DV-805 - Proof of Enrollment for Batterer Intervention Program

Summary

Proof of Enrollment for Batterer Intervention Program

Text

Form ID: DV-805
Title: Proof of Enrollment for Batterer Intervention Program
Effective Date: 2016-07-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-805
Primary Download URL: https://www.courts.ca.gov/documents/dv805.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv805c.pdf, https://www.courts.ca.gov/documents/dv805k.pdf, https://www.courts.ca.gov/documents/dv805s.pdf, https://www.courts.ca.gov/documents/dv805v.pdf
Form Detail Page:
Proof of Enrollment for Batterer Intervention Program
(DV-805)
Shows the court that the restrained person enrolled in a batterers intervention program. This form is only used if the restrained person was ordered by the judge to attend this type of program.
Get form DV-805
汉语
Get form DV-805 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-805 in Korean
(Korean)
español
Get form DV-805 in Spanish
(Spanish)
Tiếng Việt
Get form DV-805 in Vietnamese
(Vietnamese)
Effective: July 1, 2016
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
DV-805 Proof of Enrollment for 
Batterer Intervention Program
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:
1 Protected Person
Name:
2 Restrained Person
a. Your Name:
Your Lawyer (if you have one for this case):
Name: State Bar No.:
Firm Name:
b. 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 your telephone, fax, or e-mail.):
Address:
City: State: Zip:
Telephone: Fax:
Email Address:
3 To the Restrained Person:
If the court has ordered you to complete a 52-week batterer intervention program, you must complete and file this 
form to prove to the court that you have obeyed its orders. After the order is made, you must enroll in a program by 
the date ordered by the judge. If the judge did not order you to enroll by a certain date, then you must enroll no later 
than 30 days after the judge made the order.
I,
Type or print your name
, declare as follows:
a. I have enrolled in a batterer intervention program that is approved by the probation department under Penal Code 
section 1203.097.
Name of provider:
Address:
Telephone number:
b. I have signed all necessary forms with the program, allowing the program to release proof of enrollment, 
attendance records, and completion or termination reports to the court and the protected party, or his or her 
attorney.
c. My first class is/was on (date):
d. Other (list any other order made by the court that you have completed):
4 You must provide the protected party with the information listed in 3a. Have someone else mail a copy of this form 
to the protected person. The person who mails it must complete Form DV-250. File Form DV-250 with the 
clerk and keep a copy for yourself.
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
Sign your name
Judicial Council of California,  www.courts.ca.gov  
New July 1, 2016, Mandatory Form  
Family Code, § 6343
Proof of Enrollment for  
Batterer Intervention Program
DV-805, Page 1 of 1

Retrieval chunks

• #1

  Form ID: DV-805 Title: Proof of Enrollment for Batterer Intervention Program Effective Date: 2016-07-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-805 Primary Download URL: https://www.courts.ca.gov/documents/dv805.pdf Alternate Download URL…

• #2

  Telephone number: b. I have signed all necessary forms with the program, allowing the program to release proof of enrollment, attendance records, and completion or termination reports to the court and the protected party, or his or her attorney. c. My first class is/was on (date): d. Other (list any other order m…