Dv 100 Form PDF Details

The DV-100 Form is used to apply for a family-based green card. This form is also known as the I-485 Application to Register Permanent Residence or Adjust Status. The DV-100 Form must be completed and filed by the principal applicant, who is the person seeking permanent residency in the United States. In order to complete this form, you will need to provide information about yourself and your family members. The process of obtaining a green card can be complicated, so it is important to understand all of the requirements before filing. If you have any questions about completing the DV-100 Form, please consult an immigration lawyer for assistance.

QuestionAnswer
Form NameDv 100 Form
Form Length12 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min
Other namesonline restraining order form california, ca domestic violence restraining order, restraining order request, california in restraining order

Form Preview Example

State Bar No.:

 

DV-100

Request for Domestic

 

Violence Restraining Order

 

 

 

 

 

You must also complete form CLETS-001, Confidential CLETS Information, and give it to the clerk when you file this Request.

1Name of Person Asking for Protection:

Age:

Your lawyer in this case (if you have one):

Name:

Firm Name:

Address (If you have a lawyer for this case, give your lawyer’s information. If you do not have a lawyer and want to keep your home address private, give a different mailing address instead. You do not have to give your telephone, fax, or e-mail.):

Address:

City:

 

 

State:

 

 

 

Zip:

 

Telephone:

 

 

 

 

Fax:

 

E-Mail Address:

 

 

 

 

 

 

 

 

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Court fills in case number when form is filed.

2Name of Person You Want Protection From:

Description of person you want protection from:

Case Number:

Sex:

 

M

 

F Height:

 

Weight:

Hair Color:

Eye Color:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race:

 

 

 

 

 

 

 

 

Age:

 

 

Date of Birth:

 

 

 

 

 

Address (if known):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

State:

Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Do you want an order to protect family or household members?

Yes

No

 

If yes, list them:

 

 

 

 

 

 

 

 

 

 

 

 

Full name

 

Sex

 

Age

Lives with you?

Relationship to you

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check here if you need more space. Attach a sheet of paper and write “DV-100, Protected People” for a title.

4

What is your relationship to the person in 2 ? (Check all that apply):

 

 

 

 

a.

We are now married or registered domestic partners.

 

 

 

 

 

 

 

 

If you do not have one of these relationships,

 

b.

We used to be married or registered domestic partners.

 

 

 

the court may not be able to consider your

 

c.

We live together.

 

 

 

 

 

 

 

 

 

 

 

request. Read form DV-500-INFO for help.

 

 

 

 

 

 

 

 

d. We used to live together.

e. We are related by blood, marriage, or adoption (specify relationship):

f. We are dating or used to date, or we are or used to be engaged to be married.

g. We are the parents together of a child or children under 18:

 

Child’s Name:

 

Date of Birth:

 

 

Child’s Name:

 

Date of Birth:

 

 

Child’s Name:

 

Date of Birth:

 

 

Check here if you need more space. Attach a sheet of paper and write “DV-100, Additional Children” for a

 

title.

 

 

 

h.

We have signed a Voluntary Declaration of Paternity for our child or children. (Attach a copy if you have

 

one).

 

 

 

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov Revised July 1, 2016, Mandatory Form Family Code, § 6200 et seq.

Request for Domestic Violence Restraining Order

DV-100, Page 1 of 6

(Domestic Violence Prevention)

Case Number:

5Other Restraining Orders and Court Cases

a.Are there any restraining/protective orders currently in place OR that have expired in the last six months (emergency protective orders, criminal, juvenile, family)?

No

Yes (date of order):

and (expiration date):

(Attach a copy if you have one).

b. Have you or any other person named in

3 been involved in another court case with the person in 2 ?

No

Yes If yes, check each kind of case and indicate where and when each was filed:

 

Kind of Case

County or Tribe Where Filed

Year Filed

Case Number (if known)

Divorce, Nullity, Legal Separation

Civil Harassment

Domestic Violence

Criminal

Juvenile, Dependency, Guardianship

Child Support

Parentage, Paternity

Other (specify):

Check here if you need more space. Attach a sheet of paper and write “DV-100, Other Court Cases” for a title.

