DV-901 - Attachment to Order Transferring Wireless Phone Account

Summary

Attachment to Order Transferring Wireless Phone Account

Text

Form ID: DV-901
Title: Attachment to Order Transferring Wireless Phone Account
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-901
Primary Download URL: https://www.courts.ca.gov/documents/dv901.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv901c.pdf, https://www.courts.ca.gov/documents/dv901k.pdf, https://www.courts.ca.gov/documents/dv901s.pdf, https://www.courts.ca.gov/documents/dv901v.pdf
Form Detail Page:
Attachment to Order Transferring Wireless Phone Account
(DV-901)
Use this form if more space is needed to list additional phone numbers that have been ordered to be transferred to