court_form | California
CH-100 - Request For Civil Harassment Restraining Orders
Summary
Request For Civil Harassment Restraining Orders
Text
Form ID: CH-100
Title: Request For Civil Harassment Restraining Orders
Effective Date: 2026-01-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-100
Primary Download URL: https://www.courts.ca.gov/documents/ch100.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/ch100c.pdf, https://www.courts.ca.gov/documents/ch100k.pdf, https://www.courts.ca.gov/documents/ch100s.pdf, https://www.courts.ca.gov/documents/ch100v.pdf
Form Detail Page:
Request For Civil Harassment Restraining Orders
(CH-100)
Ask a judicial officer for a restraining order and tell them why you need one.
Get form CH-100
汉语
Get form CH-100 in Chinese Simplified
(Chinese Simplified)
한국어
Get form CH-100 in Korean
(Korean)
español
Get form CH-100 in Spanish
(Spanish)
Tiếng Việt
Get form CH-100 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
Go to
How-to instructions for Civil Harassment
Go to
Civil Harassment Form Packets
PDF Text:
Judicial Council of California, courts.ca.gov
Rev. January 1, 2026, Mandatory Form
Code Civ. Proc., §§ 527.6, 527.9
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
CH-100 Request for Civil Harassment
Restraining Orders
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
Read Can a Civil Harassment Restraining Order Help Me? (form
) before completing this form. Also fill out Confidential CLETS
Information (form ) with as much information as you know.
1 Person Seeking Protection
a. Your Full Name:
Age:
Your Lawyer (if you have one for this case)
Name: State Bar No.:
Firm Name:
b. Your Address (If you have a lawyer, give your lawyer’s
information. If you do not have a lawyer and want to keep your
home address private, you may give a different mailing address
instead. You do not have to give telephone, fax, or email.)
Address:
City: State: Zip:
Telephone: Fax:
Email Address:
2 Person From Whom Protection Is Sought
Full Name: Age:
Address (if known):
City: State: Zip:
3 Additional Protected Persons
Check here if there are more persons. Attach a sheet of paper and write “Attachment 3a—Additional Protected
Persons” for a title. You may use form , Attachment.
a. Are you asking for protection for any other family or household members? Yes No If yes, list them:
Full Name Gender Age Lives with you? How are they related to you?
Yes No
Yes No
Yes No
Yes No
Why do these people need protection? (Explain below):
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 3b—Why Others Need Protection” for a title.
b.
This is not a Court Order.
CH-100, Page 1 of 7
Rev. January 1, 2026
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
4
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 4—Relationship of Parties” for a title.
How do you know the person in 2 ? (Explain below):
Relationship of Parties
5 Venue
Why are you filing in this county? (Check all that apply):
The person in 2 resides in this county.a.
b. I was harassed by the person in 2 in this county.
c. I reside or am temporarily located in this county.
d. Other (specify):
6 Other Court Cases
a. Have you or any of the persons named in 3 been involved in another court case with the person in 2 ?
(1) Civil Harassment
(2) Domestic Violence
(3) Divorce, Nullity, Legal Separation
(4) Paternity, Parentage, Child Custody
(5) Elder or Dependent Adult Abuse
(6) Eviction
(7) Guardianship
(8) Workplace Violence
(9) Small Claims
(10) Criminal
(11) Other (specify):
Kind of Case Filed in (County/State) Year Filed Case Number (if known)
(If yes, check each kind of case and indicate where and when each was filed.)Yes No
b. Are there now any protective or restraining orders in effect relating to you or any of the persons in 3 and the
person in 2 ? Yes (If yes, attach a copy if you have one.)No
7 Description of Harassment
Harassment means violence or threats of violence against you, or a course of conduct that seriously alarmed,
annoyed, or harassed you and caused you substantial emotional distress. A course of conduct is more than one act.
a. Tell the court about the last time the person in harassed you.
(1) When did it happen? (Provide date or estimated date):
(2) Who else was there?
2
This is not a Court Order.
