Response Petition Civil Harassment Workplace ViolenceCal. Super. - 6th Dist.January 12, 2021' ‘.' ‘r Aging Response to Request for Civil C/erkrsfmps dare here WhEn form iS med y Harassment Restraining Orders Use this form to respond to the Request (form CH-100) . Read How Can [Respond t0 a Requestfor Civil Harassment Restraining Orders? (fonn CH-lZO-lNFO) to protect your rights. ° Fill out this form and take it to the court clerk. . Have someone age 18 or older-not you-serve the person in® 0r his or her lawyer by mail with a copy of this form and any attached pages. (Useform CH-250, Proof 0f Service ofResponse by Mail.) ® Person Seeking Protection Full name ofperson seeking protection (seeform CH-IOO, irem CD): Fill in com name and street address: plbaf’do \/I'C€M¥€ 51261433 Superior Court of California, County of ® Person From Whom Protection ls! Sought Superior Court a, Your Name: 100,4 (1/, 0V mu” Division Your Lawyer (IfyozY/zave onefor this case) 191 N. Hrs? Si Name; _ . State Bar No.2 , - ,Safl JOSE, CA 95113 . Firm Name: b. Your Address (Ifyou have a lawyer, give your lmvyer’s information. [fyou d0 not have a lawyer and want f0 keep your home address case Number: private, you may give a difler'em‘ mailing address instead. You d0 nor 2 / CH 00 98(f have t0 give telephone, fax, 0r e-mail.) Address: {950 $0M Rama“ Avg #8 Present your response and any opposition at the Citszodfl/a g [o w State: CA Zip: 240 E: 3 hearing. Write yourihearing date, time, and place , - from fonn CH-109 1tem©herez Telephone: Fax: . Date: 3 (Time: Qv l I Beam.) 4m fimE-l‘nall Addless. Dept_; {i Room:® Personal Conduct Orders If you were served with a Temporary Restraining Order, you must obey it until the b. E I d0 not agree t0 the orders requested. hearing. At the hearing, the court may make (Specifi' why you disagree m item® 0n page 3.) orders against you that last for up t0 five years. a. D Iagreeto the orders requested. c. D I agree to the following orders (SpecifiI below 0r in irem® 0n page 3.) G) E Stay-Away Orders a. D I agree t0 the orders requested. b. I d0 not agTee t0 the orders requested. (Specifi/ why you disagree in item® onpage 3.) c. D I agree to the following orders (specifi/ below or in irem@ ozzpage 3): Additional Protected Persons a. D I agree that the persons listed in item©0f form CH-IOO may be protected by the order requested. b‘ I do not agree that the persons listed in item©of form CH-lOO may be protected by the order requested. gifgg'dfigunflgiflFggigfiTj-agg‘afigfyoggfn-faQOV Response to Request for Civil Harassment CH-120. Page1 of4 Code o!Civi| Procedure, §§ 527,6 and 52729 Restrai n i ng Orders 9 (Civil Harassment Prevention) fl yam ”54 /g~/-l/ Case Number: 2/624 0098fl ® ® Guns or Other Firearms and Ammunition If you were served with form CH-110, Temporary Restraining Order, you cannot own or possess any guns, other firearms, or ammunition. (See item® ofform CH-llO.) You must sell to 0r store with a licensed gun dealer, or turn in to a [aw enforcement agency, any guns or other firearms in your immediate possession or control within 24 hours of being served with form CH-IIO. You must file :1 receipt with the court. You may use form CH-SOO, ProofofFirearms Turned In, Sold orSmred, for the receipt. a. E Ido not own 0r control any guns or firearms. b. D I ask for an exemption from the firearms prohibition under Code ofCivil Procedure section 527.9(f) because carrying a firearm is a condition ofmy employment, and my employer is unable to reassign me t0 another position where a firearm is unnecessary. (Explain): D Check here {ft/zere i5 nor