Court Hearing Judicial Council Form

Cal. Form PKT-023

California Superior Local Rules

PKT-023 (Rev. 7/26) SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN DIEGO WORKPLACE VIOLENCE PACKET FORMS INCLUDED IN THIS PACKET How Do I Get an Order to Prohibit Workplace Violence?

Judicial Council Form #WV-100-INFO Petition for Workplace Violence Restraining Orders Judicial Council Form #WV-100 Temporary Restraining Order Judicial Council Form #WV-110 Notice of Court Hearing Judicial Council Form #WV-109 Confidential Information for Law Enforcement Judicial Council Form #CLETS-001 Civil Case Cover Sheet Judicial Council Form #CM-010 What Is “Proof of Personal Service?” Judicial Council Form #WV-200-INFO Proof of Personal Service Judicial Council Form #WV-200 Request for Sheriff to Serve Court Papers Judicial Council Form #SER-001

Judicial Council of California, Rev. January 1, 2025, Optional Form Code of Civil Procedure, § 527.8 www.courts.ca.gov How Do I Get an Order to Prohibit Workplace Violence? (Workplace Violence Prevention) WV-100-INFO How Do I Get an Order to Prohibit Workplace Violence? These instructions cannot cover all of the questions that may arise in a particular case. If you do not know what to do to protect your rights, you should see a lawyer. What is a workplace violence protective order? Under California law (Code Civ.

Proc., § 527.8), courts can make orders to protect an employee from suffering harassment, unlawful violence, or credible threats of violence at the workplace. The court can order a person not to: Harass or threaten an employee;• Contact or go near an employee; and• Have any firearms (guns), firearm parts, ammunition, or body armor. This includes firearm receivers and frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code

section 16531). • For more information about the items a restrained person cannot have, please see selfhelp.courts.ca.gov/restraining- orders/prohibited-items. Who can get a workplace violence protective order? Employers can obtain court orders prohibiting harassment, unlawful violence, or credible threats of violence against their employees.

An employer is defined as: Every person engaged in any business or enterprise in this state that has one or more persons in service under any appointment, contract of hire, or apprenticeship, express or implied, oral or written, irrespective of whether such person is the owner of the business or is operating on a concessionaire or other basis. (Lab. Code, § 350(a).) • A federal, state, or local public agency; a city, county, district, or public corporation. (Code Civ.

Proc., § 527.8(b)(3).) • Collective Bargaining Representatives can also obtain orders prohibiting harassment, unlawful violence, or credible threats of violence against employees. In order to bring a petition for an order under this law, the collective bargaining representative must serve as a collective bargaining representative for that employee in employment or labor matters at the employee’s workplace. These orders will be enforced by law enforcement agencies. Who can an employer or collective bargaining representative protect under this law?

Under this statute, an employer or collective bargaining representative can obtain a court order that lasts up to three years on behalf of an employee. The order can also protect certain family or household members of the employee and other employees at the employee’s workplace or at other workplaces of the employer.

California law defines “employees” as: Every person, including aliens and minors, rendering actual service in any business for an employer, whether gratuitously or for wages or pay; whether the wages or pay are measured by the standard of time, piece, task, commission, or other method of calculation; and whether the service is rendered on a commission, concessionaire, or other basis. (Lab.

Code, § 350(b).) • Members of boards of directors and public officers.• Volunteers or independent contractors who perform services for the employer at the employer’s work site. • Note: Before filing a petition, an employer or collective bargaining representative of an employee must provide the employee who has suffered harassment, unlawful violence, or a credible threat of violence from any individual, an opportunity to decline to be named in the restraining order.

An employee’s request to not be named in the order does not prohibit an employer or collective bargaining representative from seeking a restraining order on behalf of other employees at the workplace, and, if appropriate, other employees at other workplaces of the employer. CH-100- INFO). The statute differs from other California laws that allow victims of harassment, unlawful violence, or credible threats of violence to ask the court for these orders themselves.

If anyone other than the employer or the collective bargaining representative wishes to apply to the court for an order prohibiting harassment, see Can a Civil Harassment Restraining Order Help Me? (form Before completing the forms needed to obtain court orders under this statute, make certain you meet the

definitions of “employer” or “collective bargaining representative” as defined above. WV-100-INFO, Page 1 of 4

Rev. January 1, 2025 How Do I Get an Order to Prohibit Workplace Violence? (Workplace Violence Prevention) WV-100-INFOHow Do I Get an Order to Prohibit Workplace Violence? What forms must be used to get the order? Petition for Orders Workplace Violence Restraining Orders (Petition) (form ). This form tells the judge the facts of the petitioner’s case and what orders the petitioner wants the court to make. 1. WV-100 2. Confidential Information for Law Enforcement (form ). This form will provide law enforcement agencies with the information needed to enforce any orders that are granted. CLETS-001 3.

Notice of Court Hearing (form ). This form tells the parties when the hearing on the petition will be held. Temporary Restraining Order (TRO) (form ). A TRO can be issued to provide protection to the employee until the hearing is held. It can be issued by the judge either with or without notice to the respondent. 4. WV-110 5. Workplace Violence Restraining Order After Hearing (Order) (form ). This is the form signed by the court following the hearing. The order can last for up to three years depending on what the judge rules.

These forms are all mandatory—that is, they must be used in the workplace violence prevention proceeding. WV-130 6. Proof of Personal Service (form ). This form is used to show that the other party has been served with the petition and other forms as required by law. WV-200 An employer may seek protection under this law if: An employee has suffered harassment, unlawful violence, or a credible threat of violence from any individual; 1. The unlawful violence was carried out in the workplace, or the threat of violence can reasonably be construed to be carried out in the workplace; 2.

The respondent’s conduct is not allowable as part of a legitimate labor dispute as permitted by Code of Civil Procedure

section 527.3; and 3. The respondent is not engaged in constitutionally protected activity. 4. The “respondent” is the person against whom the employer or collective bargaining representative is requesting the protective order. WV-109 What steps are needed to get the court orders? Fill in the Petition (form WV-100) completely and fill in items 1–3 of the Notice of Court Hearing (form WV-109). If you are seeking a TRO, also fill out form WV-110. 1.

If you are seeking orders based on information from others and not based on what you have personally observed, you must have each of those persons complete a declaration to attach to the Petition (form WV-100). You may use form , Attached Declaration. 2. 3. Fill in Confidential Information for Law Enforcement (form CLETS-001) with as much information as you know. If the judge grants the order, the information on this form will be entered into a statewide protective- order database that will be available to law enforcement agencies if the order needs to be enforced.

If you are applying for a TRO, fill out form WV-110 completely. The petition and the declarations must give the details of the recent acts of harassment,violence, or credible threats of violence and the problems they have caused. To obtain a TRO, you must notify the respondent of the request for the temporary order unless both of the following requirements are satisfied: It appears from facts shown on the petition that great or irreparable injury will result before the matter can be heard on notice; and a. 4.

The employer or collective bargaining representative may be represented by a lawyer, but one is not required by law unless an employer that is a corporation is the petitioner. Because the employer’s or union’s lawyer will generally be representing the interests of the employee, the employee usually does not need his or her own lawyer. Whether or not the employer or collective bargaining representative has a lawyer, the respondent may have one. Do I need a lawyer? Where can I get these forms? You can get the forms from legal publishers or from the California Courts website at .

You also may be able to find them at your local courthouse or county law library. www.courts.ca.gov/forms MC-031 WV-100-INFO, Page 2 of 4

Rev. January 1, 2025 How Do I Get an Order to Prohibit Workplace Violence? (Workplace Violence Prevention) WV-100-INFOHow Do I Get an Order to Prohibit Workplace Violence? Take your original completed forms and copies to the clerk’s office at the court. You will need multiple copies: one for you, one for each person to be protected, and one to serve on the respondent. Each protected person will need a copy of the TRO if it is necessary to call the police. The clerk will file the originals, assign a case number, and return the copies “file-stamped” to you.

