Name of person asking for protection (protected person):
Protected person’s address (skip this if you have a lawyer): (If you want
your address to be private, give a mailing address instead):
Protected person’s lawyer (if any): (Name, address, telephone number,
and State Bar number):
Restrained person’s name:
M F Height:
Description of that person: Sex:
Date of Birth:
List the full names of all family or household members protected by this order:
This is a Court Order.
DV-110, Page 1 of 5
Judicial Council of California, www.courtinfo.ca.gov
Revised July 1, 2007, Mandatory Form
Family Code, § 6200 et seq. Approved by DOJ
Temporary Restraining Order
and Notice of Hearing (CLETS—TRO)
(Domestic Violence Prevention)
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Fill in case number:
Order and Notice of Hearing
Clerk will fill out section below.
Name and address of court if different from above:
Court Hearing Date (Fecha de la Audiencia)
To the person in : At the hearing, the judge can make restraining orders that last for up to 5 years. The judge
can also make other orders about your children, child support, spousal support, money, and property. File an answer
on Form DV-120 before the hearing. At the hearing, you can tell the judge that you do not want the orders against
you. Even if you do not attend the hearing, you must obey the orders.
Temporary Orders (Ordenes Temporales)
Read this form carefully. All checked boxes and items 10 and 11 are court orders.
Todas las órdenes hechas en esta formulario terminarán en la fecha y hora de la audiencia en , al menos que
un juez las extienda. Lea este formulario con cuidado. Todas las casillas marcadas y los articulos 10 y 11 son
órdenes de la corte.
Any orders made i