superior court of california county of ......gv-100 petition for gun violence restraining order...

SHC-GV-01 (Rev. 09/01/2020)

Please visit our Self-Help Portal at: https://selfhelp.occourts.org

Lamoreaux Justice Center

Room C-190

341 The City Drive

Orange, CA

Harbor Justice Center

Room 107, Self‐Help Window

4601 Jamboree Road

Newport Beach, CA

Central Justice Center

Room G‐100

700 Civic Center Drive

Santa Ana, CA

Superior Court

Service Center

27573 Puerta Real

Mission Viejo, CA

North Justice Center

Room 355

1275 N. Berkeley Avenue

Fullerton, CA

West Justice Center

1st Floor

8141 13th Street

Westminster, CA

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER

www.occourts.org/self-help

GUN VIOLENCE RESTRAINING ORDER

The Self-Help Center provides a free document review service. To obtain an appointment to have your documents

reviewed, you must first fully complete the forms. Please use black ink.

Self-Help Center Locations:

You can ask for one if you are connected to the person you think is dangerous as: 1. An immediate family member; 2. An employer; 3. A coworker who has substantial and regular interactions with the person, and has worked with them for at least a year. You must have permission from your employer to ask for this restraining order; 4. An employee or teacher at a school that the person has attended in the last six months, and you have permission from a school administrator or a school administration staff who has a supervisorial role; and/or 5. A law enforcement officer or law enforcement agency. Immediate family members include: (1) Your spouse or domestic partner; (2) Your parents, children, siblings, grandparents, and grandchildren and their spouses, including any stepparent or stepgrandparent; (3) Your spouse’s parents, children (your stepchildren), siblings, grandparents, and grandchildren; and (4) Any other person who regularly resides in the household, or who, within the last six months, regularly resided in the household. If you do not have the necessary relationship, advise a law enforcement officer of the situation. The officer may investigate and file the petition if he or she finds that the grounds exist.

GV-100-INFO Can a Gun Violence Restraining Order Help Me?

What is a gun violence restraining order?It is a court order that temporarily prohibits someone from having any guns, ammunition, or magazines (ammunition feeding devices). The person must surrender all guns, ammunition, and magazines that he or she currently owns. The police will come and remove the guns or the person can store them with a licensed gun dealer while the restraining order is in effect. The restrained person also cannot buy any guns, ammunition, or magazines during this time.

Where can I get these forms?

Judicial Council of California www.courts.ca.gov Rev. September 1, 2020, Optional Form Penal Code, § 18100 et seq.

Can a Gun Violence Restraining Order Help Me? (Gun Violence Prevention)

GV-100-INFO, Page 1 of 3

What do I need to do to get the order?You must go to the superior court in the county where the person to be restrained lives. At the court, ask where you should file your request for a gun violence restraining order. (A self-help center or legal aid association may be able to assist you in filing your request.) Give your forms to the clerk of the court. The clerk will give you a hearing date on the Notice of Court Hearing form.

These instructions cannot cover all of the questions that may arise in a particular case. If you do not know what to do to protect your rights, you should see a lawyer or a self-help center.

You can get the forms from legal publishers or on the Internet at www.courts.ca.gov. You also may be able to find them at your local courthouse or county law library.

Can I get a gun violence restraining order against someone?

Will the order protect me in other ways, such as keeping the person from coming near me?No, the only order the court can make is to force the person to not have firearms, ammunition, or magazines. If you need personal protection from a family member, you should proceed under the Domestic Violence Prevention Act. See Can a Domestic Violence Restraining Order Help Me? (form DV-500-INFO) for information on how to proceed. For information on other civil restraining orders, please see www.courts.ca.gov/selfhelp-abuse.htm.

What forms do I need to get the order?

Will I have to pay a filing fee to request the order? No.

You must fill out the following forms: o Petition for Gun Violence Restraining Order

(form GV-100); o Confidential CLETS Information (form

CLETS-001); o Notice of Court Hearing (form GV-109), items 1

and 2 only; and o Temporary Gun Violence Restraining Order

(form GV-110), items 1 and 2 only. You may need other local forms. Ask your self-help center or visit your court's website.


Rev. September 1, 2020 Can a Gun Violence Restraining Order Help Me? (Gun Violence Prevention)


You will have to convince the judge that the person to be restrained poses a significant danger in the near future of causing personal injury to himself, herself, or another person by having in his or her custody or control, owning, purchasing, possessing, or receiving any firearms, ammunition, or magazines.

You will also have to convince the judge that a gun violence restraining order is needed to prevent personal injury to the person to be restrained or to another person because less restrictive alternatives either have been tried and haven’t worked, or are inadequate or inappropriate for the current circumstances.

What do I have to prove to get the order?

How can I convince the judge?You will need to give the judge specific information. You should tell the judge everything that you know about the firearms, ammunition, or magazines that the person to be restrained currently owns, including how many the person owns, the types, and where they are kept. Then you will need to present facts to show that the person to be restrained is dangerous. This could be information about any threat of violence that the person to be restrained has made, any violent incident in which the person has been involved, or any crime of violence the person has committed. It could also be evidence that the person to be restrained has violated a protective order or abuses controlled substances or alcohol. It could also be evidence of the unlawful and reckless use, display, or brandishing of a firearm or the recent acquisition of a firearm. Or it could be evidence that the person to be restrained has been identified by a mental health provider as someone prohibited from purchasing, possessing or controlling any firearms. You should include all of this information in your Petition and also be prepared to present it to the judge at the hearing.

You can ask for a Temporary Gun Violence Restraining Order, which will be effective right away if granted. The court may decide whether or not to grant the temporary order based only on the facts that you have stated in your petition. If so, the court will decide within 24 hours whether or not to make the temporary order. Sometimes the court will want to examine you personally under oath. The clerk will tell you whether you should wait to talk to the judge or come back later to find out if the court has signed a temporary order. If you don't ask for a temporary restraining order, you will have to wait until the hearing, at which the court will decide whether to make an order that will last for a period of time between 1 5 years.

How soon can I get the order?

How will the person to be restrained know about the order?If the court issues a temporary restraining order, someone age 18 or older—not you—must personally “serve” (give) the person to be restrained a copy of the order. The server must then fill out Proof of Personal Service (form GV-200) and give it to you to file with the court. If the person to be restrained attends the hearing, no further proof of service is required. But if they do not attend the hearing, then any order issued at the hearing must also be personally served. For help with service, ask the court clerk for What Is “Proof of Personal Service?” (form GV-200-INFO). Note: A sheriff or marshal can serve the order for free.

Having a lawyer is always a good idea, but it is not required and you are not entitled to a free, court-appointed attorney. Ask the court clerk about free and low-cost legal services and self-help centers in your county.

Do I need a lawyer?

–

What if I am deaf or hard of hearing?

For help in your area, contact:[Local information may be inserted.]

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing. Contact the clerk’s office or go to www.courts.ca.gov/forms for Request for Accommodations by Persons with Disabilities and Response (Form MC-410). (Civ. Code, § 54.8.)

Can I agree with the restrained person to terminate the order?No. Once the order is issued, only the judge can change or terminate it. The restrained person would have to file a request with the court to terminate the order.

What if I need help to understand English?

When you file your papers, ask your court s clerk or self-help center if your court will provide an interpreter for you at no cost. If not, you will have to pay a fee for the interpreter. If an interpreter is not available for your court date, you should ask someone who is over age 18 to interpret for you.


Rev. September 1, 2020 Can a Gun Violence Restraining Order Help Me? (Gun Violence Prevention)


If the court makes a temporary order, it will last until your hearing date, which must be within 21 days of the date of the temporary order. If at the hearing the court issues a more permanent order, it will last for one to five years. It may be renewed for an additional one to five years.

How long does the order last?

Call the police. The restrained person can be arrested and charged with a crime.

What if the restrained person does not obey the order?

’

Yes. Go to court on the date the clerk gives you.

Do I have to go to court?

• Witnesses• Written statements from witnesses made under oath• Photos• Medical or police reports• Damaged property• Threatening letters, emails, or telephone messages

Do I need to bring a witness to the hearing?

Witnesses are not required, but it helps to have more proof than just your word. For example, consider bringing:

The court may or may not let witnesses speak at the hearing. So, if possible, you should bring their written statements under oath to the hearing. (You can use Declaration (form MC-030) for this purpose.)

Yes. You can bring someone to sit with you during the hearing, but that person cannot speak for you in court. Only you or your lawyer (if you have one) can speak for you.

Can I bring someone with me to court?

If the person comes to the hearing, yes. If you are afraid, tell the court officer.

Will I see the restrained person at the court hearing?

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Court fills in case number when form is filed.

