DV-200 Proof of Personal Service

2
I gave the person in
a.
DV-110 (Temporary Restraining Order)
b.
DV-105 and DV-140 (Request for Child Custody and Visitation Orders, Child Custody and Visitation Order)
c.
FL-150 with a blank FL-150 (Income and Expense Declaration)
d.
FL-155 with a blank FL-155 (Financial Statement (Simplified))
e.
DV-116 (Notice of New Hearing Date and Order on Reissuance)
g.
Other (specify):
i.
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 to sign here
DV-200, Page 1 of 1
Judicial Council of California, www.courts.ca.go v
Revised July 1, 2013, Optional Form
Family Code, §§ 243, 245, and 634 5
(Domestic Violence Prevention)
a copy of all the documents checked:
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California , Cou nt y of
Case Number:
Fill in case number:
DV-200
Name of Person Asking for Protection:
Name of Person to Be Restrained:
1
2
Notice to Server
The server must:
Be 18 years of age or older.
Not be listed in items or
of form DV-100, Request
for Domestic Violence
Restraining Order.
3
2
4
1
3
4
b. Time:
a. Date:
a.m.
p.m.
c. At this address:
Zip:
State:City:
5
2
Server’s Information
Name:
Address:
Zip:
State:City:
Telephone:
Registration number:
County of registration:
6
7
DV-115 (Request to Continue Hearing and Reissue Temporary Restraining Order)
f.
DV-130 (Restraining Order After Hearing)
h.
I personally gave copies of the documents checked above to the person in on:
(If you are a registered process server):
Proof of Personal Service (CLETS)
DV-109 with DV-100 and a blank DV-120 (Notice of Court
Hearing; Request for Domestic Violence Restraining Order;
blank Response to Request for Domestic Violence Restraining Order)
1
Proof of Personal Service
Give a copy of all documents checked in to the restrained person
in . (You cannot send them by mail.) Then complete and sign this
form, and give or mail it to the person in .
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Clear This Form
Page 1/1
Free Download

DV-200 Proof of Personal Service PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
5 Page(s) | 1524 Views | 11 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 844 Views | 3 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 681 Views | 1 Downloads
  •  
  •  
  •  
  •  
  •  
3 Page(s) | 1096 Views | 7 Downloads
  •  
  •  
  •  
  •  
  •  
6 Page(s) | 1748 Views | 7 Downloads