Notice Hearing TRO Civil HarassmentCal. Super. - 6th Dist.January 7, 2019y: Clerk stamps date here when form is filed. CH-109 Notice of Court Hearing CD Person Seeking Protection a. You ullName: 5;; g. ‘Hwiuij 20:9 JAN -7 p 3: 3o ‘mg A , ‘Rxamww Your Lawyer (ifyou have onefor this case): Name: Self-Represented State Bar N0.: Firm Name: Self-Represented . Your Address (Ifyou have a lawyer, give your lawyer’s information. Ifyou d0 not have a lawyer and want t0 keep your home address private, you may give a different mailing address instead. You d0 not have to give telephone, fax. 0r e-mail.).' a VA. Fill in coun‘ name and street address: Address: City: State: Zip: Telephone: Fax: E-Mail Address: Superior Court of California, County of Santa Clara Street Address: 191 North First Street Mailing Address: 191 North Flrst Street San Jose, CA 951 1 1 3 Civil Division Court fills in case number when form is filed. caseTgbfi’Hoo 85 21® Person Fro Whom_Prote'ction Is Sought . Full Name: ‘ The court will complete the rest oftlzisform. ® Notice of Hearing, A court hearing is scheduled on the request for restraining orders against the person in@: Name and address of court if different from above: _ v Superior Court of Santa Clara County Date'JAN 2 9 2m Tlmezg-L-‘OOAWI 191 North First Street Dept: [l Room: San Jose, CA 951 13 Downtown Courthouse - Civil ® Temporary Restraining Orders (Any orders granted are on Form CH-110. served with this notice.) a, Temporary Restraining Orders for personal conduct and stay-away orders as requested in Form CH-IOO, Requestfor Civil Harassment Restraining Orders. are (check only one box below): (DWI GRANTED until the court hearing. (2) D A11 DENIED until the court hearing. (Specifi' reasonsfor denial in b, below.) (3) D Partly GRANTED and partly DENIED until the coun hearing. (Specify reasonsfor denial in b, below.) Judicial Council of California, wwwcourtscagov Revised July 1, 2014, Mandatory Form Code of Civil Procedure, § 527.6 Approved by DOJ Notice of Court Hearing CH-109, Page 1 013 (Civil Harassment Prevention) a Case Number: 19CH008521' b. Reasons for denial of some or all of those personal conduct and stay-away orders as requested in Form CH-IOO, Requestfor Civil Harassment Restraining Orders, are: (1) D The facts as stated in Form CH-lOO do not sufficiently show acts of violence, threats of violence, or a course of conduct that seriously alarmed, annoyed, or harassed the person in CD and caused substantial emotional distress. (2) D Other (specifiz): D As set forth on Attachment 4b. G5) Service of Documents by The Person in ® At least m five D _ _ days before the hearing, someone age 18 0r older-not you or anyone to be protected-must personally give (serve) a court file-stamped copy of this Form CH-109, to the person in along with a copy of all the fonns indicated below: Notice ofCourt Hearing, a. CH-IOO, Requestfor Civil Harassment Restraining Orders (file-stamped) b.gCH-l 10, Temporary Restraining Order (file-stamped) IF GRANTED. c. CH-120, Response to Requestfor Civil Harassment Restraining Orders (blank form) d. CH-lZO-INFO, How Can I Respond to a Requestfor Civil Harassment Restraining Orders? e. CH-250, ProofofService ofResponse by Mail (blank form) ' f. Other (Specifi): CV-5014 Declaration Re: Notice Uppn‘Ex Parte Application for Orders for Civil Harassment; CH-800 Proof of Firearms Turned ln or Sold; and Local Form FM-1047 Hfiw to}afel’yw Firearms and Ammunition on the other party Date: I- 2 ”/9‘ ’ v vr- Judiciaz aficerCaroi Overton To the Person inO: ' The court cannot make the restraining orders after the court hearing unless the person in ®has been personally given (served) a copy of your request and any temporary orders. To show that the person in ®has been served, the person who served the forms must fill out a proof of service form. Form CH-ZOO, ProofofPersonal Service, may be used. - For information about service, read Form CH-ZOO-INFO, What Is ”ProofofPersonal Service ”.7 . If you are unable to sewe the person in®in time, you may ask for more time to serve the documents. Use Form CH- 115, Request to Continue Court Hearing and to Reissue Temporal); Restraining Order. Re“‘““"'“'2°” Notice of Court Hearing ‘ CH-109. Page 2 of 3 (Civil Harassment Prevention) -9 aorunnn521 Case Nfimfie‘l’2" "' V V To the Person in9 : If you want to respond to the request for orders in writing, file Form CH-120, Response t0 Requestfor Civil Harassment Restraining Orders, and have someone age 18 or older-not you or anyone t0 be protected-mail it to the person in CD. The person who mailed the form must fill out a proof of service form. Form CH-ZSO, ProofofService ofResponse by Mail, may be used. File the completed fonn with the court before the hearing and bring a copy With you to the court hearing. 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 orders requested. You may bring witnesses and other evidence. At the hearing, the judge may make restraining orders against you that could last up to five years and may order you to turn in to law enforcement, or sell to or store with a licensed gun dealer, any firearms that you own or possess. Request for Accommodations 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 g0 to WWW.cozn'ts.ca.g0v/f0rms for Requestfor Accommodations by Persons with Disabilities and Response (Fonn MC-4l O). (Civ. Code, § 54.8.) (Clerk willfill out thispart.) -Clerk's Certificate- l certify that this Notice ofCourt Hearing is a true and correct copy of the original on file in the court. Clerk's Certificate [seal] Date: Clerk, by , Deputy RevisedJ“‘Y‘~20” Notice of Court Hearing CH-109, Pagesors (Civil Harassment Prevention)