Case Number:

Read Can a Gun Violence Restraining Order Help Me? (form GV-100-INFO) before completing this form.

Petitionera. Your Full Name or Name of Law Enforcement Agency:

Your Lawyer (if you have one for this case): Name: State Bar No.:Firm Name:

c. Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want tokeep your home address private, you may give a different mailing address instead. You do not have to givetelephone, fax, or email. Law enforcement officer, give agency information.)

Address:City: State: Zip:Telephone: Fax:

Email Address:

Judicial Council of California, www.courts.ca.gov Rev. September 1, 2020, Mandatory Form Penal Code, § 18100 et seq.

GV-100, Page 1 of 4Petition for Gun Violence Restraining Order (Gun Violence Prevention)

b.

Respondent Full Name: Age:

Address (if known):City: State: Zip:

1

2

This is not a Court Order.

GV-100 Petition for Gun ViolenceRestraining Order

I am:A family member of the Respondent

An officer of a law enforcement agency (A petition may be filed in the name of the law enforcement agency in which the officer is employed. If you wrote your full name above, write the name of the law enforcement agency that employs you):

An employer of the Respondent (your position and name of company):

A coworker of the Respondent. I have had substantial and regular interactions with the Respondent for at least one year and I have obtained the approval of my employer to file this petition (name of company):

An employee or teacher of a secondary or postsecondary school that the Respondent has attended in the last 6 months. I have obtained the approval of a school administrator to file this petition (name of the school):

(1) Civil HarassmentDomestic ViolenceDivorce, Nullity, Legal SeparationPaternity, Parentage, Child CustodyElder or Dependent Adult AbuseEvictionWorkplace ViolenceCriminalOther (specify):

(2)(3)(4)(5)(6)(7)(8)(9)

b. Are there now any protective or restraining orders in effect relating to Respondent?If yes, attach a copy if you have one.I don’t knowNoYes


Kind of Case Filed in (County/State) Year Filed Case Number (if known)

Case Number:

I am informed, and on that basis believe, that Respondent currently possesses or controls firearms, ammunition, or magazines, but I have no further specific information as to the number, types, and locations of those firearms, ammunition, or magazines.

Description of Respondent's Firearms, Ammunition, or Magazines

b.

a.

If you have reason to believe that the respondent is in possession of firearms, ammunition, or magazines, answer (a) or check (b).

5

I am informed, and on that basis believe, that Respondent currently possesses or controls the following firearms, ammunition or magazines (describe the number, types, and locations of any firearms, ammunition, or magazines that you believe that the Respondent currently possesses or controls):

Rev. September 1, 2020 GV-100, Page 2 of 4Petition for Gun Violence Restraining Order (Gun Violence Prevention)

Are you aware of any other court cases, civil or criminal, involving the Respondent?

Other Court Casesa.

If yes, check each kind of case and give as much information as you know as to where and when each was filed:

NoYes

4

The Respondent lives in this county.Other (specify):

Why are you filing in this county? (Check all that apply):

b.a.

Venue3



Rev. September 1, 2020

Case Number:

b. A gun violence restraining order is necessary to prevent personal injury to Respondent or to another personbecause less restrictive alternatives either have been tried and found to be ineffective, or have beendetermined to be inadequate or inappropriate for the current circumstances.

c. The facts supporting the above statements are set forth:

On Attached Declaration (form MC-031).Below

I request that the court issue an order prohibiting Respondent from having in their custody or control, owning, purchasing, possessing or receiving, or attempting to purchase or receive, any firearms, ammunition, or magazines. I further request that Respondent be ordered to immediately surrender all firearms, ammunition, and magazines currently in their possession to a law enforcement officer or to sell the firearms, ammunition, and magazines to or store them with a licensed gun dealer.

Request for Gun Violence Restraining Order

6 Grounds for Issuance of a Gun Violence Restraining OrderI have reasonable cause to believe both of the following are true:

a. The Respondent poses a significant danger in the near future of causing personal injury to themself or anotherperson by having in their custody or control, owning, purchasing, possessing, or receiving a firearm,ammunition, or a magazine.

a. I request the order above for

b. I am asking for this amount of time because:

7

(Please include a number of years between one and five years.)years.


Case Number:

11 Request to Give Less Than Five Days' Notice of HearingYou must have your papers personally served on Respondent at least five calendar days before the hearing, unless the court orders a shorter time for service. (Form GV-200-INFO explains What Is “Proof of Personal Service”? Proof of Personal Service (form GV-200) may be used to show the court that the papers have been served.)If you want there to be fewer than five days between service and the hearing, explain why below:

Number of pages attached to this form, if any:12

Sign your name

I declare under penalty of perjury under the laws of the State of California that the information above and on all attachments is true and correct.

Date:

Lawyer’s signature

Date:

Lawyer’s name (if any)

Type or print your name

Reasons stated in Attachment 11.



Has the Respondent been told that you were going to court to seek a TGV?

10

(If you answered no, explain why below):NoYes

Temporary Gun Violence Restraining OrderI request that a Temporary Gun Violence Restraining Order (TGV) be issued against the Respondent to last until the hearing. I am presenting Temporary Restraining Order (form GV-110) for the court’s signature together with this Petition.

Reasons stated in Attachment 10.

I request that the court set a hearing in this matter for the purpose of issuing a gun violence restraining order that will last between one and five years.

9 Request for Hearing

8 No Fee to Serve (Notify) Restrained PersonIf you want the sheriff or marshal to serve (notify) the restrained person about the orders, they will do it for free.

Approved for Optional Use L-0889 (Rev. Nov. 2016)

DECLARATION RE: NOTICE Temporary Restraining Order

Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary Educational Institution and Elder or Dependent Adult Abuse, Gun Violence

Restraining Order

California Rules of Court, Rule 3.1204(b)

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address):

Telephone No.: Fax No. (Optional): E-Mail Address (Optional):ATTORNEY FOR (Name): Bar No:

FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Harbor-Newport Beach Faclility-4601 Jamboree Rd., Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500

PLAINTIFF / PETITIONER:

DEFENDANT / RESPONDENT:

DECLARATION RE: NOTICE Temporary Restraining Order

Civil Harassment, Workplace Violence, Transitional Housing, Postsecondary Educational Institution, Elder or Dependent Adult Abuse, Gun Violence

Restraining Order

CASE NUMBER:

On (date) at (time) ,

I telephoned Plaintiff/Petitioner or Defendant/Respondent (name)

I said that on (date) at (time) , I would ask the Court for a Temporary Restraining Order (describe order, e.g. “against violence”):

I gave the location of the Courthouse as Dept. at (address)

I have been unable to give notice to the Plaintiff/Petitioner or Defendant/Respondent for the following reasons:

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) (SIGNATURE OF DECLARANT)

CM-010ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

CIVIL CASE COVER SHEET Complex Case DesignationLimitedUnlimited

Counter Joinder(Amount(Amountdemanded isdemanded Filed with first appearance by defendant

(Cal. Rules of Court, rule 3.402)$25,000 or less)exceeds $25,000)Items 1–6 below must be completed (see instructions on page 2).

1. Check one box below for the case type that best describes this case:Auto Tort Contract Provisionally Complex Civil Litigation

(Cal. Rules of Court, rules 3.400–3.403)Auto (22) Breach of contract/warranty (06)Uninsured motorist (46)

Other collections (09)Antitrust/Trade regulation (03)

Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death) Tort

Construction defect (10)Insurance coverage (18) Mass tort (40)

Rule 3.740 collections (09)

Asbestos (04) Securities litigation (28)Real PropertyProduct liability (24) Environmental/Toxic tort (30)

Eminent domain/Inverse condemnation (14)

Medical malpractice (45) Insurance coverage claims arising from the above listed provisionally complex case types (41)

Other PI/PD/WD (23)Wrongful eviction (33) Non-PI/PD/WD (Other) Tort

Enforcement of JudgmentBusiness tort/unfair business practice (07) Enforcement of judgment (20)Civil rights (08)

Commercial (31) Miscellaneous Civil ComplaintDefamation (13)Residential (32) RICO (27)Fraud (16)Drugs (38) Other complaint (not specified above) (42)Intellectual property (19)

Judicial Review Miscellaneous Civil PetitionAsset forfeiture (05) Partnership and corporate governance (21) Petition re: arbitration award (11)EmploymentWrit of mandate (02)Wrongful termination (36) Other judicial review (39)

is2. This case is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark thefactors requiring exceptional judicial management:

Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve

Large number of witnesses a.b.

f.c.

3. Remedies sought (check all that apply): punitivea. monetary nonmonetary; declaratory or injunctive relief c.4. Number of causes of action (specify):

is is not a class action suit.5. This case

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)

NOTICEPlaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filedunder the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions.File this cover sheet in addition to any cover sheet required by local court rule.If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on allother parties to the action or proceeding. Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only.

