ATTACHMENT FM-1136 AUTHORIZED FAX FILER FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: 191 North First Street 191 North First Street San José, California 95113 Downtown Courthouse ­ Probate Division ELDER ABUSE FACSIMILE TRANSMISSION COVER SHEET TO THE COURT: Please find the following transmitted documents marked below: Document Name Request for Order to Stop Elder or Adult Abuse (Elder or Dependent Adult Abuse Prevention) Confidential CLETS Information (Domestic Violence, Civil Harassment, Elder Abuse, Juvenile Law) Response to Request for Orders to Stop Elder or Dependent Adult Abuse Notice of Hearing and Temporary Restraining Order (CLETS-TEA or TEF) (Elder or Dependent Adult Abuse Protection) Request and Order for Reissuance of Temporary Restraining Order (CLETS-TEA or TEF) Order after Hearing Restraining Elder or Dependent Adult Abuse (CLETS-EAR or EAF) (Elder or Dependent Abuse Protection) Proof of Personal Service - CLETS Proof of Service by Mail - CLETS Proof of Firearms Turned in or Sold Declaration in Support of Ex Parte Application for Orders Request for Sheriff to Serve and Sheriff's Fee Statement How to Safely Turn in Firearms and Ammunition How Can I Respond to a Request for Orders to Stop Elder or Dependent Adult Abuse? Substitution of Attorney Other: CHECK HERE IF RESUBMITTING DOCUMENTS NUMBER OF PAGES ATTACHED: MC-050 Form No. EA-100 EA-102 EA-110 EA-120 EA-125 EA-130 EA-140 EA-141 EA-145 FM-1013 FM-1041 SC-1047 EA-151 INFO FM-1041 FM-1136 REV 01/01/16 ELDER ABUSE DOMESTIC VIOLENCE FACSIMILE TRANSMISSION COVER SHEET (FAX FILING) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com