This is a California form that can be used for Civil Harassment within Judicial Council.
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CH-120 Response to Request for Civil Harassment Restraining Orders Clerk stamps date here when form is filed. Use this form to respond to the Request (Form CH-100) · Read How Can I Respond to a Request for Civil Harassment Restraining Orders? (Form CH-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 in 1 or his or her lawyer by mail with a copy of this form and any attached pages. (Use Form CH-250, Proof of Service of Response by Mail.) 1 Person Seeking Protection Name of person seeking protection (see Form CH-100, item 1 ): 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 CH-109 item 3 here: Hearing Date: Date Dept.: Time: Room: 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): 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. 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): 5 Additional Protected Persons a. b. I agree that the persons listed in item 3 of Form CH-100 may be protected by the order requested. I do not agree that the persons listed in item 3 of Form CH-100 may be protected by the order requested. Judicial Council of California, www.courts.ca.gov Revised January 1, 2012, Mandatory Form Code of Civil Procedure, §§ 527.6 and 527.9 Response to Request for Civil Harassment Restraining Orders (Civil Harassment Prevention) CH-120, Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 6 Guns or Other Firearms and Ammunition If you were served with Form CH-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 CH-110. (See item 7 of Form CH-110.) You may use Form CH-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. 7 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): 8 Denial I did not do anything described in item 7 of Form CH-100. (Skip to 10 .) 9 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 9--Justification or Excuse" as a title. You may use Form MC-025, Attachment. Revised January 1, 2012 Response to Request for Civil Harassment Restraining Orders (Civil Harassment Prevention) CH-120, Page 2 of 3 Case Number: 10 No Fee for Filing a. b. I request that I not be required to pay the filing fee because the person in 1 claims in Form CH-100 item 13 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.) 11 Lawyer's Fees and Costs a. I ask the court to order payment of my The amounts requested are: Item Amount $ $ $ Lawyer's fees Court costs Item $ $ $ 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 11--Lawyer's Fees and 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. 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 Civil Harassment Restraining Orders (Civil Harassment Prevention) CH-120, Page 3 of 3