Page 1 of 2Cal. Rules of Court, rules 2.30, 3.220, 3.400–3.403, 3.740;

Cal. Standards of Judicial Administration, std. 3.10www.courtinfo.ca.gov

Form Adopted for Mandatory Use Judicial Council of CaliforniaCM-010 [Rev. July 1, 2007]

CIVIL CASE COVER SHEET

Other non-PI/PD/WD tort (35)Professional negligence (25)

Other real property (26)

Other petition (not specified above) (43)

Other employment (15)

e.d.

Substantial amount of documentary evidence

Large number of separately represented parties Coordination with related actions pending in one or more courtsin other counties, states, or countries, or in a federal court Substantial postjudgment judicial supervision

Unlawful Detainer

CASE NUMBER:

JUDGE:

DEPT:

•

•••

If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)6.

b.

Other contract (37)

http://couttinfo.ca.gov

Auto (22)–Personal Injury/PropertyAuto Tort

case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto)

Uninsured Motorist (46) (if theDamage/Wrongful Death

INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.

To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. CASE TYPES AND EXAMPLES

Contract Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400–3.403)Breach of Contract/Warranty (06)

Breach of Rental/LeaseContract (not unlawful detainer

Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30)

or wrongful eviction)Contract/Warranty Breach–Seller

Plaintiff (not fraud or negligence)Negligent Breach of Contract/

WarrantyInsurance Coverage Claims

Other Breach of Contract/Warranty(arising from provisionally complex case type listed above) (41)

Collections (e.g., money owed, open

Other PI/PD/WD (Personal Injury/ Property Damage/Wrongful Death) Tort

book accounts) (09)Collection Case–Seller Plaintiff

Asbestos (04)Enforcement of Judgment

Other Promissory Note/Collections

Enforcement of Judgment (20)Asbestos Property Damage

CaseAsbestos Personal Injury/

Insurance Coverage (not provisionally

Abstract of Judgment (Out of

Wrongful Death

complex) (18)

County)Confession of Judgment (non-

Product Liability (not asbestos or

Auto Subrogationtoxic/environmental) (24)

domestic relations)

Other CoverageOther Contract (37)

Medical Malpractice (45)Sister State Judgment

Medical Malpractice–Administrative Agency Award

Contractual FraudPhysicians & Surgeons

(not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes

Other Contract DisputeOther Professional Health Care

MalpracticeReal Property

Eminent Domain/InverseOther PI/PD/WD (23)

Other Enforcement of Judgment

Premises Liability (e.g., slipCondemnation (14)

Case

and fall)Wrongful Eviction (33)Intentional Bodily Injury/PD/WDOther Real Property (e.g., quiet title) (26)

Miscellaneous Civil ComplaintRICO (27)

(e.g., assault, vandalism)Writ of Possession of Real PropertyMortgage Foreclosure

Intentional Infliction of

Other Complaint (not specifiedabove) (42)

Emotional DistressQuiet TitleNegligent Infliction of

Declaratory Relief Only

Other Real Property (not eminent domain, landlord/tenant, or foreclosure)

Injunctive Relief Only (non-

Emotional DistressOther PI/PD/WD

harassment)Mechanics Lien

Non-PI/PD/WD (Other) TortUnlawful Detainer

Other Commercial Complaint

Business Tort/Unfair Business

Case (non-tort/non-complex)

Commercial (31)Residential (32)

Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil

Other Civil Complaint (non-tort/non-complex)

Drugs (38) (if the case involves illegaldrugs, check this item; otherwise, report as Commercial or Residential)

Miscellaneous Civil Petition

harassment) (08)Defamation (e.g., slander, libel)

Partnership and Corporate

(13)

Governance (21)

Judicial ReviewFraud (16)

Other Petition (not specified

Asset Forfeiture (05)

above) (43)

Intellectual Property (19) Petition Re: Arbitration Award (11)

Civil Harassment

Professional Negligence (25) Writ of Mandate (02)

Workplace Violence

Legal Malpractice Other Professional Malpractice

(not medical or legal)Other Non-PI/PD/WD Tort (35)

Writ–Administrative Mandamus Writ–Mandamus on Limited Court

Elder/Dependent AdultAbuse

Case Matter

Election Contest

Writ–Other Limited Court Case

Petition for Name Change

Review

Petition for Relief From Late

EmploymentClaim

Other Judicial Review (39)Wrongful Termination (36) Other Employment (15) Review of Health Officer Order

Notice of Appeal–Labor Commissioner Appeals

Other Civil Petition

CM-010 [Rev. July 1, 2007] Page 2 of 2CIVIL CASE COVER SHEET

CM-010

To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740.

This is not a Court Order—Do not place in court file.

CLETS Information

Person to Be Protected (Name):

Eye Color: Date of Birth: Hair Color: Age:

Confidential CLETS InformationJudicial Council of California, www.courts.ca.govNew January 1, 2012, Mandatory FormCal. Rules of Court, rule 1.51

FSex: Height: Weight: Race:M

Person to Be Restrained (Name):

Describe any marks, scars, or tattoos: Other names used by the restrained person:

Describe any guns or firearms that you believe the person in owns or has access to (Number, types, and locations):

1

CLETS-001, Page 1 of 1

Eye Color: Date of Birth: Hair Color: Age:FSex: Height: Weight: Race:M

4 Other People to Be ProtectedSexName Date of Birth

CONFIDENTIALCLETS-001

Additional persons to be protected are listed on Attachment 4.

Guns or Firearms3

2

California Law Enforcement Telecommunications System (CLETS)Information Form

Important: This form MUST NOT become part of the public court file. It is confidential and private.

Case Number (if you know it):

This form is submitted with the initial filing (date):This is an amended form (date):

Fill out as much of this form as you can and give it to the court clerk. If the court issues a restraining order, this form will provide law enforcement with information that will help them enforce it. If any of this information changes, fill out a new (amended) form.

1Race

Driver’s License Number and State: Social Security Number: Vehicle (Type, Model, Year): (License Number and State):

Vehicle (Type, Model, Year): (License Number and State):

Mailing Address (listed on restraining order):Zip:State:City: Telephone (optional):

Employer:Occupation/Title: Work Hours:

Residence Address:Zip:State:City: Telephone:

Business Address:Zip:State:City: Telephone:

Relation to Person in

2

lho

Text Box

GUN VIOLENCE RESTRAINING ORDER




Case Number:

GV-109 Notice of Court Hearing

Judicial Council of California, www.courts.ca.gov Rev. September 1, 2020, Mandatory Form Penal Code, § 18100 et seq. Approved by DOJ

Notice of Court Hearing (Gun Violence Prevention)

GV-109, Page 1 of 3

RespondentFull Name:

2


Date: Time:Room:Dept.:

Hearing Date g

Name and address of court if different from above:

The court will complete the rest of this form.Hearing3


1

An employer of the Respondent. An officer of a law enforcement agency.A family member of the Respondent. I am:

A coworker of the Respondent.An employee or teacher of a secondary or postsecondary school that the Respondent has attended in the last 6 months.

Petitioner must complete items and only.1 2

Your Lawyer (if you have one for this case):Name: State Bar No.:Firm Name:

c. Your Address (If you have a lawyer, give your lawyer’s information. Ifyou do not have a lawyer and want to keep your home address private,you may give a different mailing address instead. You do not have togive telephone, fax, or email. Law enforcement officer, give agencyinformation.)Address:City: State: Zip:Telephone: Fax:Email Address:

b.

GRANTED until the court hearing.

DENIED until the court hearing. (Specify reasons for denial in b, below.)(2)

(1)

A Temporary Gun Violence Restraining Order as requested in Petition for Gun Violence Restraining Order (form GV-100) is (check only one box below):

a.

4 Temporary Gun Violence Restraining Order (Any order granted is on form GV-110, served with this notice.)

Reasons for denial of a Temporary Gun Violence Restraining Order as requested in Petition for Gun Violence Restraining Order (form GV-100) are:

b.

(1) The facts as stated in form GV-100 do not show that there is a substantial likelihood that both of thefollowing are true:

Rev. September 1, 2020 Notice of Court Hearing (Gun Violence Prevention)

GV-109, Page 2 of 3

Case Number:

A gun violence restraining order is necessary to prevent personal injury to Respondent or to another person because less restrictive alternatives either have been tried and found to be ineffective, or have been determined to be inadequate or inappropriate for the current circumstances.

Respondent poses a significant danger of causing personal injury to themself or another person by having custody or control of, owning, purchasing, possessing, or receiving firearms, ammunition, or magazines.

