DV-900 Order Transferring Wireless Phone Account Clerk stamps date here when form is filed. TO THE WIRELESS SERVICE PROVIDER: This order is made under California Family Code section 6347. THE ORDER APPLIES TO: 1 2 Wireless service provider (name): Current account holder (name): Billing telephone number: 3 4 New account holder (name): Transfer of the following wireless phone number(s): Telephone number (include area code): Telephone number (include area code): Telephone number (include area code): Telephone number (include area code): Telephone number (include area code): Check box to include attachment with additional telephone number(s). Fill in court name and street address: Superior Court of California, County of Fills in case number: Case Number: 5 TRANSFER OF RIGHTS AND RESPONSIBILITIES All rights and responsibilities for the accounts listed in 4 , including all financial responsibility for the telephone numbers, monthly service costs, and costs for any mobile device associated with the telephone numbers, must be immediately transferred to the new account holder (person in 3 ). The person in 3 will be financially responsible for the accounts listed in 4 starting: the date the account is transferred by the wireless service provider (specify date) 6 The person in 3 must send this order and a completed copy of Form DV-901 to the wireless service provider listed in 1 . For information on where to send this form and Form DV-901, go to the following website: http://www.sos.ca.gov/registries/safe-home/domestic-violence-wireless-plans. Form DV-901 is a confidential form and must NOT be filed with the court. Date: Judicial Officer ATTENTION WIRELESS SERVICE PROVIDER The new account holder's (person in 3 ) contact information, including information on Form DV-901, must NOT be disclosed to the current account holder (person in 2 ). This order is made under California's Domestic Violence Prevention Act. This is a Court Order. Judicial Council of California, www.courts.ca.gov New July 1, 2016, Mandatory Form Family Code, § 6347 Order Transferring Wireless Phone Account (Domestic Violence Prevention) DV-900, Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: INSTRUCTIONS FOR WIRELESS SERVICE PROVIDER The orders contained on page 1 of this form must be followed unless the wireless service provider cannot operationally or technically effectuate the order due to certain circumstances, including, but not limited to, any of the following: · When the current account holder has already terminated the account · When differences in network technology prevent the functionality of a device on the network · When there are geographic or other limitations on network or service availability If the provider determines that transfer CANNOT occur, then the provider MUST notify the person in 3 within 72 hours of receipt of this order (California Family Code section 6347). (Clerk will fill out this part.) --Clerk's Certificate-- Clerk's Certificate [seal] I certify that this order is a true and correct copy of the original on file in the court. Date: Clerk, by , Deputy This is a Court Order. New July 1, 2016 Order Transferring Wireless Phone Account (Domestic Violence Prevention) DV-900, Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com