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Response To Request For Orders To Stop Elder Or Dependent Adult Abuse Form. This is a California form and can be use in Elder Or Dependent Adult Abuse Judicial Council.
Tags: Response To Request For Orders To Stop Elder Or Dependent Adult Abuse, EA-110, California Judicial Council, Elder Or Dependent Adult Abuse
EA-110
Response to Request for Orders to
Stop Elder or Dependent Adult Abuse
1
Name of person who asked for the protective orders:
2
Clerk stamps date here when form is filed.
Your name:
Your address (skip this if you have a lawyer): (If you want your
address to be private, give a mailing address instead):
City:
State:
Zip:
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):
Fill in case number:
3
Use this form to give the court your responses to EA-100.
Case Number:
• Read Form EA-151-INFO to protect your rights.
• Fill out this form and then take it to the court clerk.
• You must have the person in 1 served with a copy
The court will consider your Response at the
of this form and any attached pages.
hearing. Write your hearing date and time here:
Personal Conduct Orders
a.
b.
c.
4
Stay-Away Orders
a.
b.
c.
5
Hearing
Date
Date:
Dept.:
Time:
Room:
You must obey the court’s orders until the
hearing. If you do not come to this hearing, the
court may make the orders requested against you
last for up to 3 years.
I agree to the orders requested.
I do not agree to the orders requested.
I agree to the following orders (specify):
Move-Out Order
I agree to the order requested.
a.
b.
c.
6
I agree to the orders requested.
I do not agree to the orders requested.
I agree to the following orders (specify):
I do not agree to the order requested.
I agree to the following order (specify):
Turn In Guns or Other Firearms
I do not own or have any guns or firearms.
a.
b.
c.
d.
I agree to the order requested.
I do not agree to the order requested.
I agree to the following order (specify):
Judicial Council of California, www.courtinfo.ca.gov
Revised January 1, 2007, Mandatory Form
Welfare & Institutions Code, § 15657.03
Response to Request for Orders to Stop Elder
or Dependent Adult Abuse
(Elder or Dependent Adult Abuse Prevention)
EA-110, Page 1 of 2
American LegalNet, Inc.
www.FormsWorkflow.com
Case Number:
Your name:
7
Other Orders
I agree to the orders requested.
I do not agree to the orders requested.
I agree to the following orders (specify):
a.
b.
c.
8
The court should not make orders against me because (Give facts or reasons below):
Check here if you need more space. Attach a sheet of paper and write “EA-110, Item 8
Give specific facts and reasons.
9
Lawyer’s Fees and Costs
I ask the court to order payment of my:
Lawyer’s fees
a.
b.
Court costs
because the temporary restraining order was issued without enough supporting facts.
The amounts requested are:
Item
Item
Amount
$
$
$
Amount
$
$
$
Check here if you need more space. Attach a sheet of paper and write “EA-110, Item 9
at the top. Give specific items and amounts.
10
Facts and Reasons.”
Lawyer’s Fees and Costs”
Other Relief
I ask for additional relief as may be proper.
11
Number of pages attached to this form, if any:
Date:
Lawyer’s name
Lawyer’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, 2007
Sign your name
Response to Request for Orders to Stop Elder
or Dependent Adult Abuse
(Elder or Dependent Adult Abuse Prevention)
EA-110, Page 2 of 2
