Form CH-250 at a glance
What it is: CH-250 Proof of Service by Mail (CLETS) (Civil Harassment Prevention) is an Optional Form of the Judicial Council of California, under Code of Civil Procedure, § 527.6.
Who signs: The server must be 18 years of age or over and must not be listed in items 1, 2 or 3 of form CH-100, Request for Civil Harassment Restraining Orders.
A filled-in Form CH-250 example: a server mails a restraining order
How to fill out Form CH-250, box by box
Court, case number and names
Fill in the court name and street address under Superior Court of California, County of.
Fill in the Case Number.
In 1, enter the Name of Person Asking for Protection.
In 2, enter the Name of Person to Be Restrained.
Documents mailed
Mail a copy of all documents checked in 4 to the person in 5.
In 4, I (the server) am 18 years of age or over and live in or am employed in the county where the mailing took place.
Check a for CH-120, Response to Request for Civil Harassment Restraining Orders, and b for CH-130, Civil Harassment Restraining Order After Hearing, as they apply.
Check c for Other, as it applies, and specify.
Who got them, where and when
In 5, I placed copies of the documents in a sealed envelope and mailed them as described.
In a, enter the Name of person served.
In b, enter the address with City, State and Zip. In c, enter Mailed on (date).
In d, enter Mailed from (city) and (state).
Servers Information
In 6, Servers Information, enter Name, Address, City, State, Zip and Telephone.
If you are a registered process server, enter the County of registration and the Registration number.
Declaration and signature
In 7, I declare under penalty of perjury under the laws of the State of California that the information is true and correct. Enter the Date.
Type or print server's name. Server to sign here.
Sources
[1] Form CH-250 (Rev. September 1, 2022), Proof of Service by Mail (Civil Harassment Prevention), Judicial Council of California (the Official source link on this page).
