Form CH-200 at a glance
What it is: CH-200 is the Proof of Personal Service (Civil Harassment Prevention), an Optional Form of the Judicial Council of California, which the server completes and signs.
Who signs: The server signs at Server to sign here.
The server, who must be 18 years of age or older and not be listed in items 1 or 3 of form CH-100, must complete and sign this form and give or mail it to the person in 1.
A filled-in Form CH-200 example: a registered process server serves two forms
How to fill out Form CH-200, box by box
Superior Court of California, County of and Case Number
Fill in court name and street address after Superior Court of California, County of.
The court fills in the case number when the form is filed.
Person Seeking Protection and Person From Whom Protection Is Sought
Enter the Name of the Person Seeking Protection in 1 and the Name of the Person From Whom Protection Is Sought in 2.
Notice to Server
The server must give a copy of all documents checked in 4 to the person in 2. (You cannot send them by mail.)
The server then gives or mails this form to the person in 1.
The forms checked below
In 4, check each form you gave the person in 2. CH-109, Notice of Court Hearing. CH-110, Temporary Restraining Order. CH-100, Request for Civil Harassment Restraining Orders. CH-120, Response to Request for Civil Harassment Restraining Orders (blank form). CH-120-INFO, How Can I Respond to a Request for Civil Harassment Restraining Orders? CH-130, Civil Harassment Restraining Order After Hearing. CH-250, Proof of Service by Mail (blank form). CH-800, Receipt for Firearms, Firearm Parts, and Ammunition (blank form). Other (specify).
I personally gave copies of the documents checked above
In 5, enter the date, the time with a.m. or p.m., and the address with City, State and Zip where you personally gave copies of the documents you checked to the person in 2.
Server's Information
Under Server's Information, enter Name, Address, City, State, Zip and Telephone.
If you are a registered process server, enter County of registration and Registration number.
I declare under penalty of perjury
The server declares under penalty of perjury under the laws of the State of California that the information is true and correct.
Enter the Date and type or print the server's name.
Before you go
Before you serve the forms, note which forms you have, including the name of the form and the form number. See form CH-200 for a list of forms.
Sources
[1] Form CH-200 (Rev. January 1, 2026), Judicial Council of California (the Official source link on this page).