Fill and Sign the State Court Form

DV-600 Your name (protected person): ––––– Your address (skip this if you have a lawyer): (If you want your address to be private, give a mailing address instead): ––––– City: ––––– State: ––––– Zip: ––––– Your phone # (optional): ( ––––– ) ––––– Your lawyer ( if you have one): (Name, address, phone #, and State Bar #): ––––– ––––– ––––– ––––– ––––– Name of person you want protection from (restrained person): ––––– Description of that person: Sex: M F Ht.: ––––– Wt.: ––––– Race: ––––– Hair Color: ––––– Eye Color: ––––– Age: ––––– Date of Birth: ––––– Register Out-of-State Restraining Order I am protected by the attached restraining order. The order was made by (name and address o f court): ––––– The attached order: I declare under penalty of perjury under the laws of the State of California that the above information is true and Type or print your name Sign your name This is a Court Order. The attached out-of-state restraining order is registered, valid, and enforceable in California, and can be entered into CLETS, unless it ends or is changed by the court that made it. Date: ––––– Judge (or Judicial Officer) Register Out-of-State Restraining Order (CLETS) (Domestic Violence Prevention) Clerk stamps below when form is filed. Court name and street address: Superior Court of California, County of ––––– ––––– ––––– ––––– ––––– Case Number: ––––– Judicial Council of California, Rev. January 1, 2003, Mandatory Form Family Code, § 6380.5. Approved by DOJ DV-600, Page 1 of 1a. b.· Is a true and correct copy · Is currently valid and in full force and effect · Has not been changed, canceled, or replaced by any other order · Was made in a different state, U. S. territory, tribal land, the District of Columbia, or in a military court Expires on (date.) ––––– I asked for the original protective order or The person in  asked for the original order. But I also asked the court in writing for a protective order. The court said both people in Œ and  have the right to a protective order. correct. Date: ––––– –––––53 421 el ectr onic form ã 2003 WWW.LawCA.co m L a w P u b l i s h e r s