Fill and Sign the Proof of Service by Mail of Completed Response Form

   WV-131ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, S ta te B ar n um ber, a nd a ddre ss):FOR COURT USE ONLYTE LE PH O NE N O .FA X N O .ATTO RNEY F O R ( N am e):S U PER IO R C O URT O F C ALIF O RNIA , C O UNTY O FCIT Y A N D Z IP C O DEBR AN CH N AM EP LA IN TIF F:D EFE N DAN T:E M PLO YEEP R O OF O F S ER VIC E B Y M AIL O F C O M PLE TE D R ESPO NSE (W ork p la c e V io le n ce)CASE N UM BERIn str u ctio ns t o D efe n dan t: A fte r h avin g t h e p la in tif f s e rv e d b y m ail w it h a ny o f t h e d ocu m ents id entif ie d in it e m 2 , h ave t h e p ers o nw ho m alle d t h e d ocu m ents c o m ple te t h is P ro of o f S erv ic e b y M ail. G iv e t h e c o m ple te d P ro of t o t h e c le rk f o r f ilin g.Y ou c a nnot s e rv e t h ese p apers . A n u nsig ned c o py o f t h e P ro of o f C om ple te d R esp onse ( W ork p la ce V io le nce ) s h ould b e a tta ch ed t o an d s e rv e d w it h t h e d ocu m ent.1. I am over the age of 18 and not a party to this legal action. I am a resident of or employed in the county where the mailing occurred. My residence or business address is (specify)2. I s e rv e d a c o py o f t h e f o llo w in g d o cu m ents :abC om ple te d R esp on se t o P etit io n o f E m plo ye r f o r I n ju nctio n P ro hib it in g V io le nce o r T hre ats o f V io le nce A gain st Em plo ye e ( W ork p la ce V io le nce ) ( fo rm W V-1 10) Oth er ( s p ecif y ):3 . I d eposit e d a t r u e c o py o f e ach o f t h e f o re goin g d ocu m ents in t h e U nit e d S ta te s m ail, in a s e ale d e nve lo pe w it h p osta ge f u lly p re paid .T he e nve lo pe w as a ddre sse d a nd m aile d a s f o llo w s: a. N am e o f p ers o n s e rv e d:b. A ddre ss:c. D ate o f m ailin g:d. P la ce o f m ailin g ( c it y a nd s ta te ):I d ecla re u nder p e nalt y o f p erju ry u nder t h e la w s o f t h e S ta te o f C alif o rn ia t h at t h e f o re goin g is t r u e a nd c o rre ct.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE)Pagel of 1Form A ppro ve d fo r O ptio na l U se Ju dic ia l C ouncil o f C alif o rn iaP R O OF O F S ER VIC E B Y M AIL O F C O M PLE TE D R ESPO NSE (W ork p la ce V io le n ce)W V-1 31 [R ev. J a nuary 1 , 2 005]C ode o f C iv il P ro ce dure , § 5 27.8e le ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers