CH-200 - Proof of Personal Service

Summary

Proof of Personal Service

Text

Form ID: CH-200
Title: Proof of Personal Service
Effective Date: 2026-01-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-200
Primary Download URL: https://www.courts.ca.gov/documents/ch200.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/ch200c.pdf, https://www.courts.ca.gov/documents/ch200k.pdf, https://www.courts.ca.gov/documents/ch200s.pdf, https://www.courts.ca.gov/documents/ch200v.pdf
Form Detail Page:
Proof of Personal Service
(CH-200)
Use this form to prove to the court that the restrained person has been served in person.
Get form CH-200
汉语
Get form CH-200 in Chinese Simplified
(Chinese Simplified)
한국어
Get form CH-200 in Korean
(Korean)
español
Get form CH-200 in Spanish
(Spanish)
Tiếng Việt
Get form CH-200 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
Go to
How-to instructions for Civil Harassment
Go to
Civil Harassment Form Packets
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How-to instructions for Proof of Service
PDF Text:
Judicial Council of California, courts.ca.gov  
Rev. January 1, 2026, Optional Form  
Code Civ. Proc., §§ 527.6, 1011
Proof of Personal Service 
(Civil Harassment Prevention) 
For your protection and privacy, please press the Clear 
button after you have printed the form.
CH-200 Proof of Personal Service
Clerk stamps date here when form is filed.
Superior Court of California, County of
Case Number:
Fill in court name and street address:
Court fills in case number when form is filed.
1 Person Seeking Protection
Name:
2 Person From Whom Protection Is Sought
Name:
3 Notice to Server
The server must:
Be 18 years of age or older.
Not be listed in items 1 or 3 of 
form CH-100.
Give a copy of all documents checked in  4   to the person in  2  . 
(You cannot send them by mail.) Then complete and sign this 
form and give or mail it to the person in  1  .
PROOF OF PERSONAL SERVICE
4 I gave the person in  2   a copy of the forms checked below:
a. CH-109, Notice of Court Hearing 
b. CH-110, Temporary Restraining Order  
c. CH-100, Request for Civil Harassment Restraining Orders
d. CH-120, Response to Request for Civil Harassment Restraining Orders (blank form)
e. CH-120-INFO, How Can I Respond to a Request for Civil Harassment Restraining Orders?
f. CH-130, Civil Harassment Restraining Order After Hearing
g. CH-250, Proof of Service by Mail (blank form)
h. CH-800, Receipt for Firearms, Firearm Parts, and Ammunition (blank form)
i. Other (specify):
5 I personally gave copies of the documents checked above to the person in  2  :
a. On (date): b.  At (time): a.m. p.m.
c. At 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
CH-200, Page 1 of 1

Retrieval chunks

• #1

  Form ID: CH-200 Title: Proof of Personal Service Effective Date: 2026-01-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-200 Primary Download URL: https://www.courts.ca.gov/documents/ch200.pdf Alternate Download URLs: https://www.courts.ca.gov/…

• #2

  i. Other (specify): 5 I personally gave copies of the documents checked above to the person in 2 : a. On (date): b. At (time): a.m. p.m. c. At this address: City: State: Zip: 6 Server's Information Name: Address: City: State: Zip: Telephone: (If you are a registered process server): County of registratio…