Check the orders you want.

6 Personal Conduct Orders

I ask the court to order the person in 2 not to do the following things to me or anyone listed in 3 :

a. Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal property, disturb the peace, keep under surveillance, impersonate (on the Internet, electronically or otherwise), or block movements

b. Contact, either directly or indirectly, in any way, including but not limited to, by telephone, mail or e-mail or other electronic means

The person in 2 will be ordered not to take any action to get the addresses or locations of any protected person unless the court finds good cause not to make the order.

7

Stay-Away Order

a.

I ask the court to order the person in 2 to stay at least

 

 

yards away from (check all that apply):

 

Me

My school

 

 

 

 

 

My home

Each person listed in

3

 

 

 

 

My job or workplace

The child(ren)’s school or child care

 

 

 

My vehicle

Other (specify):

 

 

 

 

 

b.

If the person listed in 2

is ordered to stay away from all the places listed above, will he or she still be able to

 

get to his or her home, school, job, workplace, or vehicle?

 

Yes

No (If no, explain):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8 Move-Out Order

(If the person in 2 lives with you and you want that person to stay away from your home, you must ask for this move-out order.)

I ask the court to order the person in 2 to move out from and not return to (address):

I have the right to live at the above address because (explain):

This is not a Court Order.

Revised July 1, 2016

Request for Domestic Violence Restraining Order

DV-100, Page 2 of 6

(Domestic Violence Prevention)

Case Number:

9Guns or Other Firearms or Ammunition

I believe the person in 2 owns or possesses guns, firearms, or ammunition.

Yes

No

I don’t know

If the judge approves the order, the person in 2 will be ordered not to own, possess, purchase, or receive a firearm or ammunition. The person will be ordered to sell to, or store with, a licensed gun dealer, or turn in to law enforcement, any guns or firearms that he or she owns or possesses.

10 Record Unlawful Communications

I ask for the right to record communications made to me by the person in 2 that violate the judge’s orders.

11

12

13

14

Care of Animals

I ask for the sole possession, care, and control of the animals listed below. I ask the court to order the person in

2 to stay at least yards away from and not take, sell, transfer, encumber, conceal, molest, attack, strike, threaten, harm, or otherwise dispose of the following animals:

I ask for the animals to be with me because:

Child Custody and Visitation

a. I do not have a child custody or visitation order and I want one.

b. I have a child custody or visitation order and I want it changed.

If you ask for orders, you must fill out and attach form DV-105, Request for Child Custody and Visitation Orders. You and the other parent may tell the court that you want to be legal parents of the children (use form DV-180, Agreement and Judgment of Parentage).

Child Support (Check all that apply):

a. I do not have a child support order and I want one.

b. I have a child support order and I want it changed.

c. I now receive or have applied for TANF, Welfare, CalWORKS, or Medi-Cal.

If you ask for child support orders, you must fill out and attach form FL-150, Income and Expense Declaration or form FL-155, Financial Statement (Simplified).

Property Control

I ask the court to give only me temporary use, possession, and control of the property listed here:

15 Debt Payment

16

17

I ask the court to order the person in 2 to make these payments while the order is in effect:

Check here if you need more space. Attach a sheet of paper and write “DV-100, Debt Payment” for a title.

Pay to:For:Amount: $ Due date:

Property Restraint

I am married to or have a registered domestic partnership with the person in 2 . I ask the judge to order that the person in 2 not borrow against, sell, hide, or get rid of or destroy any possessions or property, except in the usual course of business or for necessities of life. I also ask the judge to order the person in 2 to notify me of any new or big expenses and to explain them to the court.

Spousal Support

I am married to or have a registered domestic partnership with the person in 2 and no spousal support order exists. I ask the court to order the person in 2 to pay spousal support. (You must complete, file, and serve form FL-150, Income and Expense Declaration, before your hearing).