enough space belowfor your answer. Put your complete answer 0n cm attached sheezj ofpaper (Ind write “Attachment 6b-Fi1'earms Surrender Exemption " as a rifle. Yqu may usefprm. MC-‘025, Attachment." ' ‘ ‘ i ‘ ' -‘ c. D Ihave turned in my guns and firearms to the police or sold them to or stored them with a licensed gun dealer. A copy 0fthe receipt D is attached. D has already been filed with the court. Possession and Protection 0f Animals a. D Iagree to the orders requested. b. E I do not agree t0 the orders requested. (Specifiz why you disagree in irem ® 0n page 3.) c. D I agree to the following orders (specifi) below 0r in item® 0n page 3): fl Other Orders ® a. D I agree t0 the orders requested. b. D I do not agree to the orders requested. (Specifi/ why you disagree in item® 0n page 3.) c. D Iagree t0 the following orders (speczfi/ below 0r in item® 0n page 3): E Denial I did not d0 anything described in item® ofform CH-IOO. (Skip t0® .) RevisedJanuaW1-2018 Response to Request for Civil Harassment CH'120’ P899 2 °f4 Restraining Orders . 9 (Civil Harassment Prevention) ‘V Case Number: 2/0H00?8// D Justification or Excuse IfI dld some or all ofthe things that the person in (D has accused me of, my actions were justified or excused for the following reasons (explain): D Check Izere {fillere i5 not enough space belowforyour answer. Putyour complete answer on an arrached sheet ofpaper and w; ire Attachment 10-Jusufz‘carf0n 0r Excuse " as a rifle. You may useform M0075 Attachment ® E Reasons l Do Not Agree to the Orders Requested Explain your answers t0 each order requested (Izatyou do not agree with. D Check here ifrizere i5 nor enough space belowforyour answer. Puryour complete answer on (m attached sheet ofpapel and w; Ire “Armchment 1 I-Reasons I Disagree‘ as a rifle. You may useform MC-025 Attachment. ® Jéave neverf c/oz/ze anu/étt/za Soecnfl/ed M @aff) (2H) (3) anq/fé) of ¥Eflm/CH" {90/ @ Wp awe /r'/eMa//v.”mex-/ a/oor'“ mer'aérélorrs: 0m” flrom/ a/oofls awe 5/8511 apan/ apm/ 5a , a/oofls arié’ 3 few! aoarml. 7&9 prvm’ecJe’a/ Deflsow N4 Q 0/7 form CH*'//0 6 é . a ' f. r v. .. ' "ce 4.1 ' ' n. a. .. '4 . a e M M ' Ian r 7Z9 ca r's HQ evem / e/rfs Au NaHe/v seen 014 pH€mt$6$ anyway. Revised January 1 2018 Response to Request for Civil Harassment Restraining Orders (Civil Harassment Prevention) CH-120, Page 3 of4 a Case Number: 81’ C#0098{{ ® No Fee for Filing a. E Irequest that I not be required t0 pay the filing fee because the person in® claims in form CH-l 00 item ® to be entitled to free filing. b. D I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form FW-OOI, Request to Waive Court Fees, must baffled separately.) ® D Lawyer's Fees and Costs a, D I ask the court to order payment ofmy D Lawyer’s fees D court cosm The amounts requested are: Item Amount m Amount $ $ $ L ' $ $ $ D Check here xfthere are more items. Put the items and amounts 0n rile attached sheet ofpaper and write "Attachment 13-Lawyer's Fees and Costs ”for a title. You may use orform MC-025, Attachment. b. D I ask the court t0 deny the request of the person asking for protection that I pay his 0r her lawyer’s fees and costs. Number ofpages attached to this form, ifany: Q Date: .' . y .Lawyer s name (zfany) Lawyer S Signature Ideclare under penalty ofpexjury under the laws 0fthe State 0f California that the infonnation above and 0n all attachments is true and correct. Date: 2/22/209/ , Ioorr h/q/x'éov } WW\l Type Ol'pl‘IHIyOHI‘ Mame ‘ Sign your nanze I RavisedJanuam-zms Response to Request for Civil Harassment CH-120. Page 4 0f4 Restraining Orders (Civil Harassment Prevention)
