Free WV-130 PROOF OF PERSONAL SERVICE (Workplace Violence) - California

COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): : Plaintiff(s)
TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.:

Index No. Calendar No.

WV-130
FOR COURT USE ONLY

: : : :

JUDICIAL SUBPOENA

-against-

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

Defendant(s) : . PLAINTIFF: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........
DEFENDANT: EMPLOYEE:

THE PEOPLE OF THE STATE OF NEW YORK PROOF OF PERSONAL SERVICE (Workplace Violence) TO

CASE NUMBER:

Instructions to Plaintiff: After having the other party served with any of the documents identified in item 2 have the person who served the documents complete this Proof of Personal Service. You cannot serve these papers. Give the completed Proof of Personal Service to the clerk for filing.

GREETINGS:

1. At the time of service I was at least 18 years of age and not a party to this legal action.

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ,

the Honorable at the 2. I served a copy of the following documents (check the box before the title of each Court document you served): a. County of to Show Cause (Workplace Violence) (form WV-120) Order located at in room and Temporary Restraining Order (CLETS) (form WV-120) , on the day of , 20 , at o'clock in the noon, and at any recessed b. or adjourned of Employer for Injunction Prohibiting Violence or Threats ofaction onAgainst Employee (Workplace Violence) Petition date, to testify and give evidence as a witness in this Violence the part of the
and c. d. Application for Temporary Restraining Order (form WV-100) Blank Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee (Workplace Violence) (form WV-110)

Your failure to comply with this subpoena is punishable as contempt of Proof of Service by Mail of Completed Response (Workplace Violence)a(form WV-131) court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a e. Order After Hearing on Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee result (CLETS) failure to comply. (form WV-140) of your (Workplace Violence)
f. g. Blank Proof of Sale of or Turning in of Firearms (form WV-145)

Witness, Other (specify):Honorable Court in County, day of , 20

, one of the Justices of the

3. Person served (name):
(Attorney must sign above and type name below)

4. By personally delivering copies to the person served, as follows: b. Time: a. Date: c. Address: 5. My residence or business address is (specify): 6. My telephone number is (specify):

Attorney(s) for

Office and P.O. Address

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
(TYPE OR PRINT NAME ) Form Approved for Optional Use Judicial Council of California WV-130 [Rev. January 1, 2005]

Telephone No.: Facsimile No.: E-Mail Address: PROOF OF PERSONAL SERVICE No.: Mobile Tel.
(Workplace Violence)

(SIGNATURE) Page 1 of 1 Code of Civil Procedure, §§ 527.8 and 527.9 www.courtinfo.ca.gov

American LegalNet, Inc. www.USCourtForms.com