|Leave Blank. The clerk will stamp this area when the form is filed.|
|“SUPERIOR COURT OF CALIFORNIA, COUNTY OF” – write the name of the County where you are filing your case. Click here for location of courts.|
|Case Number: Write in the case number.|
Filling out the rest of your form
Temporary Restraining Order
|Note: If you are using this form, you should also complete the form called Request for Order (Form DV-100). File both forms at the court at the same time.|
Write the name of the person who will be protected by this court order. This person is called the “Protected Person.” If he or she does not have an attorney, write the P.O. box or mailing address where court papers can be sent to the Protected Person.
IMPORTANT! If you are the Protected Person and you do not want others to know where you live, be sure to use a different address where you will just get mail.
Write the name of the person who will be restrained by this court order (stopped from doing something). This person is called the “Restrained Person.” Check the box next to M if the Restrained Person is a man (male), or check the box next to F if this person is a woman (female). Write now tall the person is on the line next to “Height.” Write how much the person weights on the line next to “Weight.” Write the date he or she was born on the line next to “Date of Birth.” On the next line, write the color of the Restrained Person’s hair and eyes, his or her age and race. On the next lines write the address where the Restrained Person gets mail – if you know that. (If you do not know the address, write “Not known.”)
Write the first and last name of each person who lives with you all the time who will also be protected from the Restrained Person. They should be ready to not see or talk to the person to be restrained while the Restraining Order is in effect. You can only list names of people who live with you all the time. Write their relationship to you – for example, “child,” “grandmother,” or “cousin.” If the person is a man (male), write the letter “M” under Sex; if the person is a woman (female), write “F.” Write how old the person is under Age. This form has lines for 4 additional protected people.
Check the box if there are more than 4 additional protected people. To add them, use a blank sheet of paper and write at the top: “DV-110, Item 3, Additional Protected Persons.” Then write the full names of the additional protected persons, their relationship to you, whether they are male or female, and their ages.
If the judge grants (approves) the court order, all people protected by the court order should be given a filed stamped copy of the court order.