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Response To Request For Elder Or Dependent Adult Abuse Restraining Orders EA-120 - California
| Response To Request For Elder Or Dependent Adult Abuse Restraining Orders Form. This is a California form and can be used in Elder Or Dependent Adult Abuse Judicial Council . |
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EA-120 Response to Request for Elder or Dependent Adult Abuse Restraining Orders Clerk stamps date here when form is filed. Use this form to respond to the Request (Form EA-100). · Read How Can I Respond to a Request for Elder or Dependent Adult Abuse Restraining Orders? (Form EA-120-INFO), 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 requesting protection in 1 by mail with a copy of this form and any attached pages. (Use Form EA-250, Proof of Service of Response by Mail.) 1 Elder or Dependent Adult Seeking Protection Name: Name of person asking for the protection, if different: (This is the person named in item 3 of the request (Form EA-100).) Fill in court name and street address: Superior Court of California, County of 2 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 (If you have a lawyer, give your lawyer's information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or e-mail.): Address: City: Telephone: E-Mail Address: State: Fax: Zip: Fill in case number: Case Number: Present your response and any opposition at the hearing. Write your hearing date, time, and place from Form EA-109, item 3 here: Hearing Date: Date Dept.: Time: Room: 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 five years. 3 Personal Conduct 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): 4 Stay-Away 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): Judicial Council of California, www.courts.ca.gov Revised January 1, 2012, Mandatory Form Welfare & Institutions Code, § 15657.03 Response to Request for Elder or Dependent Adult Abuse Restraining Orders (Elder or Dependent Adult Abuse Prevention) EA-120, Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 5 a. b. c. Move-Out Order I agree to the order requested. I do not agree to the order requested. I agree to the following order (specify): 6 a. b. Additional Protected Persons I agree that the persons listed in item 6 of Form EA-100 may be protected by the order requested. I do not agree that the persons listed in item 6 of Form EA-100 may be protected by the order requested. 7 Guns or Other Firearms If you were served with Form EA-110, Temporary Restraining Order, and item 8 on that form was granted, you may not own or possess any guns, other firearms, or ammunition. You must turn in any guns or firearms that you own and file a receipt with the court from a law enforcement agency or a licensed gun dealer within 48 hours after you received Form EA-110. You may use Form EA-800, Proof of Firearms Turned In or Sold, for the receipt. a. b. I do not own or control any guns or firearms. I have turned in my guns and firearms to the police or sold them to a licensed gun dealer. A copy of the receipt is attached. has already been filed with the court. 8 a. b. c. Other Orders 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 7 of Form EA-100. (Skip to 11 .) 10 Justification or Excuse If I did some or all of the things that the person in 1 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 "Attachment 10--Justification or Excuse" as a title. You may use Form MC-025, Attachment. Revised January 1, 2012 Response to Request for Elder or Dependent Adult Abuse Restraining Orders (Elder or Dependent Adult Abuse Prevention) EA-120, Page 2 of 3 Case Number: 11 Lawyer's Fees and Costs a. lawyer's fees court costs I ask the court to order payment of my 1 . The amounts requested are: by the person asking for protection named in Item Amount Item $ $ $ Amount $ $ $ b. 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 11--Lawyer's Fees and Costs" as a title. I ask the court to deny the request of the person asking for protection named in 1 that I pay his or her lawyer's fees and costs. 12 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 Request for Elder or Dependent Adult Abuse Restraining Orders (Elder or Dependent Adult Abuse Prevention) EA-120, Page 3 of 3
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