The clerk will write your hearing date on the Notice of Court Hearing (form WV-109). 5. 6. If you are seeking a TRO (form WV-110), the clerk will tell you where and how to present your proposed order to a judge for consideration and signature. The court will decide within 24 hours whether or not to make the order. Sometimes the court decides right away. Ask the clerk if you should wait or come back later. If your request for a TRO is granted while you are still at the court, take the signed original back to the clerk to be filed. 7.

If a TRO has been issued, ask the clerk whether you or your lawyer will need to deliver a file-stamped copy of the TRO to each law enforcement agency (police, marshal, or sheriff’s office) that might be called on to enforce the order. If so, do so immediately. If the court issues a TRO, it will last until the hearing date. You or your attorney certifies one of the following to the court under oath: That within a reasonable time before presenting the petition to the court to ask for a TRO, you informed the respondent or the respondent’s attorney when and where the request for a TRO would be made;

(1) That for reasons specified, you should not be required to inform the respondent or the respondent’s attorney.

(3) That you in good faith attempted but were unable to inform the respondent and the respondent’s attorney, specifying the efforts made to contact them; or (2) b. 9. Have the respondent personally served with copies of the Petition (form WV-100), the Notice of Court Hearing (form WV-109), the TRO (form WV-110) (if issued), a blank Response (form ), and a blank Proof of Service of Response by Mail (form ). You cannot serve the respondent yourself. Service may be made by a licensed process server, the sheriff’s department, or any person 18 years of age or older who is not involved in the case.

For help with service, ask the court clerk for form , What Is “Proof of Personal Service”? WV-120 WV-250 WV-200-INFO Service is essential. It tells the respondent about the order and the hearing. Without it, there cannot be a court hearing, and your temporary orders will no longer be good unless they are extended by the court. The respondent should be personally served immediately after the orders are signed by the judge, unless the court specifies a different time for service. 10.

After the respondent has been personally served, the person who served the respondent must complete and sign the original Proof of Personal Service (form WV-200). Take the signed original and copies back to the court clerk. The clerk will file the original and return “file-stamped” copies to you. Ask the clerk whether you should take a file-stamped copy to each law enforcement agency that might be called on to enforce the order. If so, do so immediately. 8. If a person to be protected by the order does not speak English, when you file your papers, ask the clerk if a court interpreter is available.

You can also use form , Request for Interpreter (Civil), or a local court form or website to request an interpreter. For more information about court interpreters, go to INT-300 selfhelp. courts.ca.gov/request-interpreter. WV-100-INFO, Page 3 of 4

Rev. January 1, 2025 How Do I Get an Order to Prohibit Workplace Violence? (Workplace Violence Prevention) WV-100-INFO How Do I Get an Order to Prohibit Workplace Violence? 11. Witnesses• Written statements from witnesses made under oath • Photos• Medical or police reports• Damaged property• Threatening letters, emails, or telephone messages • The court may or may not let witnesses speak at the hearing.

So, if possible, you should bring their written statements under oath to the hearing. (You can use form , Declaration.) The respondent has the right to attend the hearing, but he or she does not have the right to speak to the employee or to any other person seeking protection. If anyone is afraid, tell the court officer. Go to court on the date shown at item 4 on the Notice of Court Hearing (form WV-109). You do not need to bring any witnesses, but it helps to have more proof of the violence or threats than just one person’s word. You can bring to the hearing: MC-030 12.

If the judge signs the Order (form WV-130), ask the clerk to provide you with a file-stamped copy for each person to be protected. Ask the clerk whether you or your attorney will need to deliver a file- stamped copy of the Order to each law enforcement agency that might be called on to enforce the order. If so, do so immediately. If the respondent attended the hearing and heard the terms of the Order from the court, no additional proof of service is necessary.

If the respondent did not attend the hearing, but the Order issued is the same as the TRO (except for the termination date), the Order may be served on the respondent by mail. File form , Proof of Service of Order After Hearing by Mail. If the respondent did not attend the hearing and the Order differs from the TRO, arrange to have him or her personally served with a copy of the Order. File the completed Proof of Personal Service (form ) with the court. Give a file-stamped copy of the Order and proof of service to your employee and to each other protected person. Keep at least one copy for yourself. 13.

WV-260 WV-200 14. Once the order is issued, only the judge can change or cancel it. You or the respondent would have to file a request with the court to cancel the order. If the respondent does not obey the order, call the police. The respondent can be arrested and charged with a crime. 15. What if I have a disability? If you have a disability and need an accommodation while you are at court, you can use form , Disability Accommodation Request, to make your request. You can also ask the ADA Coordinator in your court for help. For more information, see form , How to Request a Disability Accommodation for Court.

MC-410 MC-410-INFO Information about the process is also available online. See selfhelp.courts.ca.gov/WV-restraining-order For help in your area, contact: [Local information may be inserted.] WV-100-INFO, Page 4 of 4

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Mandatory Form Code Civ. Proc., §§ 527.8, 527.9 Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Petition for Workplace Violence Restraining OrdersWV-100 Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of San Diego Court fills in case number when form is filed. Case Number: Read How Do I Get an Order to Prohibit Workplace Violence (form WV-100-INFO) before completing this form. NOTE: Petitioner must be an employer with standing to bring this action under Code of Civil Procedure

section 527.8. Also fill out Confidential CLETS Information (form CLETS-001) with as much information as you know. 1 Petitioner (Employer or Collective Bargaining Representative) a. Name: is An employer A collective bargaining representative Specify union: and is filing this suit on behalf of the employee identified in 2 . b. Lawyer for Petitioner (if any for this case) Name: State Bar No.: Firm Name: Petitioner’s Address (If the petitioner has a lawyer, give the lawyer’s information.) c.

Address: City: State: Zip: Telephone: Fax: Email Address: 2 Employee Who Suffered Harassment, Violence, or Threat of Violence Full Name: Gender: M F Nonbinary Age: Workplace Address: City: State: Zip: This employee declines to be named in any restraining order issued as a result of this petition. Additional employees suffered harassment, violence, or a threat of violence.

Those employees, and whether they decline to be named in any restraining order issued as a result of this petition, are listed in Attachment 2. 3 Respondent (Person From Whom Protection Is Sought) Full Name: Age: Address (if known): City: State: Zip: 4 Protected Persons Not Listed in 2 a. Are you asking for protection for any family or household members of the employee or for any other employees at the employee’s workplace or at other workplaces of the petitioner? Yes No (If yes, list them): Full Name Gender Age Household Member?

Relationship to Employee Yes No NoYes Additional protected persons are listed in Attachment 4a. This is not a Court Order. WV-100, Page 1 of 7 CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Case Number:4b. Why do these people need protection? (Explain):Response is stated in Attachment 4b.5Relationship of Employee and Respondenta. How does the employee know the respondent? (Describe):Response is stated in Attachment 5a.b.

Respondentisis not a current employee of petitioner. (Explain any decision to retain, terminate, or otherwise discipline the respondent):Response is stated in Attachment 5b.6VenueWhy are you filing in this county? (Check all that apply):a.The respondent lives in this county.b.The respondent has caused physical or emotional injury to the petitioner’s employee in this county.c.Other(specify):7Other Court Casesa.Has the employee or any of the persons named in4 been involved in another court case with the respondent?NoYesIf yes, check each kind of case and indicate where and when each was filed:Kind of CaseFiled in (County/State)Year FiledCase Number (if known)(1)Workplace Violence(2)Civil Harassment(3)Domestic Violence(4)Divorce, Nullity, Legal Separation(5)Paternity, Parentage, Child Support(6)Eviction(7)Guardianship(8)Small Claims(9)Postsecondary School Violence(10)Criminal(11)Other(specify):b.Are any restraining orders or criminal protective orders now in effect relating to the employee or any of the persons in4 and the respondent?NoYes(If yes, attach a copy if you have one.)WV-100,Page 2 of 7This is not a Court Order.

