Form DV-815 "Batterer Intervention Program Progress Report" - California

What Is Form DV-815?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DV-815 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form DV-815 "Batterer Intervention Program Progress Report" - California

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Clerk stamps date here when form is filed.
Batterer Intervention Program
DV-815
Progress Report
Name of Protected Person:
1
Name of Restrained Person:
2
Lawyer for Restrained Person (if you have one for this case):
Name:
State Bar No.:
Address (Address of lawyer or address of restrained person. Do not
provide an address that should be kept private.):
Fill in court name and street address:
City:
State:
Zip:
Superior Court of California, County of
Telephone:
Fax:
E-mail Address:
Items
through
must be completed by the program
3
5
3
Batterer Intervention Program
a.
Name of Program:
Court fills in case number when form is filed.
Address:
Case Number:
City:
State:
Zip:
Telephone:
Report date:
Intake date:
Class start date:
b.
This 52-week program is approved by the probation department under Penal Code section 1203.097.
TO PROGRAM STAFF: If you choose to provide another report that contains all the information in
, skip to
4
5
and attach your report. Do not forget to provide your name, title, signature, and date at the end of this form.
Program Attendance and Progress
4
Number of sessions completed:
Number of sessions missed:
a.
Of the sessions missed, how many excused?
b.
(date):
The person in
2
is participating and expected to finish by
c.
(date):
The person in
2
successfully completed the program on
d.
The person in
was terminated from the program on
(date):
2
, for the following
reason (explain):
Optional Report
5
The attached report includes all information required under California Family code section 6343.
NOTICE TO PROGRAM PROVIDER
This form should NOT be used to disclose information (example: medical or health information) that is protected under
state and federal laws without appropriate written authorization from the person in
.
2
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct to
the best of my knowledge.
Date:
(Signature of program staff)
(Type or print name and title)
Judicial Council of California, www.courts.ca.gov
Batterer Intervention Program Progress Report
DV-815,
Page 1 of 1
New July 1, 2016, Optional Form
Family Code, § 6343
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form
Clerk stamps date here when form is filed.
Batterer Intervention Program
DV-815
Progress Report
Name of Protected Person:
1
Name of Restrained Person:
2
Lawyer for Restrained Person (if you have one for this case):
Name:
State Bar No.:
Address (Address of lawyer or address of restrained person. Do not
provide an address that should be kept private.):
Fill in court name and street address:
City:
State:
Zip:
Superior Court of California, County of
Telephone:
Fax:
E-mail Address:
Items
through
must be completed by the program
3
5
3
Batterer Intervention Program
a.
Name of Program:
Court fills in case number when form is filed.
Address:
Case Number:
City:
State:
Zip:
Telephone:
Report date:
Intake date:
Class start date:
b.
This 52-week program is approved by the probation department under Penal Code section 1203.097.
TO PROGRAM STAFF: If you choose to provide another report that contains all the information in
, skip to
4
5
and attach your report. Do not forget to provide your name, title, signature, and date at the end of this form.
Program Attendance and Progress
4
Number of sessions completed:
Number of sessions missed:
a.
Of the sessions missed, how many excused?
b.
(date):
The person in
2
is participating and expected to finish by
c.
(date):
The person in
2
successfully completed the program on
d.
The person in
was terminated from the program on
(date):
2
, for the following
reason (explain):
Optional Report
5
The attached report includes all information required under California Family code section 6343.
NOTICE TO PROGRAM PROVIDER
This form should NOT be used to disclose information (example: medical or health information) that is protected under
state and federal laws without appropriate written authorization from the person in
.
2
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct to
the best of my knowledge.
Date:
(Signature of program staff)
(Type or print name and title)
Judicial Council of California, www.courts.ca.gov
Batterer Intervention Program Progress Report
DV-815,
Page 1 of 1
New July 1, 2016, Optional Form
Family Code, § 6343
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form