(2) Below On Attachment 4b(2)Other (as stated):

At least calendar days before the hearing, a law enforcement officer or someone age 18 or older—and not a party to the action—must personally give (serve) a court file-stamped copy of this Form GV-109 to the Respondent, along with a copy of all the forms indicated below:

Judicial Officer

Date:

(specify):Otherg.

GV-250, Proof of Service by Mail (blank form)e.GV-120-INFO, How Can I Respond to a Petition for a Gun Violence Restraining Order?d.GV-120, Response to Petition for Gun Violence Restraining Order (blank form)c.

GV-110, Temporary Gun Violence Restraining Order (file-stamped) IF GRANTEDb.GV-100, Petition for Gun Violence Restraining Order (file-stamped)a.

five

Service of Documents on Respondent5

f.

4

GV-125, Consent to Gun Violence Restraining Order and Surrender of Firearms (blank form)

Rev. September 1, 2020 Notice of Court Hearing (Gun Violence Prevention)

GV-109, Page 3 of 3

Case Number:

If you are unable to serve the Respondent in time, you may ask for a later hearing date, which will give you more time to serve the documents. Use Request to Continue Court Hearing for Gun Violence Restraining Order (form GV-115).

•For information about service, read What Is “Proof of Personal Service”? (form GV-200-INFO).•

The court cannot make an order at the court hearing unless the Respondent has been personally given (served) a copy of the Petition and a temporary order if issued. To show that the Respondent has been served, the person who served the forms must fill out a proof of service form. Proof of Personal Service (form GV-200) may be used.

•

To the Petitioner in 1:

Clerk’s Certificate

I certify that this Notice of Court Hearing (form GV-109) is a true and correct copy of the original on file in the court.

—Clerk's Certificate—

(Clerk will fill out this part.)

Date:[seal]

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing. Contact the clerk’s office or go to www.courts.ca.gov/forms for Request for Accommodations by Persons with Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)

Request for Accommodations

At the hearing, the judge may order you to turn in to law enforcement, or sell to or store with, a licensed gun dealer, any firearms, ammunition, or magazines that you own or possess. If issued, the order will last for one year.

•

You may bring witnesses and other evidence.•

Whether or not you respond in writing, go to the hearing if you want the judge to hear from you before making an order. You may tell the judge why you agree or disagree with the order requested.

•

The person who mailed the form must fill out a proof of service form. Proof of Service by Mail (form GV-250), may be used. File the completed form with the court before the hearing and bring a copy with you to the court hearing.

•

If you want to oppose the Petition for Gun Violence Restraining Order (form GV-100) in writing, file Response to Petition for Gun Violence Restraining Order (form GV-120) and have someone age 18 or older—not you—mail it to the Petitioner.

•

To the Respondent:

If you do not oppose the petition and are willing to give up your firearm rights, complete and file a Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125).

•

Clerk, by , Deputy

lho

Text Box





Case Number:

Description:

Respondent

Petitioner must complete items and only.

Sex: M F Height: Weight:Race:Hair Color:

Date of Birth:Eye Color: Age:

Home Address (if known):State:City: Zip:

Relationship to Petitioner:

Full Name:

Date: Time:

Expiration DateThis Order expires at the end of the hearing scheduled for the date and time below:

The court will complete the rest of this form.

a.m. p.m.

GV-110 Temporary Gun Violence Restraining Order

Judicial Council of California, www.courts.ca.gov Rev. September 1, 2020, Mandatory Form Penal Code, § 18150 et seq. Approved by DOJ

Temporary Gun Violence Restraining Order (CLETS-TGV) (Gun Violence Prevention)

GV-110, Page 1 of 5

This is a Court Order.

1 2


c. Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or email. Law enforcement officer, give agency information.) Address:City: State: Zip:Telephone: Fax:Email Address:

2

3

b.


1

An employer of the Respondent An officer of a law enforcement agency

A family member of the Respondent I am:

A coworker of the RespondentAn employee or teacher of a secondary or postsecondary school that the Respondent has attended in the last 6 months

GV-110, Page 2 of 5Rev. September 1, 2020 Temporary Gun Violence Restraining Order (CLETS-TGV) (Gun Violence Prevention)


4 Findings

b.

A temporary gun violence restraining order is necessary to prevent personal injury to Respondent or to another person because less restrictive alternatives either have been tried and found to be ineffective, or have been determined to be inadequate or inappropriate for the current circumstances.

(1) Respondent poses a significant danger in the near future of causing personal injury to themself or another person by having in their custody or control, owning, purchasing, possessing, or receiving firearms, ammunition, or magazines.

c.

See the attached Attachment (form MC-025).

The court finds that there is a substantial likelihood that both of the following are true:

Petitioner and other witnessesHaving examined under oath,Petitioner and other witnessesHaving considered the declarations of under penalty of perjury,

Case Number:

a.

(2)

The facts as stated in the Petition and supporting documents, which are incorporated here by reference, establish sufficient grounds for the issuance of this Order. And for the reasons stated below.

5 No Fee to Serve (Notify) Restrained Person If the sheriff or marshal serves this order, service will be free.

The court has received credible information that Respondent owns or possesses one or more firearms, ammunition, or magazines.

Surrender all firearms and ammunition, including magazines, in your custody or control or that you possess or own. If a law enforcement officer orders you to surrender all of your firearms and ammunition, including magazines, to the officer, you must surrender them to the officer. If no order to surrender is made by a law enforcement officer, you must surrender all of your firearms and ammunition, including magazines, within 24 hours of being served with this Order. You may do so by: a. surrendering all of your firearms and ammunition, including magazines, in a safe manner to the

local law enforcement agency; or b. selling all of your firearms and ammunition, including magazines, to a licensed gun dealer; or c. storing all of your firearms and ammunition, including magazines, with a licensed gun dealer for as

long as this Order or any more permanent order granted at the hearing in item is in effect.



Case Number:

Within 48 hours of receiving this Order, file a receipt with the court that proves that your firearms and ammunition have been turned in, sold, or stored. (You may use Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (form GV-800) for the receipt.) You must also file a copy of the receipt with the law enforcement agency that served you with this order. FAILURE TO FILE THIS RECEIPT IS A VIOLATION OF THIS ORDER.

(2)

6 Order Prohibiting All Firearms, Ammunition, and Magazinesa. You cannot have in your custody or control, own, purchase, possess, or receive, or attempt to purchase or

receive, any firearm or ammunition, including magazines (ammunition feeding devices).

The court has received credible information that you own or possess one or more firearms, ammunition, or one or more magazines that have not been surrendered or sold. You must:

b.

(1)

Judicial Officer

7 Number of pages attached to this Order, if any:

Date:

To the restrained person: This Order is valid until the expiration date and time noted on page 1. You are required to surrender all firearms, ammunition, and magazines that you own or possess in accordance with section 18120 of the Penal Code and you may not have in your custody or control, own, purchase, possess, or receive, or attempt to purchase or receive, any firearm, ammunition, or magazines while this order is in effect. A hearing will be held on the date and at the time noted on Page 1 to determine if a more permanent gun violence restraining order should be issued. Failure to appear at the hearing may result in a court making an order against you that is valid for a period between one and five years. You may seek the advice of an attorney as to any matter connected with the order. The attorney should be consulted promptly so that the attorney may assist you in any matter connected with the order.

Warnings and Notices to the Respondent

Violation of this Order is a misdemeanor. If you violate this Order, you will be prohibited from having in your custody or control, owning, purchasing, possessing, or receiving, or attempting to purchase or receive, a firearm, ammunition, or magazine for a period of five years. This Order must be enforced by any law enforcement officer in the State of California who is aware of or shown a copy of this Order. The Order remains enforceable regardless of the acts of the parties; it may be changed only by an order of the court.

3

In addition to the response, you may file and have declarations served, signed by you and other persons who have personal knowledge of the facts. You may use Declaration (form MC-030) for this purpose. It is available from the clerk’s office at the court shown on page 1 of this form or at www.courts.ca.gov/forms. If you do not know how to prepare a declaration, you should see a lawyer.

•

You must have form GV-120 served by mail on the Petitioner or the Petitioner’s attorney. You cannot do this yourself. The person who does the mailing should complete and sign Proof of Service of Response by Mail (form GV-250). File the completed proof of service with the court clerk before the hearing date or bring it with you to the hearing.

•

After You Have Been Served With a Temporary Order

Obey the order by turning in all firearms, ammunition, and magazines to a law enforcement agency or selling them to or storing them with a licensed gun dealer.

If you disagree with the petition, fill out Response to Petition for Gun Violence Restraining Order (form GV-120) and file it with the court clerk.

•

Read How Can I Respond to a Petition for Gun Violence Restraining Order? (form GV-120-INFO) to learn how to respond to this Order.

•

Whether or not you file a response, you should attend the hearing. If you have any witnesses, they must also go to the hearing.

