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