Free EA-110 - California

EA-110
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Response to Request for Orders to Stop Elder or Dependent Adult Abuse

Clerk stamps date here when form is filed.

Name of person who asked for the protective orders: Your name: Your address (skip this if you have a lawyer): (If you want your address to be private, give a mailing address instead): City: State: Zip:

Your telephone (optional): (____) _____________________________ Superior Court of California, County of Your lawyer (if you have one): (Name, address, telephone number, and State Bar number):

Fill in court name and street address:

Fill in case number:

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Use this form to give the court your responses to EA-100. Case Number: · Read Form EA-151-INFO to protect your rights. · Fill out this form and then take it to the court clerk. · You must have the person in 1 served with a copy The court will consider your Response at the of this form and any attached pages. hearing. Write your hearing date and time here:

Personal Conduct Orders

a. b. c.

I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify):

Hearing Date

Date: Dept.:

Time: Room:

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Stay-Away Orders
a. b. c. I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify):

You must obey the court's orders until the hearing. If you do not come to this hearing, the court may make the orders requested against you last for up to 3 years.

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Move-Out Order I agree to the order requested. a.
b. c. I do not agree to the order requested. I agree to the following order (specify):

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Turn In Guns or Other Firearms I do not own or have any guns or firearms. a.
b. c. d. I agree to the order requested. I do not agree to the order requested. I agree to the following order (specify):

Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2007, Mandatory Form Welfare & Institutions Code, § 15657.03

Response to Request for Orders to Stop Elder or Dependent Adult Abuse
(Elder or Dependent Adult Abuse Prevention)

EA-110, Page 1 of 2
American LegalNet, Inc. www.FormsWorkflow.com

Case Number:

Your name: 7

Other Orders
a. b. c. I agree to the orders requested. I do not agree to the orders requested. I agree to the following orders (specify):

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The court should not make orders against me because (Give facts or reasons below):

Check here if you need more space. Attach a sheet of paper and write "EA-110, Item 8 Give specific facts and reasons.

Facts and Reasons."

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Lawyer's Fees and Costs
I ask the court to order payment of my: Lawyer's fees a. b. Court costs because the temporary restraining order was issued without enough supporting facts. The amounts requested are: Item Item Amount

Amount

$ $ $
Check here if you need more space. Attach a sheet of paper and write "EA-110, Item 9 at the top. Give specific items and amounts.

$ $ $
Lawyer's Fees and Costs"

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Other Relief
I ask for additional relief as may be proper. Number of pages attached to this form, if any: Date: Lawyer's name Lawyer's signature

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 your name
Revised January 1, 2007

Sign your name

Response to Request for Orders to Stop Elder or Dependent Adult Abuse
(Elder or Dependent Adult Abuse Prevention)

EA-110, Page 2 of 2