
CR-160, Protective Order in Criminal Proceeding (CLETS) (California)
This form is a protective order in a criminal proceeding in California. The form provided here is simply a sample of what the actual Form CR-160 looks like.
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FOR COURT USE ONLY
NAME OF COURT AND DISTRICT, BRANCH, OR DIVISION, IF ANY:
___________________________
___________________________
___________________________
PEOPLE OF THE STATE OF CALIFORNIA
vs.
DEFENDANT: ___________________________
PROTECTIVE ORDER IN CRIMINAL PROCEEDING (CLETS)
(Penal Code, §§ 136.2 and 1203.097(a)(2))
____ ORDER PENDING TRIAL
____ ORDER POST-TRIAL
____ PROBATION CONDITION
____ MODIFICATION
____ DOMESTIC VIOLENCE CASE (Pen. Code, § 13700)
CASE NUMBER: ___________________________
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THIS ORDER TAKES PRECEDENCE OVER ANY CONFLICTING COURT ORDER
PERSON TO BE RESTRAINED (Complete name): ______________________
Sex: ____ M ____ F
Ht.: ___________________________
Wt.: ___________________________
Hair Color: ___________________________
Eye Color: ___________________________
Race: ___________________________
Age: ___________________________
Date of Birth: ___________________________
____ the defendant is a peace officer with ___________________________ Department.
1. This proceeding was heard
on (date): ___________________________
at (time): ___________________________
in Dept.: ___________________________
Room: ___________________________
by judicial officer (name): ___________________________
2. ____ Defendant was personally present at the court hearing, and no additional proof of service of the restraining order is required.
GOOD CAUSE APPEARING, THE COURT ORDERS
The above-named defendant
a. must not annoy, harass, strike, threaten, sexually assault, batter, stalk, destroy personal property of, or otherwise disturb the peace of the protected persons named below.
b. must surrender to local law enforcement or sell to a licensed gun dealer any firearm owned or subject to his or her immediate possession or control within
(1) ____ 24 hours after issuance of this order (if restrained person is present at hearing)
(2) ____ 48 hours after service of this order (if restrained person is not present at hearing)
(3) ____ other (specify): ___________________________
The restrained person shall file a receipt with the court showing compliance with this order within 72 hours of receiving this order.
c. must not attempt to or actually prevent or dissuade any victim or witness from attending a hearing or testifying or making a report to any law enforcement agency or person.
d. ____ must have no personal, telephonic, or written contact with the protected persons named below.
e. ____ must have no contact with the protected persons named below through a third party, except an attorney of record.
f. ____ must not come within ___________________ yards of the protected persons named below.
g. ____ may have peaceful contact with the protected persons named below only for the safe exchange of children for court-ordered visitation as stated in the attached Family, Juvenile, or Probate court order
in case no. ____________________,
issued on (date): ___________________________, as an exemption to the "no contact" or "stay-away" provision in paragraph (d), (e), or (f) of this order.
h. ____ may have peaceful contact with the protected persons named below only for the safe exchange of children for visitation as stated in a Family, Juvenile, or Probate court order issued after the date this order is signed, as an exemption to the "no contact" or "stay away" provisions in paragraph (d), (e), or (f) of this order.
4. ____ The protected person may record any prohibited communications made to him or her by the restrained person.
5. COMPLETE NAMES OF PROTECTED PERSONS:
___________________________
___________________________
6. Other orders including stay-away orders from specific locations:
___________________________
7. This order expires on (specify date): ___________________________
If no date is listed, this order expires three years from the date of issuance.
Date: ___________________________
JUDICIAL OFFICER Department/Division: ___________________________