ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: Clerk stamps below when form is filed FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ 701 Ocean Street, Room 110 Santa Cruz, CA 95060 PLAINTIFF: DEFENDANT: ORDER TO TERMINATE RESTRAINING ORDER: 1 Civil Harassment 1 Workplace Violence 1 Elder Abuse or Dependent Adult Abuse CASE NUMBER: On (hearing date) __________________ in Department _____________________ of the above named Superior Court, a hearing was held to terminate the following type of restraining order: 1 1 1 Civil Harassment Workplace Violence Elder Abuse or Dependent Adult Abuse. The order was originally issued on (date) ____________________ against (name of the defendant) _____________________________________. THE COURT ORDERS: 1. The request for termination of the restraining order is granted. 2. The order is terminated effective (date) ____________________. 3. The 1plaintiff 1defendant must file a copy of this order at the clerk’s office and must deliver a copy to each law enforcement agency named in the original order. __________________________ Date _____________________________________ Judge (or Judicial Officer) American LegalNet, Inc. www.FormsWorkflow.com ________________________________________________________________________________________________________________________ Santa Cruz Superior Court Order to Terminate Page 1 of 1 Adopted for Optional Use Civil Harassment, Workplace Violence or Elder Abuse Restraining Order SUP CV 1069 New January 1, 2009 CCP §527.6, §527.8, WIC §15657.03