Fill and Sign the California Clets Form

CR-162 SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– FOR COURT USE ONLY STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– PEOPLE OF THE STATE OF CALIFORNIA vs.. ––––– DEFENDANT: CASE NUMBER: ORDER TO SURRENDER FIREARMS IN DOMESTIC VIOLENCE CASE ––––– (CLETS-CPO) (Penal Code, § 136.2(a)(7)(B)) CLETS ENTRY BY: ––––– PERSON TO SURRENDER FIREARMS (Complete name): ––––– Sex: – M – F Ht.: ––––– Wt. ––––– Hair Color: ––––– Eye Color: ––––– Race: ––––– Age: ––––– Date of Birth: ––––– – The defendant is a peace officer with ––––– Department. ––––– 1. This proceeding was heard on (date): ––––– at (time): ––––– in Dept.: ––––– Room ––––– by judicial officer (name): ––––– : 2. This order expires on (specify date): ––––– If no date is listed, this order expires three years from the date of issuance. 3. – Defendant was personally served with a copy of this order at the court hearing, and no additional proof of service of this order is required. GOOD CAUSE APPEARING, THE COURT ORDERS 4. The above-named defendant must surrender to local law enforcement or sell to a licensed gun dealer any firearms owned or subject to his or her immediate possession or control within 24 hours after issuance of this order and must file a receipt with the court showing compliance with this order within 48 hours of receiving the order. You are prohibited from owning, possessing, purchasing or attempting to purchase, receiving or attempting to receive, or otherwise obtaining a firearm. Such conduct is subject to a $1,000 fine and imprisonment. Date: ––––– JUDICIAL OFFICER Department/Division: NOTICES This order is effective as of the date it was signed by the judicial officer and expires as explained in item 2. This order is to be used ONLY when the court orders firearms relinquishment but does not make any other protective or restraining orders. Do NOT use in conjunction with other Criminal Protective Orders (form CR-160 or CR-161). Page 1 of 1 Form Adopted for Mandatory Use Penal Code, §136.2, 166 Judicial Council of California CR-162 [Rev. July 1, 2007] Approved by Department of Justice ORDER TO SURRENDER FIREARMS IN DOMESTIC VIOLENCE CASE (CLETS - CPO) (Penal Code, § 136.2(a)(7)(B)) electronic form ã 2001- 2007 WWW.LawCA.com Law Publishers (Distribution: original to file; 1 copy to each protected person; 1 copy to defendant; 1 copy to prosecutor; 1 copy to law enforcement)