Free Microsoft Word - Domestic Violence DOB LP-640.DOC - California

PLEASE NOTE; To get the results of your temporary restraining order today, forms must be completed and filed/endorsed by 2:00 p.m. The results will be given at 4 p.m., Room 102, Window 3.

SPACE RESERVED FOR FILED/ENDORSED STAMP

APPLICATION FOR DOMESTIC VIOLENCE RESTRAINING ORDER

CASE NUMBER:

____________________________________

PLAINTIFF'S NAME:

____________________________________

PLAINTIFF'S DATE OF BIRTH:

____________________________________

DEFENDANT'S NAME:

____________________________________

DEFENDANT'S DATE OF BIRTH OR APPROXIMATE AGE :

____________________________________

FL\E-LP-640 (Rev. 1/29/2009)

Domestic Violence Date of Birth Verification

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