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Proof Of Personal Service (Workplace Violence) Form. This is a California form and can be use in Workplace Violence Judicial Council.
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Tags: Proof Of Personal Service (Workplace Violence), WV-130, California Judicial Council, Workplace Violence
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
WV-130
Index No.
FOR COURT USE ONLY
:
:
Plaintiff(s)
TELEPHONE NO.:
Calendar No.
JUDICIAL SUBPOENA
FAX NO.:
-against-
ATTORNEY FOR (Name):
:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
:
STREET ADDRESS:
MAILING ADDRESS:
:
CITY AND ZIP CODE:
BRANCH NAME:
Defendant(s)
:
. PLAINTIFF: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
........
DEFENDANT:
EMPLOYEE:
THE PEOPLE OF THE STATE OF NEW YORK
PROOF OF PERSONAL SERVICE (Workplace Violence)
TO
CASE NUMBER:
Instructions to Plaintiff: After having the other party served with any of the documents identified in item 2 have the person who
served the documents complete this Proof of Personal Service. You cannot serve these papers. Give the completed Proof of Personal
Service to the clerk for filing.
GREETINGS:
1. At the time of service I was at least 18 years of age and not a party to this legal action.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable
at the
2. I served a copy of the following documents (check the box before the title of each Court
document you served):
a. County of to Show Cause (Workplace Violence) (form WV-120)
Order
located at
in room and Temporary Restraining Order (CLETS) (form WV-120)
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
b. or adjourned of Employer for Injunction Prohibiting Violence or Threats ofaction onAgainst Employee (Workplace Violence)
Petition date, to testify and give evidence as a witness in this Violence the part of the
and
c.
Application for Temporary Restraining Order (form WV-100)
Blank Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee
(Workplace Violence) (form WV-110)
Your failure to comply with this subpoena is punishable as contempt of
Proof of Service by Mail of Completed Response (Workplace Violence)a(form WV-131) court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
e.
Order After Hearing on Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee
result (CLETS) failure to comply. (form WV-140)
of your (Workplace Violence)
d.
f.
Blank Proof of Sale of or Turning in of Firearms (form WV-145)
g.
Witness,
Other (specify):Honorable
Court in
County,
, one of the Justices of the
day of
, 20
3. Person served (name):
(Attorney must sign above and type name below)
4. By personally delivering copies to the person served, as follows:
b. Time:
a. Date:
c. Address:
Attorney(s) for
5. My residence or business address is (specify):
6. My telephone number is (specify):
Office and P.O. Address
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME )
Form Approved for Optional Use
Judicial Council of California
WV-130 [Rev. January 1, 2005]
Telephone No.:
Facsimile No.:
E-Mail Address:
PROOF OF PERSONAL SERVICE No.:
Mobile Tel.
(Workplace Violence)
(SIGNATURE)
Page 1 of 1
Code of Civil Procedure, ยงยง 527.8
and 527.9
www.courtinfo.ca.gov
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