California > Judicial Council > Workplace Violence
Proof Of Personal Service (Workplace Violence Prevention) WV-200 - California
| Proof Of Personal Service (Workplace Violence Prevention) Form. This is a California form and can be used in Workplace Violence Judicial Council . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
WV-200 1 Name: 2 Proof of Personal Service Clerk stamps date here when form is filed. Petitioner (Employer) Employee in Need of Protection Name: 3 4 Respondent (Person From Whom Protection Is Sought) Name: Fill in court name and street address: Notice to Server The server must: · Be 18 years of age or older. · Not be listed in items 1 , 2 , or 4 of Form WV-100. · Give a copy of all documents checked in 5 below to the respondent. (You cannot send them by mail.) Then complete and sign this form and give or mail it to the petitioner. Superior Court of California, County of Fill in case number: Case Number: PROOF OF PERSONAL SERVICE 5 I gave the respondent a copy of the forms checked below: a. b. c. d. e. f. g. h. 6 WV-109, Notice of Court Hearing WV-110, Temporary Restraining Order WV-100, Petition for Workplace Violence Restraining Orders WV-120, Response to Petition for Workplace Violence Restraining Orders (blank form) WV-120-INFO, How Can I Respond to a Petition for Workplace Violence Restraining Orders ? WV-130, Workplace Violence Restraining Order After Hearing WV-800, Proof of Firearms Turned In or Sold (blank form) Other (specify): I personally gave copies of the documents checked above to the respondent b. At (time): a. On (date): a.m. c. At this address: City: State: Telephone: State: p.m. Zip: 7 Server's Information Name: Address: City: (If you are a registered process server): County of registration: Registration number: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Zip: Type or print server's name Judicial Council of California, www.courts.ca.gov Revised January 1, 2012, Optional Form Code of Civil Procedure, §§ 527.8, 1011 Server to sign here Proof of Personal Service (Workplace Violence Prevention) WV-200, Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
