CH-131 Proof of Service by Mail (California)
This form is proof of mailing a protective order in a criminal proceeding in California. The form provided here is simply a sample of what the actual Form CH-131 looks like.
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Clerk stamps date here when form is filed. _________________________
Fill in court name and street address:
Superior Court of California, County of _________________________
_________________________
_________________________
Case Number: _________________________
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CH-131 Proof of Service by Mail
1. Name of person asking for protection: _________________________
2. Your name: _________________________
3. Notice to Server
The server must:
• Be over 18 years of age.
• Be a resident or employed in the county where the mailing took place.
• Not be a party in the case.
• Mail a copy of all documents checked in 4 to the person in 1. Complete and sign this form, and give or mail it to the person in 2.
Proof of Service by Mail
4. I am over 18 years of age and am a resident or employed in the county where the mailing took place. I mailed the person in 1 a copy of the documents checked below:
a. ____ CH-110, Answer to Request for Orders to Stop Harassment (blank form)
b. ____ Other (specify): _________________________
5. I placed copies of the documents checked above in a sealed envelope and mailed them as described below:
a. Mailed from (City): _________________________
(State): _________________________
b. On (date): _________________________
c. To this Address: _________________________
City: _________________________
State: _________________________
Zip: _________________________
6. Server's Information
Name: _________________________
Address: _________________________
City: _________________________
State: _________________________
Zip: _________________________
Telephone: _________________________
(If you are a registered process server):
County of registration: _________________________
Registration number: _________________________
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 server's name _________________________
Server to sign here _________________________