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Workplace Violence Restraining Order After Hearing (CLETS-WHO) (Workplace Violence Prevention) WV-130 - California
| Workplace Violence Restraining Order After Hearing (CLETS-WHO) (Workplace Violence Prevention) Form. This is a California form and can be used in Workplace Violence Judicial Council . |
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WV-130 Workplace Violence Restraining Order After Hearing Clerk stamps date here when form is filed. 1 Petitioner (Employer) a. Name: Lawyer for Petitioner (if any for this case): Name: State Bar No.: Firm Name: b. Address (If you have a lawyer, give your lawyer's information.): Address: City: Telephone: E-Mail Address: 2 Employee (Protected Person) Fill in case number: Fill in court name and street address: Superior Court of California, County of State: Fax: Zip: Full Name: 3 Respondent (Restrained Person) Full Name: Description: Sex: M F Height: Weight: Eye Color: Case Number: Date of Birth: Age: Race: State: Zip: Hair Color: Home Address (if known): City: Relationship to Employee: 4 Additional Protected Persons In addition to the employee, the following family or household members or other employees are protected by the orders indicated below: Sex Age Household Member? Relation to Employee Full Name Yes No Yes No Yes No Additional protected persons are listed at the end of this Order on Attachment 4. 5 Expiration Date This Order expires at: Time: a.m. p.m. or midnight on (date): If no expiration date is written here, this Order expires three years from the date of issuance. This is a Court Order. Judicial Council of California, www.courts.ca.gov Revised January 1, 2012, Mandatory Form Code of Civil Procedure, ยงยง 527.8 and 527.9 Approved by DOJ Workplace Violence Restraining Order After Hearing (CLETS-WHO) (Workplace Violence Prevention) WV-130, Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 6 Hearing a. There was a hearing on (date): (Name of judicial officer): at (time): in Dept.: Room: made the orders at the hearing. b. These people were at the hearing: The petitioneremployer representative (name): (1) (2) (3) (5) The lawyer for the petitioner/employer (name): The employee The respondent (4) (6) The lawyer for the employee (name): The lawyer for the respondent (name): Additional persons present are listed at the end of this Order on Attachment 6. c. The hearing is continued. The parties must return to court on (date): at (time): To the Respondent: The court has issued the orders checked as granted below. If you do not obey these orders, you can be arrested and charged with a crime. You may be sent to jail for up to one year, pay a fine of up to $1,000, or both. 7 Personal Conduct Orders a. You are ordered not to do the following things to the employee and to the other protected persons in 4 : (1) (2) (3) (4) (5) (6) (7) Harass, molest, strike, assault (sexually or otherwise), batter, abuse, destroy personal property of, or disturb the peace of the person. Commit acts of violence or make threats of violence against the person. Follow or stalk the person during work hours or while going to or from the place of work. Contact the person, directly or indirectly, by any means, including but not limited to, in person, by telephone, in writing, by public or private mail, interoffice mail, by e-mail, by text message, by fax, or by other electronic means. Enter the person's workplace. Take any action to obtain the person's addresses or locations. If this item is not checked, the court has found good cause not to make this order. Other (specify): Other personal conduct orders are attached at the end of this Order on Attachment 7a(7). b. Peaceful written contact through a lawyer or a process server or other person for service of legal papers related to a court case is allowed and does not violate this order. This is a Court Order. Revised January 1, 2012 Workplace Violence Restraining Order After Hearing (CLETS-WHO) (Workplace Violence Prevention) WV-130, Page 2 of 6 Case Number: 8 Stay-Away Order a. You must stay at least (1) (2) (3) (4) (5) (6) yards away from (Check all that apply): (7) (8) (9) The employee's children's place of child care The employee's vehicle Other (specify): The employee Each other protected person listed in 4 The employee's workplace The employee's home The employee's school The employee's children's school b. This stay-away order does not prevent you from going to or from your home or place of employment. 9 No Guns or Other Firearms and Ammunition a. You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get guns, other firearms, or ammunition. b. If you have not already done so, you must: (1) Sell to a licensed gun dealer or turn in to a law enforcement agency any guns or other firearms in your immediate possession or control. This must be done within 24 hours of being served with this Order. (2) File a receipt with the court within 48 hours of receiving this Order that proves guns have been turned in or sold. (You may use Form WV-800, Proof of Firearms Turned In or Sold, for the receipt.) c. The court has received information that you own or possess a firearm. Costs You must pay the following amounts for costs to the petitioner: Amount Item $ $ $ Item $ $ $ Amount 10 Additional items and amounts are attached at the end of this Order on Attachment 10. 11 Other Orders (specify): Additional orders are attached at the end of this Order on Attachment 11. This is a Court Order. Revised January 1, 2012 Workplace Violence Restraining Order After Hearing (CLETS-WHO) (Workplace Violence Prevention) WV-130, Page 3 of 6 Case Number: To the Petitioner: 12 Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Order System (CARPOS) through the California Law Enforcement Telecommunications System (CLETS). (Check one): a. b. c. The clerk will enter this Order and its proof-of-service form into CARPOS. The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered into CARPOS. By the close of business on the date that this Order is made, the petitioner or the petitioner's lawyer should deliver a copy of the Order and its proof-of-service form to the law enforcement agency listed below to enter into CARPOS: Name of Law Enforcement Agency Address (City, State, Zip) Additional law enforcement agencies are listed at the end of this Order on Attachment 12. 13 Service of Order on Respondent a. Both the respondent and the employee attended the hearing. No other proof of service is needed. b. The respondent did not attend the hearing. Proof of service of Form WV-110, Temporary Restraining Order, was presented to the court. The (1) judge's orders in this form are the same as in Form WV-110 except for th
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