DV-815 - Batterer Intervention Program Progress Report

Summary

Batterer Intervention Program Progress Report

Text

Form ID: DV-815
Title: Batterer Intervention Program Progress Report
Effective Date: 2016-07-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-815
Primary Download URL: https://www.courts.ca.gov/documents/dv815.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv815c.pdf, https://www.courts.ca.gov/documents/dv815k.pdf, https://www.courts.ca.gov/documents/dv815s.pdf, https://www.courts.ca.gov/documents/dv815v.pdf
Form Detail Page:
Batterer Intervention Program Progress Report
(DV-815)
Shows the court whether the restrained person has made progress in the 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-815
汉语
Get form DV-815 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-815 in Korean
(Korean)
español
Get form DV-815 in Spanish
(Spanish)
Tiếng Việt
Get form DV-815 in Vietnamese
(Vietnamese)
Effective: July 1, 2016
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Domestic Violence Form Packets
PDF Text:
DV-815 Batterer Intervention Program 
Progress Report
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 Name of Protected Person:
2 Name of Restrained Person:
Lawyer for Restrained Person (if you have one for this case):
Name: State Bar No.:
Address (Address of lawyer or address of restrained person. Do not 
provide an address that should be kept private.):
City: State: Zip:
Telephone: Fax:
Email Address:
Items   3    through   5    must be completed by the program
3 Batterer Intervention Program 
a. Name of Program:
Address:
City: State: Zip:
Telephone:
Report date: Intake date: Class start date:
b. This 52-week program is approved by the probation department under Penal Code section 1203.097.
TO PROGRAM STAFF: If you choose to provide another report that contains all the information in  4  , skip to  5 
and attach your report. Do not forget to provide your name, title, signature, and date at the end of this form.
4 Program Attendance and Progress
a. Number of sessions completed: Number of sessions missed:
Of the sessions missed, how many excused?
b. The person in  2   is participating and expected to finish by (date):
c. The person in  2   successfully completed the program on (date):
d. The person in  2   was terminated from the program on (date): , for the following
reason (explain):
5 Optional Report
The attached report includes all information required under California Family code section 6343.
NOTICE TO PROGRAM PROVIDER 
This form should NOT be used to disclose information (example: medical or health information) that is protected under 
state and federal laws without appropriate written authorization from the person in  2  .
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct to 
the best of my knowledge.
Date:
(Type or print name and title)
 (Signature of program staff)
Judicial Council of California,  www.courts.ca.gov  
New July 1, 2016, Optional Form  
Family Code, § 6343
Batterer Intervention Program Progress Report DV-815, Page 1 of 1

Retrieval chunks

• #1

  Form ID: DV-815 Title: Batterer Intervention Program Progress Report Effective Date: 2016-07-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-815 Primary Download URL: https://www.courts.ca.gov/documents/dv815.pdf Alternate Download URLs: https:…

• #2

  c. The person in 2 successfully completed the program on (date): d. The person in 2 was terminated from the program on (date): , for the following reason (explain): 5 Optional Report The attached report includes all information required under California Family code section 6343. NOTICE TO PROGRAM PROVIDER …