Can I eSign the CH-100?

Yes in most cases. Electronic signatures are enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted; confirm the receiving California agency accepts e-submissions and any required consumer disclosures.

Is notarization required?

Not usually required for all CH-100 filings, but some agencies may ask for notarized statements. Check the agency’s instructions; if notarization is required, follow state notary rules or approved RON processes where available.

What if I discover an error after filing?

Contact the receiving agency promptly to request correction procedures. Some agencies allow amendments; for material errors, submit an amended CH-100 with a clear reference to the original filing and date.

How long must I retain a copy?

Retention depends on context: IRS rules require 3 years (IRC §6501(a)); HIPAA records require 6 years (45 CFR §164.530(j)). Retain the longest applicable period and store an auditable copy.

What authentication is recommended for eSigns?

Use email plus optional SMS or higher assurance methods (ID verification or KBA) for sensitive filings. Maintain an audit trail showing intent, attribution, timestamp, and IP to meet ESIGN/UETA tests.

Who must sign the CH-100?

The signer must be an authorized party—individual, corporate officer, or agent with proof of authority. If signing on another’s behalf, attach a power of attorney or authorization documentation as required.

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California CH-100 Form

California CH-100 Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Request for Civil Harassment Restraining Orders (CH-100)

Superior Court of California, County of

Case Number:

1. Person Seeking Protection

a. Your Full Name: Age:

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.)

Address:

City: State: Zip:

Telephone: Fax:

E-Mail Address:

2. Person From Whom Protection Is Sought

Full Name: Age:

Address (if known):

City: State: Zip:

3. Additional Protected Persons

Are you asking for protection for any other family or household members? Yes No

If yes, list them:

Why do these people need protection?

4. Relationship of Parties

How do you know the person in section 2?

5. Venue

Why are you filing in this county? (Check all that apply)

The person in section 2 lives in this county. I was harassed by the person in section 2 in this county. Other

6. Other Court Cases

Have you or any of the persons named in section 3 been involved in another court case with the person in section 2?

Yes No

If yes, list case details:

Are there now any protective or restraining orders in effect relating to you or any of the persons in section 3 and the person in section 2?

No Yes

7. Description of Harassment

Tell the court about the last time the person in section 2 harassed you.

When did it happen?

Who else was there?

How did the person in section 2 harass you?

Did the person in section 2 use or threaten to use a gun or any other weapon?

Yes No

Were you harmed or injured because of the harassment?

Yes No

Did the police come?

Yes No

If yes, did they give you or the person in section 2 an Emergency Protective Order?

Yes No

If yes, the order protects:

Me The person in section 2 The persons in section 3

Has the person in section 2 harassed you at other times?

Yes No

8. Personal Conduct Orders

Harass, intimidate, molest, attack, strike, stalk, threaten, assault, hit, abuse, destroy personal property of, or disturb the peace of the person. Contact the person directly or indirectly in any way. Other

9. Stay-Away Orders

I ask the court to order the person in section 2 to stay at least yards away from:

Me The other persons listed in section 3 My home My job or workplace My school My children’s school My children’s place of child care My vehicle Other

If the court orders the person in section 2 to stay away from all the places listed above, will he or she still be able to get to his or her home, school, or job?

Yes No

10. Guns or Other Firearms and Ammunition

Does the person in section 2 own or possess any guns or other firearms?

Yes No I don’t know

11. Temporary Restraining Order

Has the person in section 2 been told that you were going to go to court to seek a TRO against him/her?

Yes No

12. Request to Give Less Than Five Days' Notice of Hearing

13. No Fee for Filing or Service

There should be no filing fee and the sheriff or marshal should serve the person in section 2 for free because I am entitled to a fee waiver. The sheriff or marshal should serve the person in section 2 about the orders for free because my request is based on unlawful violence, a credible threat of violence, or stalking. There should be no filing fee because the person in section 2 has used or threatened to use violence against me, has stalked me, or has acted or spoken in some other way that makes me reasonably fear violence.

14. Lawyer's Fees and Costs

I ask the court to order payment of my:

lawyer’s fees Court costs

Item and Amount:

15. Possession and Protection of Animals

That I be given the sole possession, care, and control of the animals listed below.

I request sole possession of the animals because:

That the person in section 2 must stay at least yards away from the animals listed above.

16. Additional Orders Requested

17. Number of pages attached to this form, if any:

Date:

Type or print your name

Lawyer’s name (if any)

Lawyer’s signature

Date:

Type or print your name

Sign your name

What the California CH-100 Form Is

The California CH-100 Form is a standardized California state administrative form used by individuals and organizations to submit official notifications, factual statements, and supporting documentation to a designated state office. The form typically collects party identification, a concise description of the matter, key dates, and a certification or signature block. This guide explains common fields, filing pathways, eSignature options under ESIGN and UETA, retention considerations, and practical tips for accurate completion.

Why Completing a CH-100 Carefully Matters

A correctly completed California CH-100 reduces processing delays, lowers the risk of rejection, and creates a clear certified record for agency review, audits, or appeals; it also clarifies who is responsible for the stated facts and any follow-up actions.

Who Typically Prepares and Submits a CH-100

This form is commonly completed by state-regulated entities, program administrators, and private parties submitting official notices to California agencies.

State agencies and program administrators who need standardized notifications or case records.
Businesses and nonprofits filing compliance reports or updating licensing information with a state office.
Individuals providing sworn statements, status changes, or certified information to a government office.

Confirm the issuing agency’s instructions to determine whether the CH-100 is required for your filing and which signatory roles are acceptable.

Typical Signers and Their Responsibilities

Compliance Officer

As the organizational compliance officer, you ensure the CH-100 lists accurate entity identifiers, program codes, and authorized signatures. You coordinate attachments, verify signer authority, and maintain a copy in accordance with agency and federal retention rules when applicable.

Individual Filer

As an individual submitting a CH-100, you must provide your legal name, contact details, a factual statement, and a dated signature. Verify identity and include supporting evidence requested by the agency to avoid processing delays.

Key Information the CH-100 Usually Requires

Full Legal Name: Exact name on government ID.

Mailing Address: Street, city, state, ZIP.

Case/File Number: Agency-assigned reference ID.

Effective Date: Use MM/DD/YYYY format.

Matter Description: Concise factual summary.

Signature and Date: Signed by authorized party.

Potential Consequences of Errors or Omissions

Filing Rejection: Submission returned for correction.

Processing Delays: Extended agency review time.

Perjury Exposure: False statements may carry legal risk.

Loss of Rights: Missed deadlines can forfeit claims.

Audit Trigger: Incomplete records invite review.

Withholding Risk: Tax or payment actions may follow.

Common Mistakes to Avoid When Preparing a CH-100

Leaving required fields blank or writing notes in margins instead of the designated fields leads to rejection or slower processing.
Using inconsistent names or abbreviations can prevent matching to agency records; always match government-issued IDs and registrations.
Failing to include required attachments or insufficient supporting evidence is a frequent reason agencies request additional information.
Signing with initials only, undated signatures, or unsigned amendment lines can render the form noncompliant for official recordkeeping.

Step-by-Step: Filling Out the California CH-100

Follow these practical steps to complete the CH-100 accurately and in the order agencies typically expect.

01

Gather Documents: Collect IDs, case numbers, and supporting files.
02

Enter Identifiers: Fill legal names, addresses, and case numbers.
03

Describe the Matter: Write a concise, factual description of the issue.
04

Sign and Date: Signer prints name, signs, and dates the form.

How to Set Up a Digital CH-100 Workflow

Typical digital configuration settings for preparing, routing, and retaining a CH-100 in an eSignature platform.

Field	Configuration
Signer Role	Define signer order and required fields
Authentication	Email + optional SMS or ID verification
Attachments	Require labeled uploads for supporting documents
Retention	Set automatic archiving and export formats

Typical Submission Flow for the CH-100

The filing process generally follows a prepare→verify→submit sequence; below are the practical stages used by most organizations.

Prepare: Complete form fields and attach evidence.
Verify: Confirm identity and review for completeness.
Sign: Apply handwritten or compliant eSignature.
Submit: Send to the designated agency address or portal.

Digital Signing and Platform Considerations

Choose a platform that supports required authentication, audit trails, and the file formats accepted by the receiving California office.

File Types: PDF and DOCX accepted.
Authentication: Email, SMS, or ID verification.
Audit Trail: Timestamps and IP logging.

Components of a Professional CH-100 Submission

A professional CH-100 submission is complete, consistent, and traceable; include these components to strengthen acceptance and minimize follow-up.

Complete Metadata

Document header includes the agency name, CH-100 form identifier, submission date, and a contact phone or email to expedite inquiries and clarify responsibilities.

Accurate Party Info

Provide the full legal names, addresses, and role (e.g., petitioner, respondent) for each party; mismatches with agency records commonly cause processing delays.

Clear Statement

Write a concise factual summary with relevant dates and references to attachments; avoid legal argument language unless the agency requests it.

Authorized Signature

Include a signature block showing the signer’s printed name, title, and date; attach a power of attorney if someone signs on behalf of another person or entity.

Supporting Evidence

Attach and label supporting documents (exhibits, receipts, certificates) and reference them within the CH-100 narrative so reviewers can correlate items easily.

Retention Note

State your retained copy location and retention period so audits can locate the original; include a digital export for long-term storage if using eSign.

Timing Considerations and Filing Expectations

Understand agency deadlines, response windows, and expected processing times to avoid missed rights or penalties.

Agency Deadlines:

Follow the deadline stated on the agency notice or regulation.

Processing Time:

Processing varies; allow several business days to weeks depending on volume.

Proof of Submission:

Retain proof (tracking, receipt, or signed eConfirmation).

Corrections Window:

Agencies may permit limited correction periods after submission.

Appeal Periods:

Note statutory appeal or protest deadlines tied to the filing.

eSignature Vendor Pricing and Feature Snapshot

Typical starting prices and feature flags for common eSignature providers. signNow appears first as the baseline for comparison.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by promotion	Varies by promotion	Varies by plan	Varies by plan
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

FAQs and Troubleshooting for the California CH-100

Answers to common questions about eSigning, notarization, corrections, and recordkeeping for CH-100 submissions.

Need help? Contact support

Can I eSign the CH-100?
Yes in most cases. Electronic signatures are enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted; confirm the receiving California agency accepts e-submissions and any required consumer disclosures.
Is notarization required?
Not usually required for all CH-100 filings, but some agencies may ask for notarized statements. Check the agency’s instructions; if notarization is required, follow state notary rules or approved RON processes where available.
What if I discover an error after filing?
Contact the receiving agency promptly to request correction procedures. Some agencies allow amendments; for material errors, submit an amended CH-100 with a clear reference to the original filing and date.
How long must I retain a copy?
Retention depends on context: IRS rules require 3 years (IRC §6501(a)); HIPAA records require 6 years (45 CFR §164.530(j)). Retain the longest applicable period and store an auditable copy.
What authentication is recommended for eSigns?
Use email plus optional SMS or higher assurance methods (ID verification or KBA) for sensitive filings. Maintain an audit trail showing intent, attribution, timestamp, and IP to meet ESIGN/UETA tests.
Who must sign the CH-100?
The signer must be an authorized party—individual, corporate officer, or agent with proof of authority. If signing on another’s behalf, attach a power of attorney or authorization documentation as required.

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