Form Adopted for Mandatory Use
Judicial Council of California
CR-160 [Rev. July 1, 2007]
Approved by Department of Justice
Penal Code, §§ 136.2, 166, 1203.097(a)(2)
www.courtinfo.ca.gov
(Distribution: original to fi le; 1 copy to each protected person; 1 copy to defendant; 1 copy to prosecutor; 1 copy to law enforcement)
CR-160 C
̯՜˥ࢽɈͱכͨЄၤɾᇰޯؿؒ՜˥cᇼޜɀࠒȹૈஃցe
ՇຑԹɁͲΊi
ֲПiӘɤ Ӹঢ়i
ࠇi
ቡᔿϳi
ଡᔿϳi
ိપi
αᙍi
ˮ́ˀ౨i
йܰ
؝Ϊւeپi
̯࣐ᚹᖬڌࢠiˀ౨i
ࣂංi
پi
۩໔i
ᄗРࡗշΊi
̯՜˥ୄ˅ˀ౨ͶˮԮˀ౨i
Σ̰Ͷˮˀ౨c̯՜˥ϬೕЗɾˀɍα܃ୄ˅e
йጱϬˮؒᚹᖬcಲొԜຑԹ˥༠ɾ൬ȹүᖬעe
ՇړᙶɁͲΊi
ႏցΦΕ̳ଉͅcؒ՜˥ɐ߸й
ɺ๎ᒹdᙃᒹd̨Ꮎdۤ९dֲҞᎾdᅭ̨d།ᔙ˞ɐొʥɾՇړᙶɁc͛ɺฌᕝՇړᙶɁؿɁলଐֶΔଐֶवᕝԯΪྟd൬
Ϸဟ഼ֶڂ˅ԯϷ৽e
̦Ε̯՜˥༠܃ɩࣂʑΉΔਨؒዀ࿚͚ˮԯኟτֶઁԹؿኂֶੀኂˮਕܛ๑ײሻਆcԎΕઅԷ̯՜˥܃ɩࣂ
ʑΉ̯ؒొ͚ਨϷ՜˥ɾνኣe
ɺֶ྇ྡྷڂ˅ֶᗮ႓ՇࡻɁֶᖬɁיૃˮᚹᖬcАᖬֶΉͨЄਨؒዀ࿚ֶɁంйe
ڈτ̳ଉͅcЯڬɺઔՅͨЄϷ৽˞ՅͨЄՇړᙶɁֶܰԯࡼɁdޜᙶɁֶဟᙶɁؿΔэֶΔᒨe
ؒႏցτ̳ଉͅɺΕૈొˮຑ˥e
ɺၤ˞ɐొʥɾՇړᙶɁࠍઅᘩֶ༦ཋɥʿβཋֶڌԲઅᘩe
ɺ༦ɍʿၤ˞ɐొʥɾՇړᙶɁઅᘩcڈͅፒ܁e
ɺ൬Ƀ൝ᔴ˞ɐొʥɾՇړᙶɁ
ᆦ൝ᔴʑe
Аݯ̯՜˥ dֶݒɻຑ˅અᘩֶຑ˅અٶૈಁɾԝ̔ੱؗcඩࠉ࣓ኣֺڃɾࡼdڇʭαֶᘷؒ՜˥࣐
ԝ໔ᆦ
cೕЗˀ౨
ɻֺͶؿؒ՜˥ؿɥɤશஃցcˮכΪͲ͚ɥɤؿ͌ؿcၤ
˞ɐొʥɾՇړᙶɁ̡અᘩe
Аݯ̯՜˥ dֶݒɻຑ˅અᘩֶຑ˅અٶૈಁɾԝ̔ੱؗcඩࠉ࣓ኣΕ̯՜˥ᖋອɾ܃ೕЗؿࡼdڇʭαֶ
ᘷؒ՜˥ɻֺͶؿɥɤશஃցcˮכΪͲ͚ɥɤؿ͌ؿcၤ˞ɐొʥɾՇړᙶɁ̡અᘩe
ՇړᙶɁ˿ত፣ՇຑԹɁၤɾ൬ϷؿͨЄ༢ʦؒ՜˥ؿʑࢀe
˳ܢຑ˅અٶԮΔᒨ՜˥ؿԯˢ՜˥i
ˀ౨i
ᄗРࡗ
پɎᙔዀ࿚i
ࠒcͳࠒ
̯ᙝؒͅිᄘ
˱ήঢ়೩ؒcጊΊi
ഷэi
Δэi
ے̟ၤ൯Ⴎਂ໔i
ʗΊီi
˱Сါ̛ԓήɁ̵
േ
йi
࣐ԝ໔ᆦi
&/(76ፏɃّi
ͷԑേஊړᙶ˥zࡼᅘɈ
&/(76&32 ͷؒૈʥ D ૈ
ۿᄗ՜˥ͷؒૈ
࠳߯
ᄗ܃ᘷૈͧ՜˥ͷؒ ૈ
ሬ͂כͷؒૈֶࡼؒૈցຮɾࡼᅘɈ࣐ͧ
ͷԑേஊړᙶ˥zࡼᅘɈ
&/(76&32 ͷؒૈʥ D ૈ
CR-160 [Rev. July 1, 2007]
CR-160 C
ࠒcͳࠒ
ᘬйၤك
ڈ̯ݒτֺஃցcΣՇړᙶɁ࣓ኣͷؒૈܰࡼᅘɈؿՇࡻّc̯՜˥ࢽɈͱכͨЄϊکֶϊ܃
ၤɾᇰޯؿړᙶ˥dશ˥ֶؒೕЗؿͨЄԯˢ՜˥eಳϤcΣ τҡᗲࣟؿ၇܈ړᙶ˥ٲࣟ(32
ࠉԹၤړᙶ̯՜˥ؿᅚԑɁcֶ Σ̯՜˥ȹࠒֶඖؿʿ̨ࣟʛcڬ̯՜˥ࢽɈɺผͱeͷؒ
H ૈe
༢ʦ̯՜˥ੀՇԷͷԑേe༢ʦ̯ຑԹ˥˿ॶ˞ᇜ഼ؒຬcႦຬֶࠇຬ୮ၔe༢ʦ̯՜˥Ӷֶᔀਁɥɤ˿ॶ࿚
ιࠇຬcР୮ΕήဟတဟຑֶၔಁcֶɀّԎၔe࣓ኣຑ˅ྦྷਯɤܪᅘؒਝؒ D ૈ
α ஃցcܨ෮༢ʦ̯՜˥༎൙ήވֶໃᖾވ˿ॶᘩ̻ᐲԄؒ܁Ԏ˘ՇԷ୮ၔe
ᗐכኂؿكeՇړᙶ˥ຑԹّɺኟτdܛτdᑪൕֶ྇ᑪൕdઅՇֶ྇અՇdֶ˞ԯˢʿβᏵՅኂeϊ