Form EA-120 Response to Request for Elder or Dependent Adult Abuse Restraining Orders - California

Form EA-120 or the "Response To Request For Elder Or Dependent Adult Abuse Restraining Orders" is a form issued by the California Courts.

Download a PDF version of the Form EA-120 down below or find it on the California Courts Forms website.

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Response to Request for Elder or
Clerk stamps date here when form is filed.
EA-120
Dependent Adult Abuse
Restraining Orders
Use this form to respond to the Request (form EA-100)
Read How Can I Respond to a Request for Elder or Dependent Adult Abuse
Restraining Orders? (form EA-120-INFO) to protect your rights.
Fill out this form and take it to the court clerk.
Have someone age 18 or older—not you—serve the person requesting
protection in
1
by mail with a copy of this form and any attached pages.
(Use form EA-250, Proof of Service of Response by Mail.)
Elder or Dependent Adult Seeking Protection
Fill in court name and street address:
1
Superior Court of California, County of
Name:
Name of person asking for the protection, if different
(This is the
3
person named in item
of the request (form EA-100).)
Person From Whom Protection Is Sought
2
Court fills in case number when form is filed.
a. Your Name:
Case Number:
Your Lawyer (if you have one for this case)
Name:
State Bar No.:
Firm Name:
.
Your Address (If you have a lawyer, give your lawyer’s
b
Present your response and any opposition at the
information. If you do not have a lawyer and want to keep
hearing. Write your hearing date, time, and place
your home address private, you may give a different mailing
from form EA-109 item
here:
3
address instead. You do not have to give telephone, fax, or
Date:
Time:
Hearing
e-mail.)
Date
Dept.:
Room:
Address:
Zip:
State:
City:
If you were served with a Temporary
Restraining Order, you must obey it until the
Telephone:
Fax:
hearing. At the hearing, the court may make
E-Mail Address:
orders against you that last for up to five years.
3
Personal Conduct Orders
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Stay-Away Orders
4
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Response to Request for Elder
EA-120,
Page 1 of 4
Judicial Council of California, www.courts.ca.gov
Revised January 1, 2018, Mandatory Form
or Dependent Adult Abuse Restraining Orders
Welfare & Institutions Code, § 15657.03
(Elder or Dependent Adult Abuse Prevention)
Response to Request for Elder or
Clerk stamps date here when form is filed.
EA-120
Dependent Adult Abuse
Restraining Orders
Use this form to respond to the Request (form EA-100)
Read How Can I Respond to a Request for Elder or Dependent Adult Abuse
Restraining Orders? (form EA-120-INFO) to protect your rights.
Fill out this form and take it to the court clerk.
Have someone age 18 or older—not you—serve the person requesting
protection in
1
by mail with a copy of this form and any attached pages.
(Use form EA-250, Proof of Service of Response by Mail.)
Elder or Dependent Adult Seeking Protection
Fill in court name and street address:
1
Superior Court of California, County of
Name:
Name of person asking for the protection, if different
(This is the
3
person named in item
of the request (form EA-100).)
Person From Whom Protection Is Sought
2
Court fills in case number when form is filed.
a. Your Name:
Case Number:
Your Lawyer (if you have one for this case)
Name:
State Bar No.:
Firm Name:
.
Your Address (If you have a lawyer, give your lawyer’s
b
Present your response and any opposition at the
information. If you do not have a lawyer and want to keep
hearing. Write your hearing date, time, and place
your home address private, you may give a different mailing
from form EA-109 item
here:
3
address instead. You do not have to give telephone, fax, or
Date:
Time:
Hearing
e-mail.)
Date
Dept.:
Room:
Address:
Zip:
State:
City:
If you were served with a Temporary
Restraining Order, you must obey it until the
Telephone:
Fax:
hearing. At the hearing, the court may make
E-Mail Address:
orders against you that last for up to five years.
3
Personal Conduct Orders
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Stay-Away Orders
4
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Response to Request for Elder
EA-120,
Page 1 of 4
Judicial Council of California, www.courts.ca.gov
Revised January 1, 2018, Mandatory Form