This is not a Court Order.

Revised July 1, 2016

Request for Domestic Violence Restraining Order

DV-100, Page 3 of 6

(Domestic Violence Prevention)

Case Number:

18

19

20

Rights to Mobile Device and Wireless Phone Account

a. Property control of mobile device and wireless phone account

I ask the court to give only me temporary use, possession, and control of the following mobile devices:

and the wireless phone account for the

following wireless phone numbers because the account currently belongs to the person in 2 :

(including area code):

 

my number

number of child in my care

(including area code):

 

my number

number of child in my care

(including area code):

 

 

my number

number of child in my care

Check here if you need more space. Attach a sheet of paper and write “DV-100, Rights to Mobile Device and Wireless Phone Account” for a title.

b. Debt Payment

I ask the court to order the person in 2 to make the payments for the wireless phone accounts listed in 18a because:

Name of the wireless service provider is:Amount: $ Due Date:

If you are requesting this order, you must complete, file, and serve form FL-150, Income and Expense Declaration, before your hearing.

c. Transfer of Wireless Phone Account

I ask the court to order the wireless service provider to transfer the billing responsibility and rights to the wireless phone numbers listed in 18a to me because the account currently belongs to the person in 2 .

If the judge makes this order, you will be financially responsible for these accounts, including monthly service fees and costs of any mobile devices connected to these phone numbers. You may be responsible for other fees. You must contact the wireless service provider to find out what fees you will be responsible for and whether you are eligible for an account.

Insurance

I ask the court to order the person in 2 NOT to cash, borrow against, cancel, transfer, dispose of, or change the beneficiaries of any insurance or coverage held for the benefit of me or the person in 2 , or our child(ren), for whom support may be ordered, or both.

Lawyer’s Fees and Costs

21

22

I ask that the person in 2 pay some or all of my lawyer’s fees and costs.

You must complete, file, and serve form FL-150, Income and Expense Declaration, before your hearing.

Payments for Costs and Services

I ask the court to order the person in 2 to pay the following:

You can ask for lost earnings or your costs for services caused directly by the person in 2 (damaged property, medical care, counseling, temporary housing, etc.). You must bring proof of these expenses to your hearing.

Pay to:

 

 

For:

 

Amount: $

 

Pay to:

 

 

For:

 

Amount: $

 

 

Batterer Intervention Program

 

 

 

 

 

 

I ask the court to order the person listed in 2

to go to a 52-week batterer intervention program and show proof

of completion to the court.

 

 

 

 

 

 

23 Other Orders

What other orders are you asking for?

Check here if you need more space. Attach a sheet of paper and write “DV-100, Other Orders” for a title.

This is not a Court Order.

Revised July 1, 2016

Request for Domestic Violence Restraining Order

DV-100, Page 4 of 6

(Domestic Violence Prevention)

Case Number:

24

25

26

Time for Service (Notice)

The papers must be personally served on the person in 2 at least five days before the hearing, unless the court orders a shorter time for service. If you want there to be fewer than five days between service and the hearing, explain why below. For help, read form DV-200-INFO, “What Is Proof of Personal Service”?

No Fee to Serve (Notify) Restrained Person

If you want the sheriff or marshal to serve (notify) the restrained person about the orders for free, ask the court clerk what you need to do.

Court Hearing

The court will schedule a hearing on your request. If the judge does not make the orders effective right away (“temporary restraining orders”), the judge may still make the orders after the hearing. If the judge does not make the orders effective right away, you can ask the court to cancel the hearing. Read form DV-112, Waiver of Hearing on Denied Request for Temporary Restraining Order, for more information.

27Describe Abuse

Describe how the person in 2 abused you. Abuse means to intentionally or recklessly cause or attempt to cause bodily injury to you; or to place you or another person in reasonable fear of imminent serious bodily injury; or to harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, keep you under surveillance, impersonate (on the Internet, electronically or otherwise), batter, telephone, or contact you; or to disturb your peace; or to destroy your personal property. (For a complete definition, see Fam. Code, §§ 6203, 6320.)

a.Date of most recent abuse:

1.Who was there?

