Fill and Sign the Domestic Violence San Diego Superior Court Cagov Form

EA-141Proof of Service by Mail1 Name of person asking for protection: 2 Your name: 3 Notice to ServerThe server must:• Be over 18 years of age.•Be a resident or employed in the county where the mailing took place.•Not be listed on the restraining order.•Mail a copy of all documentschecked in  to the person inComplete and signthis form:and give it to the person in PROOF OF SERVICE BY MAIL4I am over 18 years of age and am a resident or employed in the county where the mailing took place. I mailedthe person in  a copy of all documents checked below:a. Form EA-110, Response to Request for Orders to Stop Elder or Dependent Adult Abuse (completed) b. Other (specify): 5 I placed copies of the documents checked above in a sealed envelope and mailed them as described below: a. Mailed from (City): (State): b. On (Date): c. To this Address: City: State: Zip: 6 Server's InformationName: _______________________________________________________________________________Address: City: State: Zip: Telephone: _(If you are a registered process server):County of registration: Registration number: 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 server’s name Server signs hereJudicial Council of California, www.courtinfo.ca.govRev. January 1, 2007, Optional FormWelfare & Institutions Code, § 15657.03Proof of Service by Mail—CLETS(Elder and Dependent Adult Abuse Prevention)EA-141, Page 1 of 1Superior Court of California, County of Case Number : electronic form 2007 WWW.LawCA.com Law Publishers Clerk stamps date here when form is filed . Fill in court name and street address:Court fills in case number when form is filed.