•

•

At the hearing, the judge can make a gun violence restraining order against you that lasts between one to five years. Tell the judge why you disagree with the order requested.

•



Case Number:

Instructions for Law Enforcement

The law enforcement agency that has received surrendered firearms, ammunition, or magazines must do the following:

• Retain the firearms, ammunition, or magazines until the termination or expiration of this Order or of any other gun violence restraining order issued by the court.

•

Duties of Agency on Surrender of Firearms, Ammunition, or Magazines

On the expiration of this Order or of any later gun violence restraining order issued by the court, return the firearms, ammunition, or magazines to the respondent as provided by chapter 2 of division 11 of title 4 of the Penal Code (commencing with section 33850). Firearms, ammunition, or magazines that are not claimed are subject to the requirements of section 34000.

If you do not oppose the petition, fill out Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125) and file it with the court clerk.

•

• Complete a proof of personal service and file it with the court. You may use form GV-200 for this purpose. • Within one business day of service, submit the proof of service directly into the California Restraining and

Protective Order System (CARPOS), including the serving officer’s name and law enforcement agency.

• Order the Restrained Person to immediately surrender to you all firearms, ammunition, and magazines.• Issue a receipt to the Restrained Person for all firearms, ammunition, and magazines that have been surrendered.

The officer who serves this order on the Restrained Person must do the following:Duties of Officer Serving This Order

Ask if the Restrained Person is in possession of any firearms, ammunition, or magazines or has custody or control of any that they have not already turned in.

•



GV-110, Page 5 of 5


I certify that this Temporary Gun Violence Restraining Order (CLETS-TGV)(form GV-110) is a true and correct copy of the original on file in the court.

Clerk’s Certificate[seal]

Date:

Case Number:

• If someone other than the Respondent claims title to any of the firearms, ammunition, or magazines surrendered, determine whether that person is the lawful owner. If so, return the firearms, ammunition, or magazines to that person as provided by chapter 2 of division 11 of title 4 of the Penal Code (commencing with section 33850).

The provisions in this Temporary Gun Violence Restraining Order do not affect those of any other protective or restraining order in effect, including a criminal protective order. The provisions in any other another existing protective order remain in effect.

The law enforcement officer should determine if the Respondent had notice of the order. Consider the Respondent “served” (given notice) if:

• The officer sees a copy of the proof of service or confirms that the proof of service is on file; or• The Respondent was informed of the order by an officer; or

An officer can obtain information about the contents of the order and proof of service in CARPOS. If proof of service on the Respondent cannot be verified, the agency must advise the restrained person of the terms of the order and then enforce it (see above: Duties of Officer Serving This Order).

Enforcing This Order

Instructions for Law Enforcement(continued)

Rev. September 1, 2020 Temporary Gun Violence Restraining Order (CLETS-TGV) (Gun Violence Prevention)

• The officer sees a filed copy of form GV-125.

Clerk, by , Deputy

lho

Text Box

Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order

(CLETS-OGV) (Gun Violence Prevention)GV-130, Page 1 of 5Judicial Council of California, www.courts.ca.gov

Rev. September 1, 2020, Mandatory Form Penal Code, § 18170 et seq. Approved by DOJ

This Order expires at:

(date):(Time): a.m. p.m. midnight on

Expiration Date

If no expiration date is written here, this Order expires one year from the date of issuance.

GV-130 Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order





Case Number:


Description:

RespondentFull Name:

2

3

Sex: M F Height: Weight:Race:Hair Color:

Date of Birth:Eye Color: Age:

Home Address (if known):State:City: Zip:

Relationship to Petitioner:

The court will complete the rest of this form.


1

An employer of the Respondent.

An officer of a law enforcement agency (A petition may be filed in the name of the law enforcement agency in which the officer is employed).

A family member of the Respondent. I am:

A coworker of the Respondent.An employee or teacher of a secondary or postsecondary school that the Respondent has attended in the last 6 months.

Petitioner must complete items and only.1 2


c. Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or email. Law enforcement officer, give agency information.) Address:City: State: Zip: Telephone:

Fax:Email Address:

b.


(CLETS-OGV) (Gun Violence Prevention)

(date): at (time): in Dept.: Room:

(Name of judicial officer):

The Petitioner The lawyer for the Petitioner (name):The Respondent The lawyer for the Respondent (name):

(1)(2)

(3)(4)

Hearing

made the orders at the hearing.

a.

b.


The court finds by clear and convincing evidence that the following are true:

Case Number:

4

5 Findings

b.

A gun violence restraining order is necessary to prevent personal injury to Respondent or to another person because less restrictive alternatives either have been tried and found to be ineffective, or have been determined to be inadequate or inappropriate for the current circumstances.

(1) Respondent poses a significant danger of causing personal injury to themselves, or another person by having in their custody or control, owning, purchasing, possessing, or receiving firearms, ammunition, or magazines.

c.

a.

(2)

See the attached Attachment (form MC-025).

.

GV-130, Page 2 of 5Rev. September 1, 2020

The court has received credible information that the Respondent owns or possesses one or more firearms, ammunition, or one or more magazines.

c.

These people were at the hearing.

There was a hearing

d. The Respondent filed Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125). The court finds that Respondent agreed not to have in Respondent's custody or control, own, purchase, possess, or receive a firearm, ammunition, or magazine or attempt to purchase or receive a firearm, ammunition, or magazine until:

The facts as stated in the Petition and supporting documents, which are incorporated here by reference, establish sufficient grounds for the issuance of this Order. And/or for the reasons stated below.

There was not a hearing because Respondent filed a Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125).

(expiration date) .


(CLETS-OGV) (Gun Violence Prevention)GV-130, Page 3 of 5Rev. September 1, 2020


Case Number:

Order Prohibiting All Firearms, Ammunition, and Magazinesa. You cannot have in your custody or control, own, purchase, possess, or receive, or attempt to purchase or

receive, any firearm, ammunition, or magazine (any ammunition feeding device).

You must:b.

7

8

9

The Respondent personally attended the hearing. No other proof of service is needed. The clerk has provided the Respondent with a blank copy of Request to Terminate Gun Violence Restraining Order (form GV-600).The Respondent did not attend the hearing. The Respondent must be personally served with a court file-stamped copy of this Order and a blank copy of Request to Terminate Gun Violence Restraining Order (form GV-600) by a law enforcement officer or someone age 18 or older, and not a party to the action.

a.

b.

Service of Order on Respondent

Judicial Officer

Number of pages attached to this Order, if any:

Date:

This is an order based on the Respondent's filing a Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125). The court will provide notice to all parties.

c.

No Fee to Serve6

If the sheriff or marshal serves this order, service will be free.

Surrender all firearms and ammunition, including magazines, in your custody or control or that you possess or own. If a law enforcement officer orders you to surrender all of your firearms and ammunition, including magazines, to the officer, you must do so immediately. If no order to surrender is made by a law enforcement officer, you must surrender all of your firearms and ammunition, including magazines, within 24 hours of being served with this Order. You may do so by: a. surrendering all of your firearms and ammunition, including magazines, in a safe manner to the local

law enforcement agency; or b. selling all of your firearms and ammunition, including magazines, to a licensed gun dealer; or c. storing all of your firearms and ammunition, including magazines, with a licensed gun dealer for as

long as this Order is in effect.

Within 48 hours of receiving this Order, file a receipt with the court that proves that your firearms and ammunition have been turned in, sold, or stored. (You may use Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (form GV-800) for the receipt.) You must also file a copy of the receipt with the law enforcement agency that served you with this order. FAILURE TO FILE THIS RECEIPT IS A VIOLATION OF THIS ORDER.

(2)

(1)


(CLETS-OGV) (Gun Violence Prevention)GV-130, Page 4 of 5


Instructions for Law Enforcement

Case Number:

Violation of this Order is a misdemeanor punishable by a $1,000 fine or imprisonment for six months or both. (Pen. Code, §§ 19, 18205.) If you violate this Order, you will be prohibited from having in your custody or control, owning, purchasing, possessing, or receiving, or attempting to purchase or receive, any firearm, ammunition, or magazines for a period of five years. This Order must be enforced by any law enforcement officer in the State of California who is aware of or shown a copy of this Order. The Order remains enforceable regardless of the acts of the parties; it may be terminated only by an order of the court.


This Order is valid until the expiration date and time noted on page 1. If you have not done so already, you must surrender all firearms, ammunition, and magazines that you own or possess in accordance with section 18120 of the Penal Code. You may not have in your custody or control, own, purchase, possess, or receive, or attempt to purchase or receive, any firearm, ammunition, or magazines while this Order is in effect. Under section 18185, you have the right to request one hearing per year to terminate this Order during its effective period. You may seek the advice of an attorney as to any matter connected with the order.

