Court Hearing

Cal. Form L2-543

California Superior Local Rules

THIS IS NOT A RESTRAINING ORDER Page ___ of ___ Approved for Optional Use L- 2543 (Rev Mar 2024) ELDER OR DEPENDENT ADULT ABUSE MEDIATED SETTLEMENT AGREEMENT SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Costa Mesa Justice Complex Harbor Blvd.

Costa Mesa, CA 92626-1554 PETITIONER: RESPONDENT: ELDER OR DEPENDENT ADULT ABUSE MEDIATED SETTLEMENT AGREEMENT CASE NUMBER: Petitioner ☐ present ☐ not present represented by Attorney: ___________________________________________ Respondent ☐ present ☐ not present represented by Attorney: _________________________________________ Other appearances: ___________________________________________________________________________ THE PARTIES STIPULATE AND AGREE THAT: ☐ Parties agree to the terms stated below.

The case shall be taken off calendar, and if the settlement is breached, then any document regarding the breach will be filed under the same case number. ☐ Parties agree to the terms stated below. If the respondent does not comply with this stipulation, petitioner may file a Declaration of Non-Compliance and a new Notice of Court Hearing (EA109) and Temporary Restraining Order (EA110), which will need to be personally served on the respondent.

PETITIONER AND RESPONDENT FURTHER STIPULATE AS FOLLOWS: ☐ _________________________________________ agrees to stay at least (specify): ___________ yards away from _____________________________________ and the following persons named in the Request for Elder or Dependent Adult Abuse Restraining orders: _____________________________________________________. ☐ _________________________________________ agrees to have no contact (directly or indirectly) with (name): ________________________________________ and the following persons named in the Request for Elder or Dependent Adult Abuse Restraining orders: ______________________________________________. ☐ Other (specify): ☐ See additional pages attached. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Attorney for Petitioner Attorney for Respondent Guardian Ad Litem SIGNATURE OF PARTIES We have read and fully understand this entire stipulation and agreement.

We also understand that this Settlement Agreement is NOT a restraining order and will not be enforced by any law enforcement agencies.

Petitioner Respondent THIS IS NOT A RESTRAINING ORDER Page ___ of ___ Approved for Optional Use L- 2543 (Rev Mar 2024) ELDER OR DEPENDENT ADULT ABUSE MEDIATED SETTLEMENT AGREEMENT Case No. and Petitioner Respondent Continued from page ______ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Attorney for Petitioner Attorney for Respondent Guardian Ad Litem SIGNATURE OF PARTIES We have read and fully understand this entire stipulation and agreement.

We also understand that this Settlement Agreement is NOT a restraining order and will not be enforced by any law enforcement agencies. Petitioner Respondent

Document details

Collection	California Superior Local Rules
Citation	Cal. Form L2-543
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	6e39030390ebbae0c83b5f8c148d3413cf05f44c

Source file is stored in the law ingest library (pdf).