CONFIDENTIAL CLETS Information WV-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 Employee to Be Protected (Name): Sex: M F Height: Hair Color: Eye Color: (Mailing address listed on restraining order) Vehicle (type, model, year): Vehicle license number and state: 2 Race: Weight: Age: Date of Birth: (City, state, zip) (Telephone number [optional]) Person to Be Restrained (Name): Sex: M F Height: Hair Color: Race: Weight: Eye Color: Date of Birth: 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: 3 Vehicle license number and state: 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 WV-102, Page 1 of 1 (Workplace Violence Prevention) American LegalNet, Inc. www.FormsWorkFlow.com