Warnings and Notices to the Respondent

The law enforcement agency that has received surrendered firearms, ammunition, or magazines must do the following:

• Retain the firearms, ammunition, or magazines until the expiration of this order or of any other gun violence restraining order issued by the court.

•

Duties of Agency on Surrender of Firearms and Ammunition

On the expiration of this order or of any later gun violence restraining Order issued by the court, return the firearms and ammunition to the Respondent as provided by chapter 2 of division 11 of title 4 of the Penal Code (commencing with section 33850). Firearms, ammunition, or magazines that are not claimed are subject to the requirements of section 34000.

• If someone other than the Respondent claims title to any of the firearms, ammunition, or magazines surrendered, determine whether that person is the lawful owner. If so, return the firearms, ammunition, and magazines to him or her as provided by chapter 2 of division 11 of title 4 of the Penal Code (commencing with section 33850).

• Complete a proof of personal service and file it with the court. You may use form GV-200 for this purpose. • Within one business day of service, submit the proof of service directly into the California Restraining and

Protective Order System (CARPOS), including the serving officer’s name and law enforcement agency.

• Order the Restrained Person to immediately surrender to you all firearms, ammunition, and magazines.• Issue a receipt to the Restrained Person for all firearms, ammunition, and magazines that have been surrendered.

The officer who serves this order on the Restrained Person must do the following:Duties of Officer Serving This Order

Ask if the Restrained Person is in possession of any firearms, ammunition, or magazines or has custody or control of any that they have not already turned in.

•


(CLETS-OGV) (Gun Violence Prevention)


I certify that this Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order (CLETS-OGV) (form GV-130) is a true and correct copy of the original on file in the court.

Clerk’s Certificate[seal]


GV-130, Page 5 of 5

Date:


Case Number:

The provisions in this Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order (form GV-130) do not affect those of any other protective or restraining order in effect, including a criminal protective order. The provisions in any other existing protective order(s) remain in effect.

Instructions for Law Enforcement(continued)


An officer can obtain information about the contents of the order and proof of service in CARPOS. If proof of service on the respondent cannot be verified, the agency must advise the restrained person of the terms of the order and then enforce it (see above: Duties of Officer Serving This Order).

The law enforcement officer should determine if the Respondent had notice of the order. Consider the Respondent “served” (given notice) if:

• The officer sees a copy of the proof of service or confirms that the proof of service is on file; or

Enforcing This Order

Item 8a or 8c is checked.•The respondent was informed of the Order by an officer.•

Instructions to Clerk

This order must be served on all parties by the court, if it is made following the filing of a Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125).

, DeputyClerk, by

lho

Text Box

GV-200-INFO, Page 1 of 2 What Is ''Proof of Personal Service''? (Gun Violence Prevention)

What Is “Proof of Personal Service”?

What is “service”? Service is the act of giving your legal papers to the other party. There are many kinds of service—in person, by mail, and others. This form is about personal or “in-person” service. The Petition for Gun Violence Restraining Order (Form GV-100), the Notice of Court Hearing (Form GV-109), and the Temporary Gun Violence Restraining Order (Form GV-110) must be served “in person.” That means that someone must personally “serve” (give) a copy of the forms to the respondent (the person to be prohibited from having guns).

These forms cannot be served by mail; they must be given to the respondent personally.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2019, Optional Form

Service lets the respondent know: • Why you are asking for a Gun Violence Restraining Order;• The hearing date;• How to respond.

How to serve Ask the server to: • Make personal contact with the person to be served.• Make sure it is the right person. Ask the person’s name.• Give the person copies of all papers checked on Form GV-200, Proof of Personal Service.• Fill out and sign the Proof of Personal Service form.• Give the signed Proof of Personal Service to you.

Why do I have to get the orders served? • The police cannot arrest anyone for violating an order unless that person knows about the order.• No hearing can be held to extend the order for a year unless the respondent was served and knows about the hearing.

What if the person won’t take the papers or tears them up? • If the person won’t take the papers, just leave them near him or her.• It doesn’t matter if the person tears them up. Service is still complete.

Don't serve it by mail! Who can serve? Any law enforcement officer may serve the respondent, even if the petition was filed by a law enforcement officer. It is recommended that you ask a law enforcement officer to serve the forms because of the potential for gun violence. A sheriff or marshal will serve the order at no cost to you.

However, service may also be by any person who is at least 18 years old and not a party to the action. That means that if the petitioner is a family member rather than a law enforcement officer, that person may not serve the forms on the respondent. You may use a process server. A “registered process server” is a business that you pay to deliver court forms. Look for “Process Serving” in the Yellow Pages or on the Internet.

GV-200-INFO

First, look at the hearing date on page 1 of Form GV-109.

When do the orders have to be served? It depends. To know the exact date, you have to look at two things on Form GV-109, Notice of Court Hearing:

Look at a calendar. Subtract the number of days in from the hearing date. That is the final date to have the orders served. It is always OK to serve earlier than that date. If nothing is checked or written in , you must serve the orders at least five days before the hearing.

What do I do with the completed Proof of Personal Service? If someone other than a law enforcement officer serves the papers, you should: • Make several copies.• File the original with the court before your hearing.• Bring a copy of the completed Proof of Personal Service to your hearing.• Always keep an extra copy of the restraining orders with you for your safety.

GV-200-INFO, Page 2 of 2Rev. January 1, 2019

Hearing

Date: ________

Dept.: ________

HearingDate

è

3

Next, look at the number of days in item on page 2 of Form GV-109.

What Is ''Proof of Personal Service''? (Gun Violence Prevention)

Who signs the Proof of Personal Service? Only the person who serves the forms can sign Form GV-200, Proof of Personal Service. You do not sign it; the restrained person does not need to sign it.

5

55

What happens if I can't get the orders served before the hearing date? You will need to ask the court to “continue” (postpone and reschedule) the hearing until after you are able to have the respondent served. Fill out and file Form GV-115, Request to Continue Court Hearing for Gun Violence Restraining Order. If the court grants you a continuance, the Temporary Gun Violence Restraining Order (Form GV-110) will remain in effect until the new hearing date.

At least five calendar days before the hearing.

Service of Documents on Respondent5

What Is “Proof of Personal Service?”GV-200-INFO

GV-200 Proof of Personal Service Clerk stamps date here when form is filed.


Superior Court of California, County of Orange

Fill in case number:

Case Number:

Notice to ServerThe server must:

Be 18 years of age or older.Not be the Petitioner unless the Petitioner is a law enforcement officer.

I personally gave the Respondent a copy of the forms checked below:

Give a copy of all documents checked in to the Respondent / Restrained Person. (You cannot send them by mail.) Then complete and sign this form and give or mail it to the Petitioner.

a.

c.

f.g.

I personally gave copies of the documents checked above to the Respondent/Restrained Party:

Zip:State:Server's InformationName:Address:

Zip:City:Telephone: (If you are a registered process server):

Registration number:County of registration:

State:

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.

GV-200, Page 1 of 1Proof of Personal Service (Gun Violence Prevention)

d.

h.

e.

••

•

PROOF OF PERSONAL SERVICE

1

2

3

6

4

5

b.

Respondent/Restrained Person

Petitioner/Requesting AgencyName:

Name:

GV-109, Notice of Court Hearing GV-110, Temporary Gun Violence Restraining Order

GV-120, Response to Petition for Gun Violence Restraining Order (blank form)

GV-100, Petition for Gun Violence Restraining Order

GV-120-INFO, How Can I Respond to a Petition for a Gun Violence Restraining Order?

GV-600, Request to Terminate Gun Violence Restraining Order (blank form)GV-130, Gun Violence Restraining Order After Hearing

Other (specify):

Server to sign hereDate:

Type or print server’s name

a. b.On (date): At (time):

At this address: City:

Judicial Council of California, www.courts.ca.gov Rev. September 1, 2019, Optional Form Penal Code, § 18160(b)

a.m. p.m.c.

4

GV-116, Order for Continuance and Notice of New Hearing Date

j.i.

GV-800, Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (blank form)

GV-030, Gun Violence Restraining Order After Hearing on EPO-002

k.

SHERIFF-CORONER DEPARTMENT ORANGE COUNTY Court Operations

INFORMATION SHEET FOR

TEMPORARY RESTRAINING ORDER

To better assist our Deputies in serving these documents, we ask that you give us as much information as

possible. PLEASE PRINT.