CH-100, Page 2 of 7
Rev. January 1, 2026
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
7 a. (3) How did the person in harass you? (Explain below):
Check here if there is not enough space for your answer. Put your complete answer on the attached
sheet of paper or form MC-025 and write “Attachment 7a(3)—Describe Harassment” for a title.
2
(4) Did the person in 2 use or threaten to use a gun or any other weapon?
(If yes, explain below):NoYes
Check here if there is not enough space for your answer. Put your complete answer on the attached
sheet of paper or form MC-025 and write “Attachment 7a(4)—Use of Weapons” for a title.
(5) Were you harmed or injured because of the harassment?
(If yes, explain below):Yes No
Check here if there is not enough space for your answer. Put your complete answer on the attached
sheet of paper or form MC-025 and write “Attachment 7a(5)—Harm or Injury” for a title.
(6) Did the police come? Yes No
If yes, did they give you or the person in 2 an Emergency Protective Order? Yes No
If yes, the order protects (check all that apply):
Me The person in 2 The persons in 3 .
(Attach a copy of the order if you have one.)
b. Has the person in 2 harassed you at other times?
Yes No (If yes, describe prior incidents and provide dates of harassment below):
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 7b—Previous Harassment” for a title.
This is not a Court Order.
CH-100, Page 3 of 7
Rev. January 1, 2026
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
Check the orders you want. þ
8 Personal Conduct Orders
I ask the court to order the person in 2 not to do any of the following things to me or to any person to be
protected listed in 3 :
a. Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse, destroy
personal property of, or disturb the peace of the person.
b. Contact the person, either directly or indirectly, in any way, including, but not limited to, in person, by
telephone, in writing, by public or private mail, by interoffice mail, by email, by text message, by fax, or by
other electronic means.
c. Other (specify):
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 8c—Other Personal Conduct Orders” for a title.
The person in 2 will be ordered not to take any action to get the addresses or locations of any protected
person unless the court finds good cause not to make the order.
9 Stay-Away Orders
a. I ask the court to order the person in 2 to stay at least yards away from (check all that apply):
(1) Me.
(2) The other persons listed in 3 .
(3) My home.
(4) My job or workplace.
(5) My school.
(6) My children’s school.
(7) My children’s place of child care.
(8) My vehicle.
(9) Other (specify):
b. If the court orders the person in 2 to stay away from all the places listed above, will they still be able to get to
their home, school, or job? Yes No (If no, explain below):
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 9b—Stay-Away Orders” for a title.
10 Firearms (Guns), Firearm Parts, and Ammunition
Does the person in 2 have firearms (guns), firearm parts, or ammunition? (This includes firearm receivers and
frames, and any item that may be used as or easily turned into a receiver or frame (see Penal Code section 16531).)
a. I don’t know
b. No
c. Yes (If you have information, complete the section below.)
CH-100, Page 4 of 7
This is not a Court Order.
Rev. January 1, 2026
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
10 Describe Firearms (Guns), Firearm Parts, or Ammunition Number or Amount Location, if known
(1)
(2)
(3)
(4)
(5)
(6)
If the judge grants a protective order, the person in 2 will be prohibited from owning, possessing, purchasing,
receiving, or attempting to purchase or receive firearms (guns), firearm parts, and ammunition while the protective
order is in effect. The person in 2 will also be ordered to turn in to law enforcement, or sell to or store with a
licensed gun dealer, any firearms (guns), firearm parts, and ammunition within their immediate possession or
control. If an order is granted, the person in 2 will also be prohibited from owning, possessing, or buying body
armor and would have to relinquish any they have.
11 Temporary Restraining Order
I request that a Temporary Restraining Order (TRO) be issued against the person in 2 to last until the hearing. I
am presenting form CH-110, Temporary Restraining Order, for the court’s signature together with this Request.
Has the person in 2 been told that you were going to go to court to seek a TRO against them?
Yes No (If you answered no, explain why below):
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 11—Temporary Restraining Order” for a title.