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Case Number:8Description of Respondent's Conducta.

Respondent has (check one or more):(1)Assaulted, battered, or stalked the employee.(2)Made a credible threat of violence against the employee by making knowing or willful statements orengaging in a course of conduct that would place a reasonable person in fear for their safety or the safety of their immediate family.(3)Engaged in a course of conduct that seriously alarmed, annoyed, or harassed the employee and caused the employee substantial emotional distress. (A course of conduct is more than one act.)b.

One or more of these acts (check either or both):(1)Took place at the employee’s workplace.(2)Can reasonably be construed to be carried out in the future at the employee’s workplace.Address of workplace:c.Describe what happened. (Provide details; include the dates of all incidents beginning with the most recent; tell who did what to whom; identify any witnesses):Response is stated in Attachment 8c.d.Was the employee harmed or injured?YesNo(If yes, describe harm or injuries):Response is stated in Attachment 8d.e.

Did the respondent use or threaten to use a gun or any other weapon?YesNo(If yes, describe):Response is stated in Attachment 8e.This is not a Court Order.WV-100,Page 3 of 7

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Case Number:8f.

For any of the incidents described above, did the police come?YesNoI don’t knowIf yes, did the employee or the respondent receive an Emergency Protective Order?YesNoI don’t knowIf yes, the order protects (check all that apply):the employeethe respondentone or more of the persons in4 .(Attach a copy of the order if you have one.)Check the orders you want 9Personal Conduct OrdersI ask the court to order the respondent not to do any of the following things to the employee or to any person to be protected listed in4 :a.Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse, destroy personal property of, or disturb the peace of the person.b.Commit acts of unlawful violence on or make threats of violence to the person. c.Follow or stalk the person during work hours or to or from the place of work.d.Contact the person, either directly or indirectly, by any means, including, but not limited to, in person, by telephone, in writing, by public or private mail, by interoffice mail, by email, by text message, by fax, or by other electronic means. e.Enter the person’s workplace.f.Other(specify):As stated in Attachment 9f.The respondent will be ordered not to take any action to get the addresses or locations of any protected person unless the court finds good cause not to make the order.10Stay-Away Ordersa. yards(1)The employee.(2)The other persons listed in4 .(3)The employee’s workplace.(4)The employee’s home.(5)The employee’s school.(6)The school of the employee’s children.(7)The place of child care of the employee’s children.(8)The employee’s vehicle.(9)Other(specify):I ask the court to order the respondent to stay at least away from (check all that apply):This is not a Court Order.WV-100,Page 4 of 7

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Case Number:If the court orders the respondent to stay away from all the places listed above, will they still be able to get to their home, school, or job?(If no, explain):b.Response is stated on Attachment 10b.NoYes1011If the judge grants a protective order, the respondent will be prohibited from owning, possessing, purchasing,receiving, or attempting to purchase or receive firearms (guns), firearm parts, and ammunition while the protective order is in effect.

The respondent will also be ordered to turn in to law enforcement, or sell to or store with a licensed gun dealer, any firearms (guns), firearm parts, and ammunition within their immediate possession or control. If an order is granted, the respondent will also be prohibited from owning, possessing, or buying body armor and would have to relinquish any they have. Firearms (Guns), Firearm Parts, and AmmunitionDoes the respondent have firearms (guns), firearm parts, or ammunition? (This includes firearm receivers and frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code

section 16531).)a.I don’t knowb.Noc.Yes(If you have information, complete the

section below.)Describe Firearms (Guns), Firearm Parts, or AmmunitionNumber or AmountLocation, if known(1)(2)(3)(4)(5)(6)Has the respondent been told that you were going to go to court to seek a TRO against them? Temporary Restraining OrderI request that a Temporary Restraining Order (TRO) be issued against the respondent to last until the hearing. I am presenting form WV-110, Temporary Restraining Order, for the court’s signature together with this Petition.Reasons are stated in Attachment 12.YesNo (If you answered no, explain why below):12 WV-100,Page 5 of 7This is not a Court Order.

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) 13Request for Less Than Five Days' Notice of HearingIf you want there to be fewer than five days between service and the hearing, explain why:Reasons are stated in Attachment 13.You must have your papers personally served on the respondent at least five days before the hearing, unless thecourt orders a shorter time for service. (FormWV-200-INFO explains what is proof of personal service.

Form WV-200,Proof of Personal Service, may be used to show the court that the papers have been served.)Case Number:14No Fee for FilingI ask that there be no filing fee because the respondent has threatened violence against the employee, or stalked the employee, or acted or spoken in a manner that has placed the employee in reasonable fear of violence.15No Fee to Serve OrdersI ask the court to order the sheriff or marshal to serve the respondent with the orders for free because this request for orders is based on a credible threat of violence or stalking.16Court CostsI ask the court to order the respondent to pay my court costs.17Additional Orders RequestedI ask the court to make the following additional orders (specify):Additional orders requested are stated in Attachment 17.18Number of pages attached to this form, if any:This is not a Court Order.WV-100,Page 6 of 7

Rev. January 1, 2026Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention) Case Number:Date:Lawyer’s name (if any) Lawyer’s signatureI 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, except as to those matters stated on information and belief, and as to those matters, I am informed and believe them to be true.Date:Name of petitionerTitle Signature WV-100,Page 7 of 7

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Mandatory Form Code Civ. Proc., §§ 527.8, 527.9, 527.11 Approved by DOJ Temporary Restraining Order (CLETS-TWH) (Workplace Violence Prevention) WV-110 Temporary Restraining Order Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of San Diego Court fills in case number when form is filed. Case Number: 1 Petitioner (Employer or Collective Bargaining Representative) a. Name: Lawyer for Petitioner (if any, for this case): Name: State Bar No.: Firm Name: b.

Your Address (If you have a lawyer, give your lawyer’s information.): Address: City: State: Zip: Telephone: Fax: Email Address: 2 Protected Person or Persons Full Name: Full Name: Full Name: Full Name: Additional protected persons are listed at the end of this order on Attachment 2. 3 Respondent (Restrained Person) (Give all the information you know. Information with a star (*) is required to add this order to the California police database.

If age is unknown, give an estimate.) *Full Name: *Age: Date of Birth: *Race: Height: Weight: Hair Color: Eye Color: *Gender: M F Nonbinary Home Address: City: State: Zip: Relationship to Protected Person: 4 Expiration Date This order expires at the end of the hearing scheduled for the date and time below: Date: Time: p.m.a.m. This is a Court Order. WV-110, Page 1 of 7 CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

Rev. January 1, 2026Temporary Restraining Order (CLETS-TWH)(Workplace Violence Prevention) Case Number:To the Respondent:The court has issued the temporary orders checked as granted below. If you do not obey these orders, you can be arrested and charged with a crime. You may have to go to jail for up to one year, pay a fine of up to $1,000, or both.5Personal Conduct OrdersNot RequestedDenied Until the HearingGranted as Follows:a.

You are ordered not to do the following things to the protected person or persons listed in2(1)Harass, molest, strike, assault (sexually or otherwise), batter, abuse, destroy personal property of, or disturb the peace of the person.(2)Commit acts of violence or make threats of violence against the person.(3)Follow or stalk the person during work hours or to or from the place of work.(4)Contact the person, either directly or indirectly, in any way, including, but not limited to, in person, by telephone, in writing, by public or private mail, by email, by fax, or by other electronic means. (5)Enter the workplace of the person. (6)Take any action to obtain the person’s address or locations.

If this item is not checked, the court hasfound good cause not to make this order.(7)Other(specify):Other personal conduct orders are attached at the end of this order on Attachment 5a(7).b. Peaceful written contact through a lawyer or a process server or other person for service of legal papers relatedto a court case is allowed and does not violate this order.

However, you may have your papers served by mailon the petitioner.6Stay-Away OrderNot RequestedDenied Until the HearingGranted as Follows:a.Youmust stay at least yardsEach protected person listed in2(1)(2)For each protected person listed in2(a)The person’s workplace(b)The person’s home(c)The person’s school(d)The person’s children’s school(e)The person’s children’s place of childcare(f)The person’s vehicle(3)Other(specify):away from (check all that apply):b.This stay-away order does not prevent you from going to or from your home or place of employment.This is a Court Order.WV-110,Page 2 of 7

Rev. January 1, 2026Temporary Restraining Order (CLETS-TWH)(Workplace Violence Prevention) Case Number:7No Firearms (Guns), Firearm Parts, or Ammunitiona. You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get any prohibited items listed in b.b.Prohibited items are:

(1) Firearms (guns);(2)Firearm parts, meaning receivers, frames, or any item that may be used as or easily turned into a receiver or frame (see Penal Code

section 16531); and(3)Ammunition.c.You must:

(1) Sell to or store with a licensed gun dealer, or turn in to a law enforcement agency, any firearms (guns), firearm parts, and ammunition in your immediate possession or control.

This must be done within 24 hours of being served with this order. (2)File a receipt with the court within 48 hours of receiving this order that proves that all your firearms (guns), firearm parts, and ammunition have been turned in, sold, or stored. (You may use Receipt for Firearms, Firearm Parts, and Ammunition (formWV-800) for the receipt.)d.The court has received information that you own or possess a firearm (gun), firearm parts, or ammunition. 9No Body ArmorYou cannot own, possess, or buy body armor (defined in Penal Code

section 16288). You must relinquish any body armor you have in your possession.This is a Court Order.WV-110,Page 3 of 7 8Restrained Person Has Prohibited Items The court finds that you have the following prohibited items:a.Firearms and/or firearm parts Description (include serial number, if known)Location, if knownProof of compliancereceived by the court(1)(date):(2)(date):(3)(date):(4)(date):b.AmmunitionDescriptionAmount, if known Location, if knownProof of compliancereceived by the court(1)(date):(2)(date):(3)(date):(4)(date):Check here to list additional items.

List them on a separate piece of paper, write “WV-110, Restrained Person Has Prohibited Items” at the top, and attach it to this form.

Rev. January 1, 2026Temporary Restraining Order (CLETS-TWH)(Workplace Violence Prevention) Case Number: 10Court Hearing to Review Firearms (Guns), Firearm Parts, and Ammunition Compliance In addition to the hearing listed on form WV-109, you must attend the court hearing listed below to prove that you have properly turned in, sold, or stored all prohibited items (described in7

b) you still have or own, including any items listed in8 .

If you do not attend the court hearing listed below, a judge may find that you have violated the restraining order and notify law enforcement and a prosecuting attorney of the violation.Date:Dept.:Time:Room:Name and address of court, if different than courtaddress listed on page 1:11Other OrdersNot RequestedDenied Until the HearingGranted as Follows (specify):Additional orders are attached at the end of this order on Attachment 11.To the Petitioner:12Mandatory Entry of Order Into CARPOS Through CLETSThis order must be entered into the California Restraining and Protective Order System (CARPOS) through theCalifornia Law Enforcement Telecommunications System (CLETS). (Check one):a.The clerk will enter this order and its proof-of-service form into CARPOS.b.The clerk will transmit this order and its proof-of-service form to a law enforcement agency to be enteredinto CARPOS.c.By the close of business on the date that this order is made, the employer or the employer’s lawyer shoulddeliver a copy of the order and its proof-of-service form to the law enforcement agencies listed below toenter into CARPOS:Name of Law Enforcement AgencyAddress(City, State, Zip)Additional law enforcement agencies are listed at the end of this order on Attachment 12.This is a Court Order.WV-110,Page 4 of 7

Rev.

January 1, 2026Temporary Restraining Order (CLETS-TWH)(Workplace Violence Prevention) Case Number: This is a Court Order.WV-110,Page 5 of 7 13No Fee to Serve (Notify) Restrained PersonOrderedNot OrderedThe sheriff or marshal will serve this order without charge because:a.The order is based on a credible threat of violence or stalking.b.The petitioner is entitled to a fee waiver.14Number of pages attached to this order, if any:Date:Judicial OfficerWarnings and Notices to the Restrained Person in3You Cannot Have Firearms (Guns), Firearm Parts, or Ammunition You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get any prohibited items listed in7 b on page 3 while this order is in effect.

If you do, you can go to jail and pay a $1,000 fine. You must sell to or store with a licensed gun dealer, or turn in to a law enforcement agency, any firearms (guns), firearm parts, and ammunition that you have or control as stated in7 above.

The court will require you to prove that you did so.If you have been personally served with this Temporary Restraining Order and form WV-109, Notice of Court Hearing,but you do not appear at the hearing either in person or by a lawyer, and a restraining order that is the same as this Temporary Restraining Order except for the expiration date is issued at the hearing, a copy of the order will be served on you by mail at the address in3 .Notice Regarding Nonappearance at Hearing and Service of OrderIf this address is not correct or you wish to verify that the Temporary Restraining Order was converted into a restrainingorder at the hearing without substantive change, or to find out the duration of the order, contact the clerk of the court.

Rev. January 1, 2026Temporary Restraining Order (CLETS-TWH)(Workplace Violence Prevention) Case Number: This is a Court Order.WV-110,Page 6 of 7 You must have form WV-120 served on the petitioner or the petitioner’s attorney by mail. You cannot do this yourself. The person who does the service should complete and sign form WV-250 , Proof of Service of Response by Mail.

File the completed proof of service with the court clerk before the hearing date or bring it with you to the hearing.In addition to the response, you may file and have declarations served, signed by you and other persons who havepersonal knowledge of the facts. You may use form MC-030,Declaration, for this purpose. It is available from theclerk’s office at the court shown on page 1 of this form or at courts.ca.gov/rules-forms/find-your-court-forms. If you do not know how to prepare a declaration, you should see a lawyer. Whether or not you file a response, you should attend the hearing.

If you have any witnesses, they must also go to thehearing.At the hearing, the judge can make restraining orders against you that last for up to three years. Tell the judge why you disagree with the orders requested.If you want to respond, fill out form WV-120,Response to Petition for Workplace Violence Restraining Orders, and file it with the court clerk.

You do not have to pay any fee to file your response if the petition claims that you threatened violence against or stalked the employee, or placed the employee in reasonable fear of violence.Read form WV-120-INFO,How Can I Respond to a Petition for Orders to Stop Workplace Violence?, to learn how to respond to this order.Obey all the orders. Any intentional violation of this order is a misdemeanor punishable by a fine or by imprisonment in a county jail, or by both fine and imprisonment. (Pen.

Code, § 273.6.)After You Have Been Served With a Restraining Order Instructions for Law EnforcementEnforcing the Restraining OrderThis order is enforceable by any law enforcement agency that has received the order, is shown a copy of the order, or has verified its existence on the California Restraining and Protective Orders System (CARPOS). Agencies are encouraged to enter violation messages into CARPOS. If the law enforcement agency has not received proof of service on the restrained person, the agency must advise the restrained person of the terms of the order and then must enforce it.

Violations of this order are subject to criminal penalties.Start Date and End Date of OrdersThis order starts on the date next to the judge’s signature on page 4. The order ends on the expiration date in4 on page 1.If a Protected Person Contacts the Restrained PersonEven if a protected person invites or consents to contact with the restrained person, this order remains in effect and must be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained person. The order can be changed only by another court order. (Pen. Code, § 13710(b).)

Rev. January 1, 2026Temporary Restraining Order (CLETS-TWH) (Workplace Violence Prevention) Case Number:3.Criminal Protective Order (CPO): If none of the orders includes an EPO or a no-contact order, the most recent CPO must be enforced. (Fam. Code, §§ 6383(h)(2), 6405(b); Code Civ. Proc., § 527.12(d)(2).) Additionally, a CPO issued in a criminal case involving charges of domestic violence, Penal Code sections 261, 261.5, or former 262, or charges requiring sex offender registration must be enforced over any civil court order. (Pen.

Code, § 136.2(e)(2).) All provisions in the civil court order that do not conflict with the CPO must also be enforced.4.Civil Restraining Orders: If there is more than one civil restraining order (e.g., domestic violence, juvenile, elder abuse, civil harassment), then the order that was issued last must be enforced.

Provisions that do not conflict with the most recent civil restraining order must also be enforced.2.No-Contact Order: If a restraining/protective order includes a no-contact order, the no-contact order must be enforced.5 a(4) is an example of a no-contact order.1.Emergency Protective Order (EPO): If one of the orders is an Emergency Protective Order (form EPO-001), provisions (e.g., stay-away order) that are more restrictive than in the other restraining/protective orders must be enforced. Provisions of another order that do not conflict with the EPO must also be enforced.

If more than one restraining order has been issued protecting a protected person from the restrained person, the orders must be enforced in the following priority (see Pen. Code, § 136.2;Fam. Code, §§ 6383(h)(2), 6405(b); Code Civ. Proc., § 527.12(d)(2)):Conflicting Orders—Priorities for Enforcement (Clerk will fill out this part.)—Clerk's Certificate—Clerk’s Certificate[seal]I certify that this Temporary Restraining Order is a true and correct copy of theoriginal on file in the court. Date:Clerk, by, DeputyThis is a Court Order.WV-110,Page 7 of 7

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Mandatory Form Code Civ. Proc., §§ 527.8, 527.9 Approved by DOJ Notice of Court Hearing (Workplace Violence Prevention) WV-109 Notice of Court Hearing Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of San Diego Fill in case number: Case Number: 1 Petitioner (Employer or Collective Bargaining Representative) a. Name: Lawyer for Petitioner (if any for this case): Name: State Bar No.: Firm Name: b.

Address (If you have a lawyer, give your lawyer’s information.): Address: City: State: Zip: Telephone: Fax: Email Address: 2 Employee Who Petitioner Asserts Suffered Harassment, Violence, or Threat of Violence Full Name: 3 Respondent (Person From Whom Protection Is Sought) Full Name: The court will complete the rest of this form. 4 Notice of Hearing A court hearing is scheduled on the request for restraining orders against the respondent: Hearing Date Date: Time: Dept.: Room: Name and address of court if different from above: To the person in 3 : If you attend the hearing (in person, by phone, or by videoconference) and the judge grants a restraining order against you, the order will be effective immediately, and you could be arrested if you violate the order.

If you do not attend the hearing, the judge may still grant the restraining order that could last up to three years. After you receive a copy of the order, you could be arrested if you violate the order. WV-109, Page 1 of 3 CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

Rev.

January 1, 2026 Notice of Court Hearing (Workplace Violence Prevention) Case Number:5Temporary Restraining Orders (Any orders granted are on form WV-110, served with this notice.)a.Temporary restraining orders for personal conduct and stay-away orders as requested in form WV-100, Request for Workplace Violence Restraining Orders, are (check only one box below):(1)AllGRANTED until the court hearing.(2)AllDENIED until the court hearing. (Specify reasons for denial in b, below.)(3)PartlyGRANTED and partly DENIED until the court hearing. (Specify reasons for denial in b, below.)b.Reasons that temporary restraining orders as requested in form WV-100, Petition for Workplace Violence Restraining Orders, for personal conduct or stay-away are denied are:(1)The facts as stated in form WV-100 do not sufficiently show reasonable proof that the employee has suffered harassment, unlawful violence, or a credible threat of violence by the respondent, and that great or irreparable harm to the employee would result if a temporary restraining order is not issued.(2)Other(specify):As stated on Attachment 5b.6Service of Documents by the Petitioner, someone age 18 or older—not you or anyone to be protected—must personally give (serve) a court file-stamped copy of this form WV-109, Notice of Court Hearing, to the respondent along with a copy of all the forms indicated below:five days before the hearinga.WV-100,Petition for Workplace Violence Restraining Orders (file-stamped)b.WV-110,Temporary Restraining Order (file-stamped)IF GRANTEDc.WV-120,Response to Petition for Workplace Violence Restraining Orders (blank form)d.WV-120-INFO,How Can I Respond to a Petition for Workplace Violence Restraining Orders?e.Other(specify):At leastDate:Judicial OfficerWV-109,Page 2 of 3

Rev. January 1, 2026 Notice of Court Hearing (Workplace Violence Prevention) To the Respondent:If you want to respond to the request for orders in writing, file form WV-120,Response to Petition for Workplace Violence Restraining Orders, and have someone age 18 or older—not you or anyone to be protected—mail it to the petitioner.The person who mailed the form must fill out a proof of service form. Form WV-250,Proof of Service of Response by Mail, may be used.

File the completed form with the court before the hearing and bring a copy with you to the court hearing.Whether or not you respond in writing, go to the hearing if you want the judge to hear from you before making an order. You may tell the judge why you agree or disagree with the orders requested.You may bring witnesses and other evidence. At the hearing, the judge may make restraining orders against you that could last up to three years and may order you to turn in to law enforcement, or sell to or store with a licensed gun dealer, any firearms (guns), firearm parts, and ammunition that you own or possess.

This includes firearm receivers and frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code

section 16531). If an order is granted, you will also be prohibited from owning, possessing, or buying body armor and will have to relinquish any body armor you have.If you are unable to attend your court hearing or need more time to prepare your case, you may ask to reschedule your court date. Read form WV-115-INFO,How to Ask for a New Hearing Date. Request for AccommodationsAssistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing.

Contact the clerk’s office or go to courts.ca.gov/rules-forms/find-your-court-forms for Disability Accommodation Request(formMC-410).(Civ. Code, § 54.8.)(Clerk will fill out this part.)—Clerk's Certificate—Clerk’s Certificate[seal]I certify that this Notice of Court Hearing is a true and correct copy of the original on file in the court. Date:Clerk, by, DeputyWV-109,Page 3 of 3 To the Petitioner:The court cannot make the restraining orders after the court hearing unless the respondent has been personally given (served) a copy of your request and any temporary orders.

To show that the respondent has been served, the person who served the forms must fill out a proof of service form. Form WV-200,Proof of Personal Service, may be used.For information about service, read form WV-200-INFO,What Is “Proof of Personal Service”?You may ask to reschedule the hearing if you are unable to find the respondent and need more time to serve the documents, or for other good reasons. Read form WV-115-INFO,How to Ask for a New Hearing Date.You must attend the hearing if you want the judge to make any of the orders you requested on form WV-100, Petitionfor Workplace Violence Restraining Orders.

Bring any evidence or witnesses you have. For more information, read form WV-100-INFO, How Do I Get an Order to Prohibit Workplace Violence?Case Number:

Confidential Information for Law Enforcement Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Mandatory Form Cal. Rules of Court, rule 1.51 CLETS-001, Page 1 of 2 CLETS-001 Confidential Information for Law Enforcement Instructions: • If you are asking for a restraining order, you must complete this form and give it to the court clerk, along with the other court forms required in your case.

For juvenile orders, list the primary protected person’s information in 2 and 3 . • If the judge grants the restraining order, information you give on this form will be entered into a California database (called CLETS) to help law enforcement enforce the order. • If information changes later, you may complete this form again and turn it in to the court. To Court Clerk: Do not file this form. The information on this form must be entered into the protective order registry in CLETS. Court fills in case number when form is received.

Case Number: Date received by court: Information that has a star (*) next to it is required. All other information is helpful. 1 Person You Want a Restraining Order Against *Name: Other names used: Marks, scars, or tattoos: SSN:Driver’s license (number and state): Vehicle type: Model: Year: Plate number: Name of employer and address: Does the person speak English? Yes I don’t know No (list language): Does the person have any firearms (guns), firearm parts, ammunition, or body armor?

No I don’t know Yes (Give any information you have below, like the type, amount, or location of any items, if known.) Telephone: This is not a Court Order—Do not place in court file.

Confidential Information for Law EnforcementRev. January 1, 2026 CLETS-001, Page 2 of 2 (Skip and if you are asking for a gun violence (form GV-100) or retail crime (form RT-100) restraining order.)3 4 3 Your Information *Age: Date of Birth (month, day, year): (If the judge grants your restraining order, your information will be entered into California’s law enforcement database. If you give your date of birth, it will also be entered into the federal law enforcement database.

If your information is not in the federal law enforcement database, your restraining order may be more difficult to enforce outside of California.) 4 Other People You Want Protected *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth: *Name: *Gender: Race: Date of Birth: Check here if you have more people to list. Write them on a separate piece of paper, write “Item 4” at the top, and attach it to this form. Telephone: No (list language): Do you speak English? Yes This is not a Court Order—Do not place in court file.

X (nonbinary)*Gender: M F Race: Case Number: 2 *Your Name:

Judicial Council of California, courts.ca.gov Rev. July 1, 2026, Mandatory Form Cal. Rules of Court, rules 2.30, 3.220, 3.400–3.403, 3.740 Cal. Stds. Jud. Admin., std. 3.10 Civil Case Cover Sheet CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S.

MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 CASE NAME: CIVIL CASE COVER SHEET Unlimited (Amount demanded exceeds $35,000) Limited (Amount demanded is $35,000 or less) Complex Case Designation Counter Joinder Filed with first appearance by defendant (Cal. Rules of Court, rule 3.402) FOR COURT USE ONLY CASE NUMBER: JUDGE: DEPT.: Items 1–6 below must be completed (see instructions on page 2 and examples on page 3). 1. Check one box below for the case type that best describes this case: Auto Tort Auto

(22) Uninsured motorist

(46) Asbestos Asbestos

(04) Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death) Tort Product liability

(24) Medical malpractice

(45) Other PI/PD/WD

(23) Non-PI/PD/WD (Other) Tort Business tort/Unfair business practice

(07) Civil rights

(08) Defamation

(13) Fraud

(16) Intellectual property

(19) Professional negligence

(25) Other non-PI/PD/WD tort

(35) Employment Wrongful termination

(36) Other employment

(15) Contract Breach of contract/warranty

(06) Rule 3.740 collections

(09) Other collections

(09) Insurance coverage

(18) Other contract

(37) Song-Beverly Act: Motor Vehicle Lemon Law

(49) Real Property Eminent domain/Inverse condemnation

(14) Wrongful eviction

(33) Other real property

(26) Unlawful Detainer Commercial

(31) Residential

(32) Drugs

(38) Judicial Review Asset forfeiture

(05) Petition re arbitration award

(11) Writ of mandate

(02) Other judicial review

(39) Employment Development Department (EDD) EDD decision review

(48) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400–3.404) Antitrust/Trade regulation

(03) Construction defect

(10) Mass tort

(40) Securities litigation

(28) Environmental/Toxic tort

(30) Comprehensive groundwater adjudication

(47) Insurance coverage claims arising from the above listed provisionally complex case types

(41) Enforcement of Judgment Enforcement of judgment

(20) Miscellaneous Civil Complaint RICO

(27) Other complaint (not specified above)

(42) Miscellaneous Civil Petition Partnership and corporate governance

(21) Other petition (not specified above)

(43) CM-010, Page 1 of 3 TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name):

Rev. July 1, 2026 Civil Case Cover Sheet CM-010 2. Yes NoIs this case complex under rule 3.400 of the California Rules of Court? If the case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties b. Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve c. Substantial amount of documentary evidence d. Large number of witnesses e. Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court f.

Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a. monetary b. nonmonetary; declaratory or injunctive relief c. punitive 4. Number of causes of action (specify): 5. Is this case a class action suit? Yes No 6.

If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.) Date: Type or print name Signature of party or attorney for party Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. File this cover sheet in addition to any cover sheet required by local court rule.

If this case is complex under rule 3.400 et seq. of the California Rules of Court, or a collections case under rule 3.740, you must serve a copy of this cover sheet on all other parties to the action or proceeding. (Cal. Rules of Court, rule 3.220.) Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. NOTICE INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers.

If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on pages 1 and 2. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one.

If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided on page 3 of this form. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases.

A "collections case" under rule 3.740 of the California Rules of Court is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $35,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment.

The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex.

If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. SEE PAGE 3 FOR INFORMATION PURPOSES ONLY. CM-010, Page 2 of 3

Rev. July 1, 2026 Civil Case Cover Sheet CM-010 CASE TYPES AND EXAMPLES Auto Tort Auto (22)–Personal Injury/Property Damage/ Wrongful Death Uninsured Motorist (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto)

(46) Asbestos Asbestos

(04) Asbestos Property Damage Asbestos Personal Injury/Wrongful Death Other PI/PD/WD (Personal Injury/ Property Damage/Wrongful Death) Tort Product Liability (not asbestos or environmental/toxic tort)

(24) Medical Malpractice

(45) Medical Malpractice–Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PD/WD

(23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD (e.g., assault, vandalism) Intentional Infliction of Emotional Distress Negligent Infliction of Emotional Distress Other PI/PD/WD Non-PI/PD/WD (Other) Tort Business Tort/Unfair Business Practice

(07) Civil Rights (e.g., discrimination, false arrest) (not civil harassment)

(08) Defamation (e.g., slander, libel)

(13) Fraud (other than contract)

(16) Intellectual Property

(19) Professional Negligence

(25) Legal Malpractice Other Professional Malpractice (not medical) Other Non-PI/PD/WD Tort

(35) Employment Wrongful Termination

(36) Other Employment

(15) Contract Breach of Contract/Warranty

(06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach–Seller Plaintiff (not fraud) Negligent Breach of Contract/Warranty Other Breach of Contract/Warranty Song-Beverly Act: Motor Vehicle Lemon Law (check this item if the case involves a Song- Beverly Act claim regarding a motor vehicle)

(49) Rule 3.740 Collections (as defined in Cal. Rules of Court, rule 3.740(a))

(09) Other Collections (e.g., money owed, open book accounts, promissory note)

(09) Insurance Coverage (not provisionally complex)

(18) Auto Subrogation Other Coverage Other Contract

(37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation

(14) Wrongful Eviction

(33) Other Real Property (e.g., quiet title)

(26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not unlawful detainer) Unlawful Detainer Commercial

(31) Residential

(32) Drugs (if the case involves illegal drugs, check this item; otherwise, choose Commercial or Residential)

(38) Judicial Review Asset Forfeiture

(05) Petition re Arbitration Award

(11) Writ of Mandate

(02) Writ–Administrative Mandamus Writ–Mandamus on Limited Court Case Matter Writ–Other Limited Court Case Review Other Judicial Review

(39) Review of Health Officer Order Notice of Appeal–Labor Commissioner Appeals Employment Development Department (EDD) EDD Decision Review (if the case involves an Employment Development Department decision, check this item instead of wrongful termination or other employment)

(48) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400–3.404) Antitrust/Trade Regulation

(03) Construction Defect

(10) Mass Tort

(40) Securities Litigation

(28) Environmental/Toxic Tort

(30) Comprehensive Groundwater Adjudication

(47) Insurance Coverage Claims (arising from provisionally complex case type listed above)

(41) Enforcement of Judgment Enforcement of Judgment

(20) Abstract of Judgment (Out of County) Confession of Judgment (non-domestic relations) Sister-State Judgment Administrative Agency Award Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO

(27) Other Complaint (not specified above)

(42) Declaratory Relief Only Injunctive Relief Only (non-harassment) Mechanic's Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/ non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance

(21) Other Petition (not specified above)

(43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief From Government Claim Requirement Other Civil Petition The list below provides explanations and examples for the case type checkboxes listed in item 1 on this form. The lists of examples below are not meant to be exhaustive, and some case types may have causes of action not listed here. CM-010, Page 3 of 3

Judicial Council of California, courts.ca.govRev. January 1, 2026, Optional Form What Is “Proof of Personal Service”? (Workplace Violence Prevention) WV-200-INFOWhat Is “Proof of Personal Service”?What is "Service"?Service is the act of giving legal papers to the other party. There are many kinds of service—in person, by mail, and others. This form is about personal or “in-person” service. The Petition for Workplace Violence Restraining Orders (formWV-100), the Notice of Court Hearing (form WV-109), and the Temporary Restraining Order (form WV-110) must be served in person.

That means that someone must personally “serve” (give) a copy of the forms to the person to be restrained. These forms cannot be served by mail.Service lets the other person know:What orders you are asking forThe hearing dateHow to respondWhy do I have to get the orders served? The police cannot arrest anyone for violating an order unless that person knows about the order.The judge cannot make the orders permanent unless the restrained person was served.

Don’t serve it by mail!Ask someone you know, a process server, or a law enforcement agency to personally serve (give) a copy of the forms to the person to be restrained. You cannotsend the forms to that person by mail.The server must:Be 18 years of age or olderNot be you or anyone whom you are asking to be protected by the orders Who can serve? The sheriff or marshal may be authorized to serve the court’s orders for free if theorders are based on claims of stalking, unlawful violence, or a credible threat ofviolence. Another peace officer may also serve the orders for free.

See selfhelp.courts.ca.gov/WV-restraining-order/sheriff-serves-requestfor additional information regarding free service by a sheriff, marshal, or other peace officer. A registered process server is a business you pay to deliver court forms. Look for“Process Serving” in the Yellow Pages or on the internet. (If a law enforcement agency or the process server uses a different proof-of-service form, make sure it lists the forms served.)How to serveAsk the server to:Walk up to the person to be served.Make sure it is the right person.

Ask the person’s name.Give the person copies of all papers checked on form WV-200, Proof of Personal Service.Fill out and sign the Proof of Personal Service.Give the signed Proof of Personal Service to you.What if the person won’t take the papers or tears them up?If the person will not take the papers, just leave them near the person.It does not matter if the person tears them up. Service is still complete.WV-200-INFO, Page 1 of 2

Rev. January 1, 2026What Is “Proof of Personal Service”? (Workplace Violence Prevention) WV-200-INFOWhat Is “Proof of Personal Service”?When do the orders have to be served?It depends. To know the exact date, you have to look at two things on form WV-109, Notice of Court Hearing.First, look at the hearing date on page 1 of formWV-109.4Notice of HearingHearingDateDate: ________Dept.:________Next, look at the number of days in item 6 on page 2 ofform WV-109.6Service of Documents By the Person in1At least five days before the hearing.Look at a calendar. Subtract the number of days in item 6 from the hearing date.

That is the final date to have the orders served. It is always okay to serve earlier than that date.If nothing is checked or written in item 6, you must serve the orders at least five days before the hearing.Who signs the Proof of Personal Service?Only the person who serves the forms can sign form WV-200, Proof of Personal Service.

You do not sign it; the restrained person does not need to sign it.What do I do with the completed Proof of Personal Service?If someone other than the sheriff serves the papers, you should:Make several copies.File the original with the court before your hearing.Ask the clerk to enter it into the California Law Enforcement Telecommunications System (CLETS), a special computer system that lets police all over the state find out about the orders protecting you.If the clerk tells you that the court cannot enter it into the computer, take a copy of the Temporary Restraining Order(form WV-110) and Proof of Personal Service (form WV-200) to your local police.

They will put the information intothe state computer system. That way, police all over the state will know that your restraining order has been served.Bring a copy of the completed Proof of Personal Service to your hearing.Always keep an extra copy of the restraining orders with you for your safety.If the sheriff or another peace officer serves the papers, they will send proof of service to the court for you.

The sheriff will also send proof of service to CLETS for you.What happens if I can’t get the orders served before the hearing date?Before your hearing, fill out and file form WV-115, Request to Continue Court Hearing. This form asks the court for a new hearing date and makes your orders last until then. Ask the clerk for the form. After the court has reissued the orders, attach a copy of form WV-116,Order on Request to Continue Hearing to a copy of your original orders. Ask the clerk to enter form WV-116 into CLETS or the clerk may ask you or you attorney to deliver a copy to the police.

That way, the police will know your orders are still in effect.WV-200-INFO, Page 2 of 2

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Optional Form Code Civ. Proc., §§ 527.8, 1011 Proof of Personal Service (Workplace Violence Prevention) WV-200 Proof of Personal Service Clerk stamps date here when form is filed. Fill in court name and street address: Court fills in case number when form is filed. Case Number: 1 Petitioner (Employer or Collective Bargaining Representative) Name: 2 Employee Who Suffered Harassment, Violence, or Threat of Violence Name: Respondent (Person From Whom Protection Is Sought)3 Name: 4 Notice to Server The server must: Be 18 years of age or older.

Not be listed in items 1, 2, or 4 of form WV-100. Give a copy of all documents checked in 5 below to the respondent. (You cannot send them by mail.) Then complete and sign this form and give or mail it to the petitioner. PROOF OF PERSONAL SERVICE 5 I gave the respondent a copy of the forms checked below: a. WV-109, Notice of Court Hearing b. WV-110, Temporary Restraining Order c. WV-100, Petition for Workplace Violence Restraining Orders d. WV-120, Response to Petition for Workplace Violence Restraining Orders (blank form) e.

WV-120-INFO, How Can I Respond to a Petition for Workplace Violence Restraining Orders? f. WV-130, Workplace Violence Restraining Order After Hearing g. WV-250, Proof of Service by Mail (blank form) h. WV-800, Receipt for Firearms, Firearm Parts, and Ammunition (blank form) i. Other (specify): 6 I personally gave copies of the documents checked above to the respondent a. On (date): b. At (time): a.m. p.m. c.

At this address: City: State: Zip: 7 Server's Information Name: Telephone: Address: City: State: Zip: (If you are a registered process server): County of registration: Registration number: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print server’s name Server to sign here WV-200, Page 1 of 1 Superior Court of California, County of San Diego CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S.

MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Mandatory Form Gov. Code, §§ 7927.430, 26666, 26666.5, 26666.10 Request for Sheriff to Serve Court Papers SER-001, Page 1 of 5 SER-001 Request for Sheriff to Serve Court Papers CONFIDENTIAL To Court Clerk: Do not file this form. Sheriff File Number (for sheriff to complete, if needed): Fill in case number: Court Case Number: Instructions: Each county in California has a sheriff (and sometimes a marshal’s office) that can serve different types of court papers, including restraining orders.

Note that the sheriff cannot guarantee that they will be successful in finding the person you need served, but they will try to serve based on the information you put on this form. Complete this form for each set of papers you need served. You must complete a separate form for each person you need served. Find out where the person you need served is located. Give your papers to the sheriff or marshal’s office in that county. You may have to pay for service of some court papers. For more information, see page 5 of this form, or go to selfhelp.courts.ca.gov/sheriff-serves.

Do not use this form if you are asking the sheriff to enforce a wage garnishment order on an employer. Instead, use forms WG-001, Application for Earnings Withholding Order, and WG-035, Confidential Statement of Judgment Debtor’s Social Security Number. If you want the sheriff to enforce a writ or levy, complete this form and form SER-001A, Special Instructions for Writs and Levies—Attachment. All information is required unless it is listed as optional or does not apply to your case. 1 To the Sheriff or Marshal of (name of county): 2 Your Information a. Your name (party requesting service): b.

Your lawyer’s information (if you have one) Name: Firm name: c. Court case name: (example: Garcia v. Smith) d. Contact information for the sheriff or marshal to reach you (Give an address where you can receive mail regularly, like a post office box, a Safe at Home address, or another safe address. If you have a lawyer, give the lawyer’s information.) Address to receive mail: City: State: Zip: Telephone number (optional): Email address (optional): CONFIDENTIAL This is not a court form. Do not file with the court.

Rev. January 1, 2026 Request for Sheriff to Serve Court Papers Court Case Number: 3 Information About Person or Entity You Want Served (Check a or

b) a. I ask the sheriff to serve a person (complete

section below)

(1) Name of person: Nicknames or aliases (optional):

(2) Telephone number (optional):

(3) Can you describe the person? No, I do not have any information about the person’s description. Yes (complete the

section below with any information you have): Gender: Male Female Nonbinary Height: Weight: Hair color: Eye color: Date of birth or age (give estimate, if unknown): Race/Ethnicity: Special marks or features (tattoos, scars, etc.): Vehicle (type, model, year, color, plate number): Check here if you are including a picture of the person.

(4) Do you know of any safety or accessibility issues? No Yes (complete the

section below with any information you have): The person (check all that apply): Has a gun or other weapon. Is on probation or parole. Has a history of violence or abuse. Has an aggressive animal. Has special training (examples: military, first responder). Has mental health issues. Is deaf or hard of hearing. Does not speak English (list language): Add any other information about safety or accessibility that you know about: b. I ask the sheriff to serve an entity (examples: business or government agency)

(1) Name and type of entity: Telephone number (optional):

(2) If there is a specific person who should be served, give name:

(3) If there is an agent for service of process, give name:

(4) List any safety or accessibility issues (examples: weapons, aggressive animals, language barrier): CONFIDENTIAL This is not a court form. Do not file with the court. SER-001, Page 2 of 5

Rev. January 1, 2026 Request for Sheriff to Serve Court Papers Court Case Number: 4 Address Where Person or Entity Should Be Served (The sheriff typically serves during normal business hours. Check with the sheriff’s office for the exact times.) Address: Home Business City: State: Zip: Gate code or special instructions: Best time to serve at this address (example: 8 a.m.–noon): Check here if the person is in jail or prison (give name of facility): Alternate address (optional) (If the person cannot be found at the address listed above, some sheriffs may try a second address if it’s in the same county. If you have a second address for the person you want served, complete the

section below.) Address: Home Business City: State: Zip: Gate code or special instructions: Best time to serve at this address (example: 8 a.m.–noon): 5 Information About Your Request a. What type of court papers are you giving the sheriff to serve (examples: summons, restraining order, eviction, small claims, bank levy, or writ of attachment)? b. List all forms or court papers you want served on the person in 3 a. (optional). (Note: You can list each form by its form number (example: FL-100, SC-100). If there is no form number, give the title of the document.

The court may have ordered you to serve certain papers. Look at the court’s order and list all forms required. If you do not know which papers you need to serve, ask a lawyer, or contact your local self-help center for free information.) c. Is there a court hearing (court date)? I don’t know No Yes (if yes, give date of hearing): CONFIDENTIAL This is not a court form. Do not file with the court. SER-001, Page 3 of 5

Rev. January 1, 2026 Request for Sheriff to Serve Court Papers Court Case Number: 5 d. Is there a deadline for service? I don’t know No Yes (if yes, give deadline): e. Has the court allowed you to serve your court papers in another way besides personal service (example: substituted service)? I don’t know No Yes (if yes, include a copy of the order allowing another type of service) f. Is there any other information you want or need to give to the sheriff to serve your court papers?

No Yes (if yes, give information below): 6 Enforcement of Writ or Levy If you want the sheriff to enforce a writ or levy, you must complete form SER-001A, Special Instructions for Writs and Levies—Attachment, and turn it in with this form. (Only complete this

section if you want the sheriff to enforce a writ or levy.) Do you want the sheriff to both serve your court papers and act as levying officer? Yes No. I only want the sheriff to act as levying officer. A registered process server has or will serve my papers. Your Signature (party asking for service, or their lawyer) Date: Type or print your name Sign your name (may be electronic) CONFIDENTIAL This is not a court form. Do not file with the court. SER-001, Page 4 of 5

Rev. January 1, 2026 Request for Sheriff to Serve Court Papers SER-001, Page 5 of 5 Court Case Number: Your Next Steps Find out if you need to pay a fee for service by asking the court’s self-help center, a lawyer, or the sheriff’s office. Here are some situations where you do not need to pay for service: If you have a fee waiver in your case (fee waiver granted by a judge on form FW-003 or FW-005). If you are serving a domestic violence, elder abuse, or gun violence restraining order.

If you have a civil harassment, workplace violence, or school violence restraining order based on a credible threat of violence or stalking. Give this form and a copy of all the court papers you need served to the sheriff or marshal, including a copy of a fee waiver (if you have one). You can turn in your papers in person or send them electronically. You should get a form back from the sheriff. If the sheriff was able to serve your court papers, you should receive a form (called a proof of service). Make sure you get a copy from the sheriff and file it with the court.

Note that if there is a court stamp at the top right corner of the first page, it has already been filed and you do not need to file it with the court. If the sheriff was unable to serve your court papers, you should receive a form (sometimes called declaration of due diligence) that tells you that service was unsuccessful and will give details about when the sheriff tried to serve the person. If the sheriff was unable to serve your papers, you can ask a lawyer or court’s self-help center about your next steps. To find your local court self-help center, go to selfhelp.courts.ca.gov/.

Self-help center staff will not act as your lawyer but may be able to give you information to help you decide what to do in your case. Services are free. To Sheriff or Marshal This form is confidential and must not be made public. Any papers submitted with this form should be served and listed on the applicable proof of service form. Note that 5 b is optional and may help to identify documents that should have been submitted but were not received by your office. Under Government Code

section 26666.2, once you’ve received a completed copy of this form and forms for service, you must attempt service unless: Any order submitted does not have a judge’s signature or other representation of a judge’s signature; clerk’s endorsement; or court stamp, seal, or other court endorsement; or A court case number is not listed on the order, summons, or other notice. CONFIDENTIAL This is not a court form. Do not file with the court.

Document details

Collection	California Superior Local Rules
Citation	Cal. Form PKT-023
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	88614f2f0001c752712b93f6a6bce5c940c8fc1d

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