SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA LOMPOC DIVISION 115 Civic Center Plaza, Lompoc, CA 93436 PLAINTIFF: DEFENDANT: ADDRESS: FOR COURT USE ONLY MILLER DIVISION 312-M E. Cook St., Santa Maria, CA 93454 Dept. ____ People of the State of California Charge(s): Misd. Felony Date of Birth: CASE NUMBER: COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE DEFENDANT: NOTICE OF HEARING: You are hereby notified to appear in the Superior Court (checked above) on _________________________ at ________ a.m., to respond to an alleged violation of your court ordered program as indicated below. Upon your arrival at the court, please check the posted court calendar for your name. If it does not appear, inquire in the Clerk's Office immediately. FAILURE TO APPEAR MAY RESULT IN A WARRANT ISSUING FOR YOUR ARREST. Reason(s) for Non-Compliance: Failure to enroll Failure to pay program fees Failure to complete program Other (specify in comments) Comments: Failure to provide out-of-county proof of enrollment Failure to comply with program rules and regulations Acts of violence: Threats, unlawful activity against others Violation: Subsequent alcohol or drug related offense Exceeded 3 absences from program Program: Domestic Violence Program Domestic Violence Solutions Charles Golodner, Therapist Family Life Counseling Service Sharon L. Elam Counseling Zona Seca First Mexican Baptist Church Other 1660 South Broadway, Santa Maria, CA 93454 418 North "H" Street #C, Lompoc, CA 93436 301 S. Miller St., Ste 105, Santa Maria, CA 93454 601 East Ocean Ave. #21, Lompoc, CA 93436 301 S. Miller St., Ste 204, Santa Maria, CA 93454 101 Civic Center Plaza, Lompoc, CA 93436 1623 Mission Dr. #3, Solvang, CA 93463 210 S. Palisades, Ste 204, Santa Maria, CA 93454 26 West Figueroa Street, Santa Barbara CA 93101 1039 West Barrett Street, Santa Maria, CA 93458 Phone Phone Phone Phone Phone Phone Phone Phone Phone Phone (805) 682-7229 (805) 682-7229 (805) 349-2255 (805) 740-1144 (805) 346-8118 (805) 737-1533 (805) 693-0218 (805) 925-3922 (805) 963-8961 (805) 925-7063 Certificate of Service I declare under penalty of perjury under the laws of the State of California, that the above information is true and correct to the best of my knowledge and ability. I certify that this Notice of Non-Compliance was mailed first class, postage prepaid, Hand delivered in in a sealed envelope to the defendant at the address shown above on the date shown below. office ______________________________ Program Representative SC-3043N [Rev. Jan. 30, 2003] ______________________________ Program Name _________________ Date PC 1203.097 American LegalNet, Inc. www.USCourtForms.com COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE (Domestic Violence Program)