Service Information

Person to be served: _________________________________________________________________________

Service address: __________________________________________ City: __________________________

Best time to attempt service: __________________________________________________________________

Personal Information

Date of birth: _________Age: ________Sex: _______Height: _______Weight: ______ Race: ______________

Nicknames/Aliases: __________________________________________________________________________

Identifying marks (Scars, tattoos, facial hair, length of hair, etc): ______________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

List any known previous arrests: _______________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Are there any weapons on the premises? ________________________________________________________

Where are they kept?________________________________________________________________________

Is the person known to carry a weapon? _________ Type?__________________________________________

Description of vehicle driven by person to be served (Model, color, license #, etc): _______________________

__________________________________________________________________________________________

Other information (Alcoholic, drug addict, martial arts expert, etc):____________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Your name: ____________________________________Signature____________________________________

Address: _____________________________________ Contact Phone: ________________________________

City: ________________________________________ Rev 03-11

OCSD1 (Rev.4/2011)

DO NOTWRITE ON THE FOLLOWING BLANK FORMS!

THESE BLANK FORMS MUST BE SERVED ON THE

OTHER PARTY, SO THAT THE OTHER PARTY MAY

RESPOND TO THIS ACTION. ALONG WITH THE BLANK FORMS YOU MUST

ALSO INCLUDE A COPY OF THE FORMS THAT YOU PREPARED AND FILED

ES NECESARIODEJAR LOS SIGUIENTES DOCUMENTOS

EN BLANCO. ESTOS DOCUMENTOS TIENEN QUE

SER ENTREGADOS A LA OTRA PERSONA, PARA QUE PUEDA RESPONDER A ESTA ACCION.

INCLUYA CON ESTOS DOCUMENTOS UNA COPIA DE LOS DOCUMENTOS QUE USTED LLENO Y ARCHIVO.

How Can I Respond to a Petition for a Gun Violence Restraining Order?

Who can ask for a gun violence restraining order?

What if I don't obey the temporary order?

Should I go to the court hearing?Yes. You should go to court on the date listed on Form GV-109, Notice of Court Hearing. If you do not go to the hearing, the judge can extend the order against you for up to one year without hearing from you.

How Can I Respond to a Petition for a Gun Violence Restraining Order

(Gun Violence Prevention)

GV-120-INFO, Page 1 of 2Judicial Council of California, www.courts.ca.gov Rev. January 1, 2019, Optional Form Penal Code, § 18150 et seq.

What if I don't agree with what the order says?If you disagree with the order that the Petitioner is asking for, fill out Form GV-120, Response to Petition for Gun Violence Restraining Order, before your hearing date and file it with the court. You can get the form from legal publishers or on the Internet at www.courts.ca.gov. You also may be able to find it at your local courthouse or county law library.

GV-120-INFO

The police can arrest you. You can go to jail and pay a fine.

I've been served with a Petition for Gun Violence Restraining Order. What do I do now? Read the papers served on you very carefully. The Notice of Court Hearing tells you when to appear in court. There may also be a Temporary Gun Violence Restraining Order prohibiting you from having any guns, ammunition, or magazines and requiring you to surrender, sell, or store any guns, ammunition, or magazines that you currently own or possess. You must obey the order until the hearing.

It is a court order that prohibits someone from having any guns, ammunition, or magazines (any ammunition feeding device). The person must surrender all guns, ammunition, and magazines that he or she currently owns.

What is a gun violence restraining order?

The petition must have been filed by a law enforcement officer or an immediate family member of yours. Immediate family members include (1) your spouse or domestic partner; (2) your parents, children, siblings, grandparents, and grandchildren and their spouses, including any stepparent or stepgrandparent; (3) your spouse’s parents, children (your stepchildren), siblings, grandparents, and grandchildren; and (4) any other person who regularly resides in the household, or who, within the last six months, regularly resided in the household.

Yes. Have someone age 18 or older—not you—mail a copy of completed Form GV-120 to the person who asked for the order (or that person’s lawyer). (This is called “service by mail.”)

The person who serves the form by mail must fill out Form GV-250, Proof of Service by Mail. Have the person who did the mailing sign the original. Take the completed form back to the court clerk or bring it with you to the hearing.

Do I have to serve the other person with a copy of my response?

Will I have to pay a filing fee? No.

Will I see the person who asked for the order at the court hearing?

Can I bring a witness to the court hearing?

Yes. Assume that the person who is asking for the order will attend the hearing. It is probably best not to talk to him or her unless the judge or that person’s attorney says that you can.

Yes. You can bring witnesses or documents that support your case to the hearing. But if possible, you should also bring the witnesses’ written statements of what they saw or heard. Their statements must be made under penalty of perjury. (You can use Form MC-030, Declaration, for this purpose.)

For help in your area, contact: [Local information may be inserted.]

What if I am deaf or hard of hearing?Assistive listening systems, computer- assisted real-time captioning, or sign language interpreter services are available if you ask at least five court days before the hearing. Contact the clerk’s office or go to www.courts.ca.gov/forms for Request for Accommodations by Persons with Disabilities and Response (Form MC-410). (Civ. Code, § 54.8.)

How Can I Respond to a Petition for a Gun Violence Restraining Order?GV-120-INFO

Rev. January 1, 2019 GV-120-INFO, Page 2 of 2How Can I Respond to a Petition for a Gun Violence Restraining Order


When you file your papers, ask your courts clerk or self-help center if your court will provide an interpreter for you at no cost. If not, you will have to pay a fee for the interpreter. If an interpreter is not available for your court date, you should ask someone who is over age 18 to interpret for you.

What if I need help to understand English?

Can I agree with the protected person to terminate the order?

No. Once the order is issued, only the judge can change or terminate it. You would have to file a request with the court to terminate the order.

If the court issued a temporary restraining order before the hearing, it will last until your hearing date. At that time, the court will decide whether to issue a gun violence restraining order that can last for one year.

Do I need a lawyer?

Having a lawyer is always a good idea, but it is not required, and you are not entitled to a free, court-appointed attorney. Ask the court clerk about free and low-cost legal services and self-help centers in your county.

How long does the order last?

Be prepared to tell the court at the hearing why you don't agree. Write your hearing date, time, and place from form GV-109 item here:

If a Temporary Gun Violence Restraining Order was issued, you must obey it until the hearing. At the hearing, the court may make an order against you for one to five years.

Hearing Date

Date: Time:

Dept.: Room:

GV-120 Response to Petition for GunViolence Restraining Order

Use this form to respond to the Petition (form GV-100)Read How Can I Respond to a Petition for a Gun Violence Restraining Order? (form GV-120-INFO) to protect your rights.

If you do not agree to the gun violence restraining order filed against you, fill out this form and take it to the filing window at the court. Have someone age 18 or older—not you—mail a copy of this form and any attached pages to the Petitioner or to their lawyer. (Use Proof of Service by Mail (form GV-250).)

•

•

•

Your Lawyer (if you have one for this case):

Petitioner

Respondent

Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or email.)

a.

b.

Your Name:

Name: State Bar No.:Firm Name:

Address:City: State: Zip:Telephone: Fax:Email Address:




See Petition for case number and fill in:

Case Number:

1

Gun Violence Restraining Order

GV-120, Page 1 of 2Response to Petition for Gun Violence Restraining Order


Judicial Council of California, www.courts.ca.gov Rev. September 1, 2020, Mandatory Form Penal Code, § 18170 et seq.

1

2

3

3

I do not agree to the order requested in the Petition because:

Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 3—Reasons I Disagree” as a title. You may use Attachment (form MC-025).

If you agree to the Petition for a gun violence restraining order filed against you, use Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125) to agree to a voluntary gun violence restraining order.

•

Name of person or law enforcement agency seeking order (see form GV-100, item ):

GV-120, Page 2 of 2

If a Temporary Gun Violence Restraining Order (form GV-110) was issued, you cannot own or possess any guns, other firearms, ammunition, or magazines. (See item of form GV-110.) You must sell to or store with a licensed gun dealer, or turn in to a law enforcement agency or officer, any guns, other firearms, ammunition, or magazines in your immediate possession or control within 24 hours of being served with form GV-110. You must file a receipt with the court. You may use Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (form GV-800) for the receipt.

Response to Petition for Gun Violence Restraining Order


Case Number:

a.b.

I do not own or control any guns, other firearms, ammunition, or magazines.I have turned in my guns, other firearms, ammunition, and magazines to a law enforcement officer or agency, or sold them to or stored them with a licensed gun dealer. A copy of the receipt

is attached. has already been filed with the court.

Surrender of Guns, Ammunition, and Magazines

Date:

Lawyer’s name (if any) Lawyer’s signature

Sign your name

I declare under penalty of perjury under the laws of the State of California that the information above and on all attachments is true and correct.

Date:


Number of pages attached to this form, if any:

6

7

6

If I did some or all of the things that the Petitioner has accused me of, my actions were justified or excused for the following reasons (explain):

Justification or Excuse5

Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of paper and write “Attachment 5–Justification or Excuse” as a title. You may use Attachment (form MC-025).