2.Describe how the person in 2 abused you or your child(ren):

Check here if you need more space. Attach a sheet of paper and write “DV-100, Recent Abuse” for a title.

3. Did the person in 2 use or threaten to use a gun or any other weapon?

No

Yes (If yes, describe):

 

 

 

 

 

 

 

 

4. Describe any injuries:

5. Did the police come?

No

Yes

 

 

If yes, did they give you or the person in 2 an Emergency Protective Order? Yes

No

I don’t know

Attach a copy if you have one.

 

 

 

The order protects

you or

the person in 2

 

 

This is not a Court Order.

Revised July 1, 2016

Request for Domestic Violence Restraining Order

DV-100, Page 5 of 6

(Domestic Violence Prevention)

Case Number:

27Describe Abuse (continued)

Has the person in 2 abused you (or your child(ren)) other times?

b.Date of abuse:

1. Who was there?

2. Describe how the person in 2 abused you or your child(ren):

Check here if you need more space. Attach a sheet of paper and write “DV-100, Recent Abuse” for a title.

3.Did the person in 2 use or threaten to use a gun or any other weapon? No Yes (If yes, describe):

4.Describe any injuries:

5. Did the police come?

No

Yes

If yes, did they give you or the person in 2 an Emergency Protective Order?

Yes

No

I don’t know

Attach a copy if you have one.

The order protects

you or

the person in 2

If the person in 2 abused you other times, check here and use Form DV-101, Description of Abuse or describe any previous abuse on an attached sheet of paper and write “DV-100, Previous Abuse” for a title.

28Other Persons to Be Protected

The persons listed in item 3 need an order for protection because (describe):

29Number of pages attached to this form, if any:

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

 

Sign your name

Date:

 

 

 

 

 

 

 

 

 

 

 

Lawyer’s name, if you have one

 

Lawyer’s signature

 

 

 

 

 

 

 

This is not a Court Order.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised July 1, 2016

Request for Domestic Violence Restraining Order

DV-100, Page 6 of 6

(Domestic Violence Prevention)

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Completing segment 1 of california restraining order in

2. Now that this array of fields is completed, it's time to add the needed details in Person You Want Protection From, a Full name, b Age give estimate if you do not, c Date of birth if known, d Gender M, Nonbinary, e Race, Judicial Council of California Rev, wwwcourtscagov, Request for Domestic Violence, DV Page of, Domestic Violence Prevention, and This is not a Court Order so that you can proceed to the next stage.

california restraining order in writing process outlined (portion 2)

3. Completing Check all that apply, We have a child or children, We are married or registered, We used to be married or, We are dating or used to date, We are or used to be engaged to be, We are related The person in is my, Parent stepparent or parentinlaw, Brother sister sibling stepsibling, Grandchild stepgrandchild or, We live together or used to live, Have you lived together with the, Yes, and If no you do not qualify for this is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Filling out section 3 in california restraining order in

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4. To move forward, this part will require typing in a couple of fields. Examples include police give you a restraining, No Yes, If yes give information below and, date of order, date of order, date it expires, date it expires, b Are you involved in any other, No Yes If you know list where the, Custody, Divorce, Juvenile child welfare or juvenile, Guardianship Criminal, Other what kind of case, and Rev January, which are vital to going forward with this PDF.

How you can fill out california restraining order in step 4

5. To finish your form, the last area features a couple of extra blank fields. Typing in Most recent abuse, a Date of abuse give an estimate, b Did anyone else hear or see what, I dont know, Yes, If yes give names, c Did the person in use or, Yes, If yes describe gun or weapon, d Did the person in cause you any, Yes If yes describe harm, e Did the police come, I dont know, Yes If the police gave you a, and f Give more details about how the should finalize everything and you'll be done in a flash!

california restraining order in conclusion process shown (portion 5)

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