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Response To Petition For Workplace Violence Restraining Orders (Workplace Violence Prevention) WV-120 - California
| Response To Petition For Workplace Violence Restraining Orders (Workplace Violence Prevention) Form. This is a California form and can be used in Workplace Violence Judicial Council . |
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WV-120 Response to Petition for Workplace Violence Restraining Orders Clerk stamps date here when form is filed. Use this form to respond to the Petition (Form WV-100) · Read How Can I Respond to a Petition for Workplace Violence Restraining Orders? (Form WV-120-INFO) to protect your rights. · Fill out this form and take it to the court clerk. · Have someone--age 18 or older--serve the petitioner or the petitioner's lawyer by mail with a copy of this form and any attached pages. (Use Form WV-250, Proof of Service of Response by Mail.) 1 Fill in court name and street address: Petitioner (Employer) Name: Superior Court of California, County of 2 Employee Seeking Protection Full Name: Fill in case number. 3 Respondent (Person From Whom Protection Is Sought) a. Your Name: Your Lawyer (if you have one for this case): Name: State Bar No.: Firm Name: b. Your Address (you may give a mailing address if you want to keep your street address private; skip this if you have a lawyer): Address: City: Telephone: E-Mail Address: State: Fax: Zip: Case Number: The court will consider your response at the hearing. Write your hearing date, time, and place from Form WV-109, item 4 here: Hearing Date: Date Dept.: Time: Room: 4 a. b. c. Personal Conduct Orders I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify): If you were served with a Temporary Restraining Order, you must obey it until the hearing. At the hearing, the court may make orders against you that last for up to three years. 5 a. b. c. Stay-Away Orders I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify): Judicial Council of California, www.courts.ca.gov Revised January 1, 2012, Mandatory Form Code of Civil Procedure, §§ 527.85 and 527.9 Response to Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) WV-120, Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 6 a. b. 7 Additional Protected Persons I agree that the persons listed in item 4 of the Petition may be protected by the order requested. I do not agree that the persons listed in item 4 of the Petition may be protected by the order requested. Firearms Prohibition and Relinquishment If you were served with Form WV-110, Temporary Restraining Order, you cannot own or possess any guns, other firearms, or ammunition. You must turn in any guns or firearms in your immediate possession or control and file a receipt with the court from a law enforcement agency or a licensed gun dealer within 48 hours after you received Form WV-110. (See item 8 of Form WV-110.) You may use Form WV-800, Proof of Firearms Turned In or Sold, for the receipt. a. b. I do not own or control any guns or other firearms. I have turned in my guns and firearms to the police or to a licensed gun dealer. A copy of the receipt is attached. has already been filed with the court. 8 Other Orders a. b. c. I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify): 9 Denial I did not do anything described in item 8 of Form WV-100. (Skip to 11 .) 10 Justification or Excuse If I did some or all of the things that the petitioner has accused me of, my actions were justified or excused for the following reasons (explain): Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet of paper and write "WV-120, item 10--Justification or Excuse" for a title. Revised January 1, 2012 Response to Petition for Workplace Violence Restraining Orders (Private Postsecondary School Violence Prevention) WV-120, Page 2 of 3 Case Number: 11 No Fee for Filing a. b. I ask the court to waive the filing fee because the petitioner claims in Form WV-100 item 14 to be entitled to free filing. I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form FW-001, Request to Waive Court Fees, must be filed separately.) I ask the court to order the petitioner to pay my court costs. The amounts requested are: Item Amount $ $ $ Item $ $ $ 12 Costs a. Amount Check here if there are more items. Put the items and amounts on the attached sheet of paper or Form MC-025 and write "Attachment 12--Costs" for a title. b. I ask the court to deny the request of the person asking for protection that I pay his or her lawyer's fees and costs. 13 Number of pages attached to this form, if any: Date: Lawyer's name (if any) Lawyer's signature I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print your name Sign your name Revised January 1, 2012 Response to Petition for Workplace Violence Restraining Orders (Private Postsecondary School Violence Prevention) WV-120, Page 3 of 3
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