felony and punishable by confinement in state prison, a fine, or both. Traveling across state or tribal boundaries with the intent to violate the order may be punishable as a federal offense under the Violence Against Women Act, 18 U.S.C. § 2261(a)(1) (1994). 2. NOTICE REGARDING FIREARMS. Any person subject to a protective order is prohibited from owning, possessing, purchasing or attempting to purchase, receiving or attempting to receive, or otherwise obtaining a firearm. Such conduct is subject to a $1,000 fine and imprisonment. The person subject to these orders must relinquish any firearms (by surrendering the firearm to local law enforcement, or by selling or storing it with a licensed gun dealer) and not own or possess any firearms during the period of the protective order. (Pen. Code, § 136.2(d).) Under federal law, the issuance of a protective order after hearing will generally prohibit the restrained person from owning, accepting, transporting, or possessing firearms or ammunition. A violation of this prohibition is a separate federal crime. Specified defendants may request an exemption from the firearm relinquishment requirements stated in item 8 on page 1 of this order. The court must check the box under item 8 to order an exemption from the firearm relinquishment requirements. If the defendant can show that the firearm is necessary as a condition of continued employment, the court may grant an exemption for a particular firearm to be