Proof Of Service (In Person) (CLETS)
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Proof Of Service (In Person) (CLETS) Form. This is a California form and can be use in Domestic Violence Prevention Judicial Council.
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Tags: Proof Of Service (In Person) (CLETS), DV-200, California Judicial Council, Domestic Violence Prevention
DV-200
Clerk stamps here when form is filed.
Proof of Service (In Person)
1
Protected person’s name:
2
Restrained person’s name:
3
Notice to Server
This is a Court Order.
You must:
• Be 18 or over.
• Not be listed on the
restraining order.
• Give a copy of all
documents checked in 4 to the restrained person in 2 .
(You cannot send them by mail.) Then sign this form and give
or mail it to the protected person.
Fill in court name and street address:
Superior Court of California, County of
Clerk fills in case number when form is filed.
4
Case Number:
I gave the person in 2 a copy of all documents checked below:
DV-109 with DV-100 and a blank DV-120
a.
(Notice of Court Hearing; Request for Order;
blank Answer to Temporary Restraining Order)
DV-110 (Temporary Restraining Order)
b.
DV-105 and DV-140 (Child Custody, Visitation, and Support Request; Child Custody and Visitation
c.
Order)
FL-150 with a blank FL-150 (Income and Expense Declaration)
d.
FL-155 with a blank FL-155 ( Financial Statement (Simplified))
e.
DV-125 (Reissue Notice of Court Hearing and Temporary Restraining Order)
f.
DV-130 (Restraining Order After Hearing)
g.
h.
Other (specify):
5
I gave copies of the documents checked above to the person in 2 on:
a. Date:
b. Time:
a.m.
p.m.
c. At this address:
6
Server’s Information
Name:
Address:
Telephone:
(If you are a process server):
County of registration:
Registration number:
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 server’s name
Judicial Council of California, www.courtinfo.ca.gov
Revised January 1, 2010, Optional Form
Family Code, §§ 6324, 6340–6344
Server to sign here
Proof of Service (In Person) (CLETS)
(Domestic Violence Prevention)
DV-200, Page 1 of 1
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