Form Ch-120 - Response To Request For Civil Harassment Restraining Orders (Page 5 of 9) in pdf

Form Ch-120 - Response To Request For Civil Harassment Restraining Orders Page 5

Case Number:

No Fee for Filing

I request that I not be required to pay the filing fee because the person in

claims in form CH-100

item

to be entitled to free filing.

I request that I not be required to pay the filing fee because I am eligible for a fee waiver. (Form

FW-001, Request to Waive Court Fees, must be filed separately.)

Lawyer's Fees and Costs

I ask the court to order payment of my

Lawyer’s fees

Court costs

The amounts requested are:

Item

Amount

Item

Amount

Check here if there are more items. Put the items and amounts on the attached sheet of paper or form

MC-025 and write “Attachment 12—Lawyer’s Fees and Costs” for a title.

I ask the court to deny the request of the person asking for protection that I pay his or her lawyer’s fees

and costs.

Number of pages attached to this form, if any:

Date:

Lawyer’s name (if any)

Lawyer’s signature

I declare under penalty of perjury under the laws of the State of California that the information above and on

all attachments is true and correct.

Date:

Type or print your name

Sign your name

Revised January 1, 2017

Response to Request for Civil Harassment

CH-120,

Page 3 of 3

Restraining Orders

(Civil Harassment Prevention)

Form Ch-120 - Response To Request For Civil Harassment Restraining Orders Page 5