or Dependent Adult Abuse Restraining Orders
Welfare & Institutions Code, § 15657.03
(Elder or Dependent Adult Abuse Prevention)
Case Number:
Move-Out Orders
5
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
12
on page 4.)
c.
I agree to the following orders (specify below or in item
on page 4):
12
Additional Protected Persons
6
a.
6
I agree that the persons listed in item
of form EA-100 may be protected by the order requested.
b.
I do not agree that the persons listed in item
of form EA-100 may be protected by the order requested.
6
Guns or Other Firearms and Ammunition
7
If you were served with form EA-110, Temporary Restraining Order, you cannot own or possess any guns,
other firearms, or ammunition. (See item
of form EA-110.) You must sell to or store with a licensed gun
8
dealer, or turn in to a law enforcement agency, any guns or other firearms in your immediate possession or
control within 24 hours of being served with form EA-110. You must file a receipt with the court. You may
use form EA-800, Proof of Firearms Turned In, Sold, or Stored for the receipt.
a.
I do not own or control any guns or firearms.
b.
I ask for an exemption from the firearms prohibition under Code of Civil Procedure section 527.9(f) because
carrying a firearm is a condition of my employment, and my employer is unable to reassign me to another
position where a firearm is unnecessary. (Explain):
Check here if there is not enough space below for your answer. Put your complete answer on an attached
sheet of paper and write “Attachment 7b—Firearms Surrender Exemption” as a title. You may use form
MC-025, Attachment.
c.
I have turned in my guns and firearms to the police or sold them to or stored them with a licensed gun dealer.
A copy of the receipt
is attached.
has already been filed with the court.
Possession and Protection of Animals
8
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Revised January 1, 2018
EA-120,
Response to Request for Elder
Page 2 of 4
or Dependent Adult Abuse Restraining Orders
(Elder or Dependent Adult Abuse Prevention)
Case Number:
Other Orders
9
a.
I agree to the orders requested.
b.
I do not agree to the orders requested. (Specify why you disagree in item
on page 4.)
12
c.
I agree to the following orders (specify below or in item
on page 4):
12
Denial
10
I did not do anything described in item
of form EA-100. (Skip to
.)
10
12
Justification or Excuse
11
If I did some or all of the things that the person in
has accused me of, my actions were justified or excused for
1
1
the following reasons (explain):
Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet
of paper and write “Attachment 11
Justification or Excuse” as a title. You may use form MC-025, Attachment.
Revised January 1, 2018
Response to Request for Elder
EA-120,
Page 3 of 4
or Dependent Adult Abuse Restraining Orders
(Elder or Dependent Adult Abuse Prevention)
Case Number:
Reasons I Do Not Agree to the Orders Requested
12
Explain your answers to each order requested that you do not agree with.
Check here if there is not enough space below for your answer. Put your complete answer on an attached sheet
of paper and write “Attachment 12—Reasons I Disagree” as a title. You may use form MC-025, Attachment.
Lawyer's Fees and Costs
13
a.
I ask the court to order payment of my
lawyer’s fees
court costs.
The amounts requested are:
Amount
Item
Amount
Item
$
$
$
$
$
$
Check here if there are more items. Put the items and amounts on the attached sheet of paper and write
“Attachment 13—Lawyer’s Fees and Costs” for a title. You may use form MC-025, Attachment.
b.
I ask the court to deny the request of the person asking for protection named in
that I pay his or her
1
lawyer’s fees and costs.
Number of pages attached to this form, if any:
14
Date:
Lawyer’s name (if any)
Lawyer’s signature
I declare under penalty of perjury under the laws of the State of California that the information above and on
all attachments is true and correct.
Date:
Type or print your name
Sign your name
Revised January 1, 2018
Response to Request for Elder
EA-120,
Page 4 of 4
or Dependent Adult Abuse Restraining Orders
(Elder or Dependent Adult Abuse Prevention)
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Download Form EA-120 Response to Request for Elder or Dependent Adult Abuse Restraining Orders - California

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