Notice Hearing TRO Civil HarassmentCal. Super. - 6th Dist.March 8, 2021CH_1 09 Notice of Court Hearing Clerk stamps date hero when form Ls filed. Filed® Person Seeking Protection March 9' 2021 a. Your Full Name: Clerk of the Court C(‘oq‘ c, ( “rn-Phar Superior Court of CA Your Lawyer (lfyou have onefor rlzis case): county Of sama Clara 21 CH00991 8Namczselhflenmsenmd-__Slatc BarNo.:-_ By k3 n U en Firm NamctselhflepIESented g y fill in cour: name and slree! address: b. Your Address (lfyou have a lawyer, give your lawyer‘s informalion. Superior Court of California, County o! lfyou do no! have a lawyer and wan! r0 keep your Itomc address Santa Clara private. you may give a difierem mailing address insread. You do no! Street: 191 N. First 51.. San Jose, CA 95113 have Io give telephone. fax, or e-mail.) Ma.ilz.191 N. _Flr§t 5L. San Jose. CA 95113 Address: i0 0 0 H“ H U: CMJ 0 1’ cw” Dw's'on City:m_- Statc:C.KZipzm , _ .Coug fillsa'; gagepurifier Mewmsflgq:Telephone. Fax. Lc‘ag'e Numfi'éru I 3 k} ‘7} I 8E-Mail Address ” " ' ” ‘ ® Person From Whom Protection ls Sought Full Name: M‘X(*Q Wh“ fl K The court will complete (he rcsr of Ihisform. ® Notice of Hearing A court hearing is scheduled on the request for restraining orders against the person in ®z -‘ ,_ ~ Name and address of court if different from above: Date: S q’z\ Time:QWWWW Date Dept;4- Room;__ m_nmmmmt Street SanJusefCA 95113 D S . C H _C..l ® Temporary Restraining Orders (Any orders granted ure on form CH-l 10. served with (hi: notice.) a. Temporary Restraining Orders for personal conduct and slay-away ordcrs as rcqucstcd in form CH-IOO, Request far Civil Harm'snwn! Restraining Orders, arc (check only one box below): (I) m All GRANTED until the court hearing. (2) D All DENIED until the court hearing. (Specify reasonsfor denial in b. below.) (3) D Partly GRANTED and partly DENIED until lhe court hcan'ng. (Specify reasonsfar denial in b. below.) £§E§fi$§lf§§§éwrfflw Notice of Court Hearing oH-ws. pugs 1 om mrwmgyom'“ ”'9 ‘ (Civil Harassment Prevention) 9 CH}: Essential chm . _ Ca? me _ b. Reasons for denial of some or all of those personal conduct and slay-away orders as requested in form CH-l 00. Requenfor Civil Harassmem Restraining Orders. arc: (l) D Thc facts as slated in form CH-IOO do nol sufficiently show acts of violcncc, threats of violence, or a coursc of conduct that seriously alarmed. annoyed, or harassed lhc pcrson in®and caused substantial emotional distress. (2) D Other (specify): D As set forth on Aunchmcnt4b. ® Confidential lnforrfiatidn Regarding Mino‘r a. D A Requex! Io Keep Minor’x Information Confidential (form CH-IGO) was made and GRANTED. (Seeform CH-l65, Ordcr on Request to chp Miner's Information Confidential, served with thisform.) .If the request was granted, thc information described in item. on the order (form CH-165) must be bkcpt CONFIDENTIAL. The disclosure or misuse of the information'Is punishable as contempt of court, with a fine of up to $1000 or possible sanctions. ® Service of Documents by The Person in ® Atlcast m fivé D days before the hearing, someone age 18 or older-not you or anyone to be protectcd-musl personally givc (scrvc) a coun's filc-stampcd copy of this form CH-109, Io Ihc person in along with a copy of all lhc forms indicated below; a. .°’ hpmp Dale: 3'9'2021 CH-IOO. Requestfor Civil Harassment Restraining Orders (filc-stampcd) mCH-l 10. Temporary Restraining Order (file-stampcd) IF GRANTED CH-l20. Response to Requeslfor Civil Harassmen! Restraining Order: (blank form) CH-lZO-INFO, How Can I Respond Io a chucstfor Civil Harassment Restraining Orders? CH-ZSO. Proof ofSen'icc ofResponse by Mail (blank form) D CH- 170. Notice of Order Protecting Information of Minor and. CH-l65, Order on Requesl Io Keep Minor': Information Confidential (file-slamped) 1F GRANTED mOlhcr (..cpecify)'WOUND CH 800 Prool of Firearms Turned In or Sold; Local Form F 47 How to $3!er%w%F%md Ammunlllon Judicial Oflicer CAROL OVERTON Ru. January l. 2019 " Essential Notice of Court Hearing CH-ws. Page 2 oi aM ; gram (Civil Harassment Prevention) 9 '21CH009918 f 2 1 {eagemsgrsgg 91 8 I To the Person inO : - The court cannot make the restraining orders al'lcr the court hearing unless the person in® has been personally given (served) a copy of your rcqucst and any temporary orders. To show that thc person in has bccn scrvcd, the person who scrvcd thc forms must fill out a proof of scrvicc form. Form CH-ZOO, ProofofPersonal Service, may bc used. - For information about service, read form CH-ZOO-LNFO, What ls "ProofofPermna! Service"? - If you are unable to serve the person in® in time, you may ask for more time to serve the documents. Usc form CH-l 15. Request to Continue Court Hearing and to Reissue Temporary Restraining Order. To the Person inez - If you want to respond lo the request for orders in writing. file form CH- 120, Response r0 Requestfor Civil Harassmen! Restraining Orders. and have someone age 18 or older-not you or anyone to be protected-mail it lo the person in® ‘ - Thc person who mailed thc form must fill out a proof of service form. Form CH-ZSO. ProofafService ofResponse by Mail, may be used. File the completed form with the court before the hearing and bring a copy with you lo 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 (ell the judge why you agree or disagree with the orders requested. - You may bring witnesses and other evidence. o At the hearing, thcjudgc may make restraining orders against you that could last up lo five years and may order you lo turn in to law enforcement. or sell Io or store with a liccnscd gun dealer, any firearms that you own or possess. Request for Accommodations Assistivc listening systems, computcr-assisled rcaI-timc captioning. or sign language interpreter services are available if you ask at least five days before the hearing. Contact lhc clerk's office or go to www.courts.ca.gov/fonns for Request for Accommodation: by Persons with Disabilities and Response (form MC-410). (Civ. Code. § 54.8.) (Clerk willflll out this part. ) - Clerk's Certificate - Iccnify that this Notice of Cour! Hearing is a true and correct copy of the original on file in the court. Clerk's Certificate [seal] Date: Clerk, by . Deputy cgfl (N,
