ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. TELEPHONE NO.: : Plaintiff(s) : : : : Calendar No.
FOR COURT USE ONLY
ATTORNEY FOR (Name):
-againstSUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Defendant(s) : . . .PARTICIPANT: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..........
THE PEOPLE OF THEProhibiting Abuse or Program Misconduct STATE OF NEW YORK to Petition For Order
Each participant should file a separate response. (A family may file one response.) · If your printing is legible, you may handprint this form. GREETINGS: · Your response will be considered by the judge at the court hearing. No filing fee is required. · You must still obeyCOMMAND YOU, granted business hearing. WE any orders already that all until the and excuses being laid aside, you and each of you attend before · You have a right to ask the judge to postpone the hearing date. , the Honorable at the Court · If you do not appear at the court hearmg, the court may grant restraining orders against you that may last up to one year. located at County of · Read the Instructions for Participants before completing this form.
in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the
I RESPOND to the Petition for Order Prohibiting Abuse or Program Misconduct as follows:
If you need additional space, attach form MC-031 (on the reverse of form MC-030). Also use form MC-031 for statements by witnesses. Reference each part on form MC-031 by a number from this form. 1.
Your failure to comply with this subpoena is punishable as a contempt of 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 DENIAL result of your failure toall of the acts stated in item 7 of the petition. comply. I deny doing
a. b. I deny doing some of the acts stated in item 7 of the petition. (Specify the acts you deny doing):
(Specify Honorable Witness, on attached form MC-031 if you need more room, and check this one of the) Justices of the , box: Court in County, day of , 20
(Attorney must sign above and type name below)
DENIAL OF PROGRAM MISCONDUCT Attorney(s) for My acts, if any, did not substantially interfere with the orderly operation of the transitional housing program. a. My acts, if any, did not violate the rules and regulations of the transitional housing program (explain): b. ) (Specify on attached form MC-031 if you need more room, and check this box:
Office and P.O. Address
Form Adopted by the Judicial Council of California TH-120 [New July 1, 1992]
Telephone No.: Facsimile No.: E-Mail (Continued on reverse) Address: Mobile Tel. No.:
Health and Safety Code, § 50585(c)
(Transitional Housing Misconduct)
American LegalNet, Inc. www.USCourtForms.com
PROGRAM OPERATOR: PARTICIPANT: 3.
JUSTIFICATION OR EXCUSE I have done some or all of the acts of which I am accused, but the actions are justified or excused for the following reasons: My acts served a legitimate purpose (specify): a. ) (Specify on attached form MC-031 if you need more room, and check this box:
My acts were constitutionally protected (specify): (Specify on attached form MC-031 if you need more room, and check this box:
WRONG PROGRAM. Program operator does not operate a "transitional housing program" as defined in Health and Safety Code section 50582(g) (explain):
PROGRAM CONTRACT a. I have no contract with the program operator. b. The contract does not include the program rules and regulations. c. The contract does not include a statement of program operator's right of control over and right of access to my dwelling unit. d. The contract does not contain a restatement or summary of the requirements and procedures of the Transitional Housing Participant Misconduct Act. OTHER DEFENSES. I have other defenses or reasons a court order should not be granted (specify): ) (Specify on attached form MC-031 if you need more room, and check this box:
Number of pages attached: 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)
(SIGNATURE OF PARTICIPANT)
TH-120 [New July 1, 1992]
(Transitional Housing Misconduct)