DV-101 - Description of Abuse

Summary

Description of Abuse

Text

Form ID: DV-101
Title: Description of Abuse
Effective Date: 2017-01-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-101
Primary Download URL: https://www.courts.ca.gov/documents/dv101.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv101c.pdf, https://www.courts.ca.gov/documents/dv101k.pdf, https://www.courts.ca.gov/documents/dv101s.pdf, https://www.courts.ca.gov/documents/dv101t.pdf, https://www.courts.ca.gov/documents/dv101v.pdf
Form Detail Page:
Description of Abuse
(DV-101)
Gives you more space to tell the judge about the abuse and why you need a restraining order.
Get form DV-101
汉语
Get form DV-101 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-101 in Korean
(Korean)
español
Get form DV-101 in Spanish
(Spanish)
Tagalog
Get form DV-101 in Tagalog
(Tagalog)
Tiếng Việt
Get form DV-101 in Vietnamese
(Vietnamese)
Effective: January 1, 2017
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
DV-101, Page 1 of 2Judicial Council of California, www.courts.ca.gov 
Rev. January 1, 2017, Optional Form 
Family Code, § 6200 et seq.
3
1
2
Describe abuse to you or your children.
 Name of person asking for protection:
Name of person you want protection from:
Case Number:
DV-101 Description of Abuse
a. Date of abuse:
d.
This form is attached to DV-100, Request for Domestic Violence Restraining Order .
b. Who was there?
2Describe how the person in       abused you or your children:
Description of Abuse 
(Domestic Violence Prevention)
Describe any use or threatened use of guns or other weapons:
e.
Did the police or other law enforcement come?
If yes, did they give you or the person in       an Emergency Protective Order?
2The Emergency Protective Order protects
Attach a copy of the Emergency Protective Order if you have one.
f. YesNo
Yes No I don’t know2
You The person in 
Describe any injuries:

Case Number:
4
5
Describe abuse to you or your children.
a. Date of abuse:
d.
b.
c.
e.
Did the police or other law enforcement come?
If yes, did they give you or the person in       an Emergency Protective Order?
2The Emergency Protective Order protects
Attach a copy of the Emergency Protective Order if you have one.
f. YesNo
Yes No I don’t know2
You The person in 
Has the person in       abused you (or your children) other times?2
Describe abuse to you or your children.
Check here if you need more space. Attach a sheet of paper and write “DV-101—Description of Abuse” for a  
title.
DV-101, Page 2 of 2Rev. January 1, 2017 Description of Abuse 
(Domestic Violence Prevention)
Who was there?
2Describe how the person in       abused you or your children:
Describe any use or threatened use of guns or other weapons:
Describe any injuries:

Retrieval chunks

• #1

  Form ID: DV-101 Title: Description of Abuse Effective Date: 2017-01-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-101 Primary Download URL: https://www.courts.ca.gov/documents/dv101.pdf Alternate Download URLs: https://www.courts.ca.…

• #2

  Describe abuse to you or your children. Check here if you need more space. Attach a sheet of paper and write “DV-101—Description of Abuse” for a title. DV-101, Page 2 of 2Rev. January 1, 2017 Description of Abuse (Domestic Violence Prevention) Who was there? 2Describe how the person in abused you or your c…