Referral For CII-DVROS-ICMS Report (Domestic Violence Restraining Order) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Referral For CII-DVROS-ICMS Report (Domestic Violence Restraining Order) Form. This is a California form and can be use in San Bernardino Local County.
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Tags: Referral For CII-DVROS-ICMS Report (Domestic Violence Restraining Order), A, California Local County, San Bernardino
SUPERIOR COURT OF STATE OF CALIFORNIA
COUNTY OF SAN BERNADINO
REFERRAL FOR CII/DVROS/ICMS REPORT
Case Number
Date Referred
Dept. Referring
Date Report Due
Petitioner Name:
Respondent Name:
Petitioner AKA's, if any:
Respondent AKA's, if any:
Petitioner Date of Birth:
Respondent Date of Birth:
Petitioner SSN:
Report to Dept.
Respondent SSN:
COURT ORDER:
This matter is referred to Family Law Processing for a DVROS (CLETS) history report
and a Criminal History Inquiry (CII) pursuant to Family Code 6306 and/or California
Rule of Court 5.500.
This matter is referred to Family Law Processing for a search of the Superior Court of
California, County of San Bernardino Integrated Case Management System for a history
report regarding existing custody and Visitation orders pursuant to CRC 5.500.
Notes:
Special Order:
FORM A
This form is required with any filing where child custody and visitation orders are at issue and ALL Domestic Violence Restraining
Order requests.
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