Free EA-140 - California

EA-140
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Proof of Personal Service

Clerk stamps date here when form is filed.

Name of person asking for protection: Name of person you want protection from:

Notice to Server
The server must: · Be over 18 years of age. · Not be listed on the restraining order. · Give a copy of all documents checked in 4 to the person in 2 . (You cannot send them by mail.) Then complete and sign this form and give or mail it to the person in 1

Fill in court name and street address:

Superior Court of California, County of

Fill in case number:

PROOF OF PERSONAL SERVICE
4 I gave the person in a. b. c. d. e. f. g. 5
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Case Number:

a copy of the documents checked below:

Form EA-120, Notice of Hearing and Temporary Restraining Order Form EA-100, Request for Orders to Stop Elder or Dependent Adult Abuse Form EA-110, Response to Request for Orders to Stop Elder or Dependent Adult Abuse (blank form) Form EA-145, Proof of Firearms Turned In or Sold (blank form) Form EA-151-INFO, How Can I Respond to a Request for Orders to Stop Elder or Dependent Adult Abuse? Form EA-130, Order After Hearing Restraining Elder or Dependent Adult Abuse Other (specify): p.m. Zip:

I personally gave copies of the documents checked above to the person in 2 : b. At (time): a. On (date): a.m. c. At this Address: City: State:

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Server's Information
Name: Address: City: Telephone: (If you are a registered process server): Registration number: County of registration: 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 server's name Server signs here State: Zip:

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

Proof of Personal Service­CLETS
(Elder and Dependent Adult Abuse Prevention)

EA-140, Page 1 of 1
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