I did not do anything described in item of form GV-100.

Denial4

6


GV-125 Consent to Gun Violence RestrainingOrder and Surrender of Firearms

Use this form if you have been served with a Petition for Gun Violence Restraining Order (form GV-100) and you want to agree to voluntarily give up your firearm rights without a court hearing.

Fill out this form and take it to the court clerk. Have someone age 18 or older—not you—mail a copy of this form and any attached pages to the Petitioner or to their lawyer. (Use Proofof Service by Mail (form GV-250).)

••


Petitioner

Respondent

Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or email.)

a.

b.

Your Name:

Name: State Bar No.:Firm Name:

Address:City: State: Zip:Telephone: Fax:Email Address:


Fill in court name and street address:Superior Court of California, County of

See Petition for case number and fill in:

Case Number:

Gun Violence Restraining Order

GV-125, Page 1 of 2Consent to Gun Violence Restraining Order andSurrender of Firearms (Gun Violence Prevention)

Judicial Council of California, www.courts.ca.govNew September 1, 2020, Mandatory Form Penal Code, § 18115 and § 18175(d)

1

2

3

If you do not agree to a gun violence restraining order, use Response to Petition for Gun Violence Restraining Order (form GV-120) to tell the court you oppose a gun violence restraining order.

•

Name of person or law enforcement agency seeking order (see form GV-100, item ):1

• By checking this box and signing this form, I agree to give up my right to own, possess, or purchaseguns, magazines, and ammunition for the time requested in the petition (between one to five years) or, ifno time is specified, then for one year.

• I am not contesting the petition.• I understand that the petitioner can request to renew this order for one to five years.• I understand that I can only request to terminate this order once per year while it is in effect.

GV-125, Page 2 of 2

• After you file this form, the court will issue a Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-130) and send it to you and the petitioner in the mail.

• This form will be listed in the statewide California Restraining and Protective Order System, where it will be accessible to all law enforcement.

• You cannot own or possess any guns, other firearms, ammunition, or magazines. You must sell to or store with a licensed gun dealer, or turn in to a law enforcement agency, any guns, other firearms, ammunition, or magazines in your immediate possession or control within 48 hours of filing this form. You must file a receipt with the court. You may use Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (form GV-800) for the receipt.

Case Number:

a.b.

I do not own or control any guns, other firearms, ammunition, or magazines.I have turned in my guns, other firearms, ammunition, and magazines to a law enforcement officer or agency, or sold them to or stored them with a licensed gun dealer. A copy of the receipt

is attached. has already been filed with the court.

Surrender of Guns, Ammunition, and Magazines

Date:

Lawyer’s name (if any) Lawyer’s signature

Sign your name

I declare under penalty of perjury under the laws of the State of California that the information above and onall attachments is true and correct.

Date:


4

New September 1, 2020

Instructions to Clerk

• On the filing Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-125), the clerk must submit the proposed order, Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order and Surrender of Firearms (form GV-130) to the judicial officer, because the court must issue the order at least five court days before the scheduled hearing, or if this form is filed within five court days before the scheduled hearing, the court must issue, without any hearing, the gun violence restraining order, as soon as possible.

• Within one business day of issuance of the order, submit this form directly into the California Restraining and Protective Order System (CARPOS) or to law enforcement to enter into CARPOS within one business day of receipt from the court.

Consent to Gun Violence Restraining Order andSurrender of Firearms (Gun Violence Prevention)

Not be a party to the case.

The server must:Be 18 years of age or older.

Mail a copy of all documents checked in to the person in . Complete and sign this form and give it to the person in .

•

•

•

14

2

Live or be employed in the county where the mailing took place.

•

•

Notice to Server

GV-250, Page 1 of 1Proof of Service by Mail (Gun Violence Prevention)

Proof of Service by Mail

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2019, Optional Form Penal Code, § 18170 et seq.

Form GV-120, Response to Petition for Gun Violence Restraining Order

PROOF OF SERVICE BY MAIL

3

4

1

2

5

6

Respondent

Petitioner

I placed copies of the documents above in a sealed envelope and mailed them as described below:

State:City:Mailed from City: State:c.

To this address:

Mailed to (name):

b.

a.

On (date):

Server’s InformationName:Address:

Zip:State:City:

Telephone:

(If you are a registered process server):

Registration number:County of registration:


Server to sign here

b.

Zip:

GV-250

a.

Full Name:

Full Name:

I am 18 years of age or older and not a party to this case. I live or am employed in the county where the mailing took place. I mailed the a copy of all documents checked below:




Case Number:

Other (specify):

Date:

Type or print server’s name

Petitioner Respondent

Superior Court of California, County of Orange700 Civic Center Drive WestSanta Ana, CA 92701


lho

Text Box

Signature of law enforcement agent

The court has ordered you to surrender all of your firearms, ammunition, and magazines by turning them in to law enforcement or by selling them to or storing them with a licensed gun dealer. You may use this form to prove to the court that you have obeyed its orders. When you deliver your unloaded firearms, ammunition, and magazines, ask the law enforcement officer or the licensed gun dealer to complete item or, and item .

To Law EnforcementFill out this box and item of this form. Keep acopy and give the original to the person who sold you the firearms, ammunition, or magazines or stored them with you.

Fill out this box and item of this form. Keep a copy and give the original to the person who turned in the firearms, ammunition, or magazines.

The items listed in were:The items listed in 7 were turned in on:

To:To:

I declare under penalty of perjury under the lawsof the State of California that the informationabove is true and correct.

I declare under penalty of perjury under the lawsof the State of California that the information above is true and correct.

GV-800, Page 1 of 3Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored


GV-800 Proof of Firearms, Ammunition, andMagazines Turned In, Sold, or Stored

Judicial Council of California, www.courts.ca.govRev. September 1, 2019, Optional Form Penal Code, § 18120

77

7

Petitioner/Requesting Agency

Respondent/Restrained Party

To the Respondent/Restrained Person


Your Address (If you have a lawyer, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or e-mail.)

a.

b.

Name and title of law enforcement agent

Name:

Your Name:

Name: State Bar No.:


Fill in court name and street address:Superior Court of California, County of


Case Number:

Firm Name:

Address:City: State: Zip:Telephone: Fax:

Date: at: a.m. p.m.

Date: at: a.m. p.m.

Name of law enforcement agency

Address

Name of licensed gun dealer

License number Telephone

E-Mail Address:

To Licensed Gun Dealer

Address

Signature of licensed gun dealer

1

2

3

4 5

Badge Number:

4 5 7

sold stored on:

Orange700 Civic Center Drive WestSanta Ana, CA 92701


Rev. September 1, 2019 GV-800, Page 2 of 3

a. FirearmsSerial NumberModel

b.

c.

d.

e.

Makea.

Case Number:

7

After the form is signed, make two copies. File the original with the court clerk. File a copy with the law enforcement agency that served you with the gun violence restraining order. Keep a copy for yourself. Failure to file a receipt with the court and with the law enforcement agency is a violation of the court's order.

For help filling out this form, read How Do I Turn In, Sell, or Store My Firearms, Ammunition, and Magazines?(form GV-800-INFO).

Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored


AmountType

b.

c.

d.

Branda.

Check here if you turned in, sold, or stored more magazines. Use form MC-025 and write “GV-800, Item 7c-Magazines Turned In, Sold, or Stored” for a title. Include make, model, and serial number of magazines.

b. Ammunition

Number of MagazinesModel

b.

c.

d.

Makea.

c. Magazines

To the Respondent/Restrained Person6

e.

e.

Check here if you turned in, sold, or stored more ammunition. Use form MC-025 and write “GV-800, Item 7b-Ammunition Turned In, Sold, or Stored” for a title. Include the brand, type, and amount of ammunition.

Check here if you turned in, sold, or stored more firearms. Use form MC-025 and write “GV-800, Item 7a-Firearms Turned In, Sold, or Stored” for a title. Include the make, model, and serial number of each firearm.

Rev. September 1, 2019 GV-800, Page 3 of 3Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored


I filed a Proof of Firearms, Ammunition, and Magazines Turned In, Sold, or Stored (form GV-800) for those firearms with the court on (date):

I am filing the proof for those firearms, ammunition, or magazines along with this proof.

I have not yet filed the proof for the other firearms, ammunition, or magazines. (Explain why not):

Do you have, own, possess, or control any other firearms, ammunition, or magazines besides the items listed in ?If you answered yes, have you turned in, sold, or stored those other items? If yes, check one of the boxes below:

b.

c.

a.

Yes NoYes No

Check here if there is not enough space below for your answer. Use form MC-025 and write “Attachment 8c” for a title.

Date:

Type or print your name Sign your name

87

Case Number:
