Fill and Sign the Ca Proof Service Form

DV-200 Notice to Server You must: · Be 18 or over. · Not be listed on the restraini ng order. · Give a copy of all I gave the person in  a copy of all documents checked below: a. DV 110 with DV 100 and a blank DV 120 (Temporary Restraining Order and Notice of Hearing; Request for Order; blank Answer to Temporary Restraining Order) b. DV 105 and DV 140 (Child Custody, Visitation, and Support Request; Child Custody and Visitation Order) c. FL-150 with a blank FL-150 (Income and Expense Declaration) d. FL-155 with a blank FL-155 (Simplified Financial Statement) e. DV 125 (Reissue Temporary Restraining Order) f. DV 130 (Restraining Order After Hearing) g. Other (specify): ––––– Proof of Service (In Person) I gave copies of the documents checked above to the person in  on: a. Date: ––––– c. At this address: ––––– b. Time: a.m. p.m.Clerk stamps below when form is filed. Superior Court of California, County of ––––– ––––– ––––– ––––– ––––– Case Number: ––––– Protected person's name: ––––– Restrained person's name: ––––– ––––– Type or print server's name Server to sign hereServer's Information Name: ––––– Address: ––––– Telephone: ––––– (If you are a process server): County of registration: . ––––– I declare under penalty of perjury under correct. Date: ––––– Registration number: ––––– the laws of the State of California that the information above is true and Court name and street address: Judicial Council of California, Rev. January 1, 2003, Optional Form Family Code, §§ 6324, 6340-6344 Proof of Service (In Person) (CLETS) (Domestic Violence Prevention)documents checked in  to the restrained person in  . (You cannot send them by mail.) Then sign this form and give or mail it to the protected person. DV-200, page1 of 11 765432 el ectr onic form ã 2003 WWW.LawCA.co m L a w P u b l i s h e r s