12 Request to Give Less Than Five Days' Notice of Hearing
You must have your papers personally served on the person in 2 at least five days before the hearing, unless the
court orders a shorter time for service. (Form CH-200-INFO explains What Is “Proof of Personal Service”? Form
CH-200, Proof of Personal Service, may be used to show the court that the papers have been served.)
If you want there to be fewer than five days between service and the hearing, explain why below:
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 12—Request to Give Less Than Five Days’ Notice” for a title.
This is not a Court Order.
CH-100, Page 5 of 7
Rev. January 1, 2026
Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
13 No Fee for Filing or Service
a. There should be no filing fee because the person in 2 has used or threatened to use violence against me,
has stalked me, or has acted or spoken in some other way that makes me reasonably fear violence.
b. The sheriff or marshal should serve (notify) the person in 2 about the orders for free because my request
for orders is based on unlawful violence, a credible threat of violence, or stalking.
c. There should be no filing fee and the sheriff or marshal should serve the person in 2 for free because I am
entitled to a fee waiver. (You must complete and file form FW-001, Application for Waiver of Court Fees
and Costs.)
14 Lawyer's Fees and Costs
lawyer’s fees court costs.
Item Amount Item Amount
$ $
$ $
$ $
Check here if there are more items. Put the items and amounts on the attached sheet of paper or form MC-025
and write “Attachment 14—Lawyer’s Fees and Costs” for a title.
I ask the court to order payment of my
The amounts requested are:
15 Possession and Protection of Animals
I ask the court to order the following:
a.
I request sole possession of the animals because (specify good cause for granting order):
(Identify animals by, e.g., type, breed, name, color, sex.)
That I be given the sole possession, care, and control of the animals listed below, which I own, possess,
lease, keep, or hold, or which reside in my household.
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 15a—Possession of Animals” for a title.
b. That the person in must stay at least yards away from, and not take, sell, transfer, encumber,
conceal, molest, attack, strike, threaten, harm, or otherwise dispose of, the animals listed above.
2
This is not a Court Order.
CH-100, Page 6 of 7
For your protection and privacy, please press the Clear
button after you have printed the form.
Rev. January 1, 2026 Request for Civil Harassment Restraining Orders
(Civil Harassment Prevention)
Case Number:
16
I ask the court to make the following additional orders (specify):
Additional Orders Requested
Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of
paper or form MC-025 and write “Attachment 16—Additional Orders Requested” for a title.
17 Number of pages attached to this form, if any:
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
This is not a Court Order.
CH-100, Page 7 of 7
Retrieval chunks
-
#1
Form ID: CH-100 Title: Request For Civil Harassment Restraining Orders Effective Date: 2026-01-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-100 Primary Download URL: https://www.courts.ca.gov/documents/ch100.pdf Alternate Download URLs: htt…
-
#2
a. Are you asking for protection for any other family or household members? Yes No If yes, list them: Full Name Gender Age Lives with you? How are they related to you? Yes No Yes No Yes No Yes No Why do these people need protection? (Explain below): Check here if there is not enough space for your answer. Put …
-
#3
7 a. (3) How did the person in harass you? (Explain below): Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of paper or form MC-025 and write “Attachment 7a(3)—Describe Harassment” for a title. 2 (4) Did the person in 2 use or threaten to use a gun…
-
#4
The person in 2 will be ordered not to take any action to get the addresses or locations of any protected person unless the court finds good cause not to make the order. 9 Stay-Away Orders a. I ask the court to order the person in 2 to stay at least yards away from (check all that apply): (1)…
-
#5
Has the person in 2 been told that you were going to go to court to seek a TRO against them? Yes No (If you answered no, explain why below): Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of paper or form MC-025 and write “Attachment 11—Temporary Restrain…
-
#6
That I be given the sole possession, care, and control of the animals listed below, which I own, possess, lease, keep, or hold, or which reside in my household. Check here if there is not enough space for your answer. Put your complete answer on the attached sheet of paper or form MC-025 and write “Attachment 15a—P…