@ Employee (Protected Person)

Similar documents
Restraining Order After Hearing. List the full names of all family or household members protected by this order: Age:

Weight: Hair Color: Eye Color: Age: Date of Birth: The court will complete the rest of this form. This is a Court Order. Temporary Restraining Order

The court will complete the rest of this form. Hearing date: Time: a.m. p.m. This is a Court Order.

Civil Harassment Restraining Order

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER ELDER/DEPENDENT ADULT ABUSE RESTRAINING ORDER

CIVIL HARASSMENT RENEWAL

List the full names of all family or household members protected by this order:

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER MODIFICATION OF A CIVIL RESTRAINING ORDER. Self Help Center Loca ons:

Superior Court of California, County of Contra Costa ELDER ABUSE. Civil Law. - Packet A - Forms Instructions for Your First Elder Abuse Hearing

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER RESPONDING TO ELDER/DEPENDENT ADULT ABUSE RESTRAINING ORDER

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER RENEWING A DOMESTIC VIOLENCE RESTRAINING ORDER

If you are applying for a government-issued license, certificate, or permit, you must disclose your conviction and expungement.

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (t) PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING (11/15)

FINAL JUDGMENT OF INJUNCTION FOR PROTECTION AGAINST STALKING (AFTER NOTICE)

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (t) PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING (11/15)

TEMPORARY INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE

TEMPORARY INJUNCTION FOR PROTECTION AGAINST STALKING

Richmond General District Court, Criminal Division-Northside Protective Order Filing Information

TEMPORARY INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE WITHOUT MINOR CHILD(REN)

Certificates of Rehabilitation in Fresno County Filing Instructions

Circuit Court of the Judicial District, County of, State of Wyoming

Petition for Relief Packet

THE SUPERIOR COURT FOR THE COUNTY OF ST A TE OF GEORGIA. Civil Action File

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER RENEWING AN ELDER/DEPENDENT ADULT ABUSE RESTRAINING ORDER

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (f) PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE (11/15)

, ) Civil No. ) Petitioner, ) ) DOMESTIC VIOLENCE vs. ) PROTECTION ORDER ), ) ) Respondent. ) TO THE RESPONDENT:

IN THE SUPERIOR COURT OF HALL COUNTY STATE OF GEORGIA, FILE NO. FAMILY VIOLENCE EX PARTE PROTECTIVE ORDER

Fairfax General District Court, Civil Division Protective Order Filing Information

CIRCUIT COURT OF ILLINOIS

PETITION FOR CERTIFICATE OF REHABILITATION AND PARDON [Pursuant to Penal Code and ]

Personal Protection Order Against Stalking by a Minor (NonDomestic Relationship)

CHANGE OF NAME. Superior Court Self-Help Center, th Street, Room 220, Modesto PROVIDING ASSISTANCE TO PARTIES REPRESENTING THEMSELVES

COUNTY SHERIFF S OFFICE SERVICE INFORMATION FOR INJUNCTIONS FOR PROTECTION

By signing this form, applicant certifies that she/he has read and understands the forgoing statements.

LOUISIANA PROTECTIVE ORDER REGISTRY INDEX OF UNIFORM ABUSE PREVENTION ORDER FORMS Version 7

MINNESOTA UNIFORM FIREARM APPLICATION PERMIT TO CARRY A PISTOL (TYPE OR PRINT ONLY) THIS APPLICATION MUST BE SUBMITTED IN PERSON

FAMILY VIOLENCE TWELVE MONTH PROTECTIVE ORDER

Supreme Court of Florida

CIRCUIT COURT OF ILLINOIS

PETITION FOR EMERGENCY TEMPORARY PROTECTIVE ORDER

GENERAL INFORMATION FOR THOSE SEEKING A PROTECTION FROM ABUSE ORDER

TEXAS CODE OF CRIMINAL PROCEDURE PROTECTIVE ORDERS AT A GLANCE

Magistrate's Order for Emergency Protection Cover Sheet

THE SUPERIOR COURT FOR THE COUNTY OF STATE OF GEORGIA., : Petitioner, : Civil Action File : v. : : No., : Respondent. :

PETITION FOR RULE TO SHOW CAUSE

IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT OF THE STATE OF FLORIDA

PETITION FOR CONTEMPT OF A CUSTODY ORDER

Supreme Court of Florida

CIRCUIT COURT OF ILLINOIS Fifth Judicial Circuit Vermilion County, Illinois

1 SUPERIOR COURT OF THE STATE OF CALIFORNIA 3 DEPARTMENT CJC 48 HON. CHRISTOPHER K. LUI, JUDGE

RESPONSE TO CONTEMPT

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER

Check Permit Type MINNESOTA UNIFORM FIREARM APPLICATION/RECEIPT PERMIT TO PURCHASE/TRANSFER (TYPE OR PRINT ONLY)

MINNESOTA UNIFORM FIREARM APPLICATION/RECEIPT PERMIT TO PURCHASE/TRANSFER (TYPE OR PRINT ONLY)

Supreme Court of Florida

NOTICE OF CHANGE OF ADDRESS F-5. The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501

SAMPLE. Front Side of Citation To be Pre-Numbered in Top Right Margin (White "Court Copy" to have Bar-Code Displayed above Tracking Number)

KALISPEL TRIBE OF INDIANS

CITY OF ARKANSAS CITY, KANSAS APPLICATION FOR PRIVATE PREMISES LICENSE

IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA FAMILY VIOLENCE EX PARTE PROTECTIVE ORDER

MINNESOTA UNIFORM FIREARM APPLICATION PERMIT TO CARRY A PISTOL (TYPE OR PRINT ONLY) THIS APPLICATION MUST BE SUBMITTED IN PERSON

When should this form be used?

PETITION TO MODIFY PROTECTION FROM ABUSE ORDER INSTRUCTION SHEET

IN THE TRIBAL DISTRICT COURT FOR THE KICKAPOO TRIBE OF OKLAHOMA P.O. BOX 95, MCLOUD, OKLAHOMA

WAGE DEDUCTION Instructions for Creditors Read 735 ILCS 5/ et seq Illinois State Statues

PUBLIC INFORMATION. INFORMATION REQUIRED TO BE PLACED ON THE GUAM FAMILY VIOLENCE REGISTRY

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER WAGE GARNISHMENT. Self Help Center Loca ons:

When should this form be used?

INSTRUCTIONS FOR APPLYING FOR OR RENEWING A GEORGIA WEAPONS CARRY LICENSE (The same application form is used for first time and renewal applicants.

PROTECTION FROM ABUSE APPLICATION CONTACT INFORMATION SHEET FOR DISTRICT ATTORNEYS OFFICE USE ONLY

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA - SACRAMENTO DIVISION } } } } } } } } } } } } } } /

SAMPLE FORM F NOTICE DESIGNATING RECORD ON APPEAL

PORT ORCHARD MUNICIPAL COURT LOCAL COURT RULES

Secondhand Dealer / Pawnbroker License

DEFAULT PACKET P-1. The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501

TAKE ACTION NOW TO PROTECT YOUR INTERESTS!

Private Process Server Program Application Requirements

Filing a Civil Complaint

TEMPORARY PROTECTIVE ORDER PETITIONER

Mandatory Electronic Filing Starting on October 18th, 2018

Police Department Town of Duxbury Commonwealth of Massachusetts. Firearms Licensing Procedure & Application Instructions

e: 441 Sex.` F M t out 06 I.' lo13o LJ MO!;;IIFICATION ORDER UNDER: NUV 1~-`T 2015 CR-161 \LIFORNIA vs. DEFENDANT:

For after hour emergency services, please contact your respective Domestic Violence Center:

DISORDERLY CONDUCT RESTRAINING ORDER.

Town of Batavia Genesee County, New York APPLICATION FOR PEDDLERS AND SOLICITORS LICENSE WITHIN THE TOWN OF BATAVIA, NEW YORK

When should this form be used?

