Confidential CLETS Information (Private Postsecondary School Violence Prevention) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Confidential CLETS Information (Private Postsecondary School Violence Prevention) Form. This is a California form and can be use in School Violence Prevention Judicial Council.
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CONFIDENTIAL
CLETS Information
SV-102
California Law Enforcement Telecommunications System (CLETS)
Information Form
Important Notice: This form MUST NOT become part of the public court file. It is confidential and private.
If the court issues a restraining order, this form will provide law enforcement with information that will assist them in
enforcing it. Fill out as much of this form as you can and give it to the court clerk. The clerk will provide the confidential
information on this form through CLETS into the California Restraining and Protective Order System (CARPOS), a
statewide database that lets police know about your orders.
Case number for your restraining order (if you know it):
1
Student to Be Protected (Name):
M
Sex:
Hair Color:
F Height:
Eye Color:
(Mailing address listed on restraining order)
Vehicle (type, model, year):
Vehicle license number and state:
2 Person to Be Restrained (Name):
M
F Height:
Sex:
Hair Color:
Eye Color:
Race:
Date of Birth:
Weight:
Age:
(City, state, zip)
(Telephone number [optional])
Race:
Date of Birth:
Weight:
Age:
(Residence address)
(City, state, zip)
(Telephone number)
(Workplace)
(Occupation/title)
(Work hours)
(Business address)
(City, state, zip)
(Telephone number)
Driver’s license number and state:
Vehicle (type, model, year):
Social Security number:
Describe any marks, scars, or tattoos:
Other names used by the restrained person:
Vehicle license number and state:
3 Guns or Firearms
Describe any guns or firearms you believe the restrained person owns or has access to (number, types, and
locations):
4 Other People to Be Protected
Name
Date of Birth
Sex
Race
Continued on Attachment 4.
This is not a Court Order—Do not file in court file.
Judicial Council of California, www.courts.ca.gov
New January 1, 2011, Mandatory Form
Cal. Rules of Court, Rule 1.51
Confidential CLETS Information
SV-102, Page 1 of 1
(Private Postsecondary School Violence Prevention)
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