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You will need a copy of the English-language Judicial Council form DV-250 to follow these instructions. Also:

Filling out the Caption on your form

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

Proof of Service by Mail

This form shows the judge and law enforcement that the other party has been properly served by mail.

NOTE: Only some court forms can be served by mail. (Other forms have to be served in person.) Be sure that you use THIS form ONLY for times when a particular court form can be served by mail.


Write the name of the person applying for the Restraining Order (Protected Person).


Write the name of the Restrained Person.


The person who is going to serve the documents should read these notices and instructions on how to fill in this form.


The person who served the documents needs to let the court know what forms they mailed.

a. - e. Check the boxes next to each of the court forms that were mailed. If documents were mailed that are not listed here, then mark box “f” and write in the names of the other forms.


The person who served the forms should write in details of what they did.

  1. The date they put the documents in the mailbox.
  2. The city and state the mailbox was in.
  3. The name of the person they mailed the documents to.
  4. The address that the documents were mailed to.


Write the name, address and telephone number of the person who served the court forms. If the person who actually served the forms was a professional process server, then he or she should also write the county where they are registered to serve and their process serving registration number.


The person who served the forms signs and dates this form here under penalty of perjury that they did mail the papers to the other person, and that everything they have said in this form is true and correct.

Once the server has signed this form, it must be filed at the courthouse. If you do not have time to file it before your court hearing, make 3 copies of this form and bring it with you to court. The judge will ask to see this form and you must be ready to show a copy of this form to the other person.