INSTRUCTIONS TO FILE A PETITION TO SEAL ARREST AND CRIMINAL RECORDS

IN THE SUPREME COURT OF FLORIDA. Comments of Circuit Judge Robert L. Doyel

Weapons Carry License Application Cherokee County

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER

NEBRASKA HEADING CATCHLINE LAW

Sudbury Police Department

WEAPONS CARRY LICENSE APPLICATION CHEROKEE COUNTY

PETITION FOR EMERGENCY TEMPORARY PROTECTIVE ORDER

EX PARTE MOTION FOR GENERAL USE E-2. The District Court Filing Office is located on the first floor at 75 Court Street Reno, NV 89501

205 Bedford Street, Suite G

Magistrate Court of Cherokee County The Warrant Application Process

432 Act LAWS OF PENNSYLVANIA. No AN ACT

Transcription:

,D, I I I Workplace Violence Restraining Order After Hearing Clerk stamps date here when form is filed. (D Petitioner (Employer) a. Name: CITY OF PATTERSON, CALIFORNIA Lawyer for Petitioner ((f any, for this case): Name: NUBIA I. GOLDSTEIN State Bar No.:272,305 Firm Name: CHURCHWELL WHITE LLP b. Your Address (If you have a lawyer, give your lcrvvyer's information): Address: 1414 K STREET, 3RD FLOOR City: SACRAMENTO State: CA Zip: 95814 Telephone: (916) 468-0950 Fax: (916) 468-0951 E-Mail Address: @ Employee (Protected Person) Full Name: DENNIS MCCORD, CITY COUNCIL MEMBER 0 Respondent (Restrained Person) Full Name: SHEREE D. LUSTGARTEN Description: Fill in court name and street address: Superior Court of California, County of Stanislaus 80 LI 0th Street, 4th Floor Modesto, CA 95354 Court fills in case number when form is filed. Case Numbe" _ I Sex: 0 M Hair Color: BLONDE Home Address (if known): City: PATTERSON Relationship to Employee: 0 F Height: _5'_6'_' Weight: _1_65 Date of Birth: -'--1=1/.c.._30_;_.c../_;:.;19;_6:...::1 Q) D Additional Protected Persons Eye Color: _B_L_UE Age:.TI Race: CAUCASIAN 134 7 KERN CREEK LANE FELLOW COUNCIL MEMBER State: _C_A Zip: 95363 In addition to the employee, the following family or household members or other students are protected by the temporary orders indicated below: Full Name Household Member? D Yes D No D Yes D No D Yes D No D Additional protected persons are listed at the end of this Order on Attachment 4. (D Expiration Date This Order, except for any award of lawyer'sfees, expires at: Date: February 24, 2016 Time: MIDNIGHT D a.m. 0 p.m. If no expiration date is written here, this Order expires three years from the date of issuance. this is a Court Order. Relation to Employee Judicial Council of California, www.courts.ca.gov, Mandatory Form Code of Civii Procedure, 527.8 and 527.9 Approved by DOJ WV-130, Page 1 of6 "'"?'" r, ).-J"',-.~t.., t _,

j Case Number: l @ Hearing a. There was a hearing on (date): Sep 16, 2015 at (time): 10:30 a.m. (Name a/judicial officer): JOHN D. FREELAND indept.:23 made the orders at the hearing. Room: b. These people were at the hearing: (1) [Rl The petitioner/employer representative (name): _K_E_NNE T_H_I_R_W_IN (2) [Rl The lawyer for the petitioner/employer (name): T. HALLINAN, M. HESSABI (3) [Rl The employee (4) D The lm,ryer-:furthe empleyee (rtttme}: DENNIS MCCORD ( 5) [Rl The respondent (6) [Rl The lawyer for the respondent (name): _F_RA_NK P_RE_S_T_O O Additional persons present are listed at the end of this Order on Attachment 5. c. [Rl The hearing is continued. The parties must return to court on (date): Oct 1, 2015 at (time): 8:30 a.m. To the Respondent: The court has granted the orders checked below. If you do not obey these orders, you can be arrested and charged with a crime. You may be sent to jail for up to one year, pay a fine of up to $1,000, or both. (!) Personal Conduct Orders a. You are ordered not do the following things to the employee 0 and to the other protected persons listed in @): (1) [Rl Harass, molest, strike, assault (sexually or otherwise), batter, abuse, destroy personal property of, or disturb the peace of the person. (2) [Rl Commit acts of violence or make threats of violence against the person. (3) 0 Follow or stalk the person during work hours or while going to or from the place of work. (4) [Rl 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 interoffice mail, by e-mail, by text message, by fax, or by other electronic means. (5) D Enter the person's workplace. (6) [Rl Take any action to obtain the person's address or locations. If this item is not checked, the court has found good cause not to make this order. (7) 0 Other (specify): D Other personal conduct orders are attached at the end of this Order on Attachment 7a(7). b. Peaceful written contact through a lawyer or a process server or other person for service of legal papers related to a court case is allowed and does not violate this order. his is a Court Order. WV-130, Page 2 of6 ~

I Case Number: Stay-Away Order a. You must stay at least 100 yards away from (check all that apply): (1) ~ The employee ----- (2) D Each other protected person listed in@ (3) D The employee's workplace (4) [RI The employee's home (5) D The employee's school (6) D The employee's children's school (7) D The employee's children's place of child care (8) [8J The employee's vehicle (9) D Other (specify): b. This stay-away order does not prevent you from going to or from your home or place of employment. No Guns or Other Firearms and Ammunition a. You cannot own, possess, have, buy or try to buy, receive o:r try to receive, or in any other way get guns, other firearms, or ammunition. b. If you have not already done so, you must: (1) Sell to or store with a licensed gun dealer or turn in to a law enforcement agency any guns or other firearms 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 your guns have been turned in, sold, or stored. (You may use Form WV-800, Proof of Firearms Turned In, Sold, or Stored/or the receipt.) c. D The court has received information that you own or possess a firearm. @ D Costs You must pay the following amounts for costs to the petitioner: Item Amount Amount $ $ ------ ----------~ ------ $ $ ------ ----------~ ------ $ $ ------ ----------~ ------ D Additional amounts are attached at the end of this Order on Attachment 10. @ [Rl Other Orders (specify): THE STAY AW A Y ORDER AND NO CONTACT ORDER DO NOT PREVENT RESPONDENT FROM ATTENDING PATTERSON CITY COUNSEL MEETINGS. EMPLOYEE MAY RECORD COMMUNICATIONS FROM RESPONDENT THAT VIOLA TES THIS ORDER. D Additional orders are attached at the end of this Order on Attachment 11. 'l"his is a]:ourf Order. ~ " "' ~ ' WV-130, Page 3 of 6 ~

1 Case Number: To_the Person ind: @ Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Order System (CARPOS) through the California Law Enforcement Telecommunications System (CLETS). (Check one): a. D The clerk will enter this Order and its proof-of-service form into CARPOS. b. 0 The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered into CARPOS. c. D By the close of business on the date that this Order is made, the petitioner or the petitioner's lawyer should deliver a copy of the Order and its proof-of-service form to the law enforcement agency listed below to enter into CARPOS: Name of Law Enforcement Agency Address (City. State. Zip) D Additional law enforcement agencies are listed at the end of this Order on Attachment 12. @ Service of Order on Respondent a. 0 The respondent personally attended the hearing. Ne-e-1:~-GGf.e.f service is neede&, b. D The respondent did not attend the hearing. (1) D Proof of service of Form WV-110, Temporary Restraining Order, was presented to the court. The judge's orders in this form are the same as in Form WV-110 except for the expiration date. The respondent must be served with this Order. Service may be by mail. (2) 0 The judge's orders in this form are different from the temporary restraining orders in Form WV-110. Someone-but not the petitioner or anyone protected by this order-must personally serve a copy of this Order on the respondent. @ No Fee to Serve (Notify) Restrained Person The sheriff or marshal will serve this Order without charge because the Order is based on unlawful violence, a credible threat of violence, or stalking. @ Number of pages attached to this Order, if any: Date: This is a Court Order. (Workplace Violence Prevention} WV-130, Page 4 of 6 ~

I Case Number: You Cannot Have Guns or Firearms You cannot own, have, possess, buy or try to buy, receive or try to receive, or otherwise get guns, other firearms, or ammunition 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 guns or other firearms that you have or control as stated in item@. The court will require you to prove that you did so. Instructions for Law Enforcem~ri~ Enforcing the Restraining Order This 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 Order System (CARPOS). If the law enforcement agency has not received proof of service on the restrained person, and the restrained person was not present at the court hearing, 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 Orders This Order starts on the date next to the judge's signature on page 4 and ends on the expiration date in item@ on page 1. Arrest Required If Order Is Violated If an officer has probable cause to believe that the restrained person had notice of this order and has disobeyed it, the officer must arrest the restrained person. (Pen. Code, 836(c)(l), 13701(b).) A violation of the order may be a violation of Penal Code section 166 or 273.6. Agencies are encouraged to enter violation messages into CARPOS. Notice/Proof of Service The law enforcement agency must first determine if the restrained person had notice of the orders. Consider the restrained person served (given notice) if (Pen. Code, 836(c)(2)): The officer sees a copy of the Proof of Service or confirms that the Proof of Service is on file; or The restrained person was at the restraining order hearing or was informed of the order by an officer. An officer can obtain information about the contents of the order and proof of service in CARPOS. If proof of service on the restrained person cannot be verified and the restrained person was not present at the court hearing, the agency must advise the restrained person of the terms of the order and then enforce it. If the Protected Person Contacts the Restrained Person Even if the 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 orders can be changed only by another court order. (Pen. Code, 13710(b).) Thi&; is a Court Order. ' ' After Hearing (CLETS-WHO} (Workplace Violence Prevention} WV-130, Page 5 of 6 -~

I Case Number: Conflicting Orders-Priorities for Enforcement If more than one restraining order has been issued, the orders must be enforced according to the following priorities: (See Pen. Code, 136.2, Fam. Code, 6383(h)(2), 6405(b).) 1. EPO: If one of the orders is an Emergency Protective Order (form EP0-001) and is more restrictive than other restraining or protective orders, it has precedence in enforcement over all other orders. 2. No Contact Order: If there is no EPO, a no-contact order that is included in a restraining or protective order has precedence over any other restraining or protective order. 3. Criminal Order: If none of the orders includes a no contact order, a domestic violence protective order issued in a criminal case takes precedence in enforcement over any conflicting civil court order. Any nonconflicting terms of the civil restraining order remain in effect and enforceable. 4. Family, Juvenile, or Civil Order: If more than one family, juvenile, or other civil restraining or protective order has been issued, the one that was issued last must be enforced. Clerk's Certificate [seal] (Clerk will fill out this part.) -Clerk's Certificate- I certify that this After Hearing is a true and correct copy of the original on file in the court. Date: Tliis is a Court Order. WV-130, Page 6 of6

PROOF OF SERVICE BY Mll.IL [1013a(3) C.C.P.] STATE OF CALIFORNIA) ) ss COUNTY OF STANISLAUS} I am over the age of 18 years and employed by the Superior Court of the State of California, County of Stanislaus, and not a party to the within action. I certify that I served a copy of the attached WORKPLACE VIOLENCE RESTRAINING ORDER AFTER HEARING and STATEMENT OF DECISION; ORDER by placing said copy in an envelope addressed to the following: Thomas Hallinan CHURCHWELL WHITE LLP 1414 K Street, 3rd Floor Sacramento, CA 95814 Mustaga Hessabi CHURCHWELL WHITE LLP 1414 K Street, 3rd Floor Sacramento, CA 95814 Frank D. Presto, III LAW OFFICE OF FRANK D. PRESTO, III 487 South "J" Street Livermore, CA 94550 Said envelope was then sealed and postage thereon fully prepaid, and thereafter was on September 24, 2015 deposited in the United States mail at Modesto, California. That there is delivery service by United States mail at the place so addressed, or regular communication by United States mail between the place of mailing and the place so addressed. I declare under penalty of perjury that the foregoing is true and correct. Executed on September 24, 2015 at Modesto, California SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF STANISLAUS By r/------,,/ / r /, I I _: ' /~-~//~ Debbie Cerda, Deputy Clerk