DV-110 Temporary Restraining Order

Full name
This order expires at the end of the hearing stated below:
DV-110, Page 1 of 6
Person in must complete items , , and only.
Description of restrained person:
Sex AgeRelationship to person in
In addition to the person named in , the following persons are protected by temporary orders as indicated in items
and (family or household members):
1 31 2
1
6
1
The court will complete the rest of this form.
Hearing Date: Time:
Relationship to protected person:
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2014, Mandatory Form
Family Code, § 6200 et seq.
Approved by DOJ
Temporary Restraining Order
(CLETS—TRO)
(Domestic Violence Prevention)
Temporary Restraining Order
Name of Restrained Person:
Name of Protected Person:
1
Address (If you have a lawyer for this case, give your lawyer’s
information. If you do not have a lawyer and want to keep your home
address private, give a different mailing address instead. You do not
have to give your telephone, fax, or e-mail.):
Firm Name:
Your lawyer in this case (if you have one):
Name:
State Bar No.:
Telephone:
Address:
Fax:
E-mail Address:
Zip:
State:
City:
2
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
Sex:
Address (if known):
Race:
Date of Birth:
City:
Age:
Weight: Hair Color: Eye Color:
State: Zip:
M F
Height:
3
Additional Protected Persons
Check here if there are additional protected persons. List them on an attached sheet of paper and write,
“DV-110, Additional Protected Persons” as a title.
a.m. p.m.
4
This is a Court Order.
DV-110
7
Court Hearing
Page 1/6
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DV-110 Temporary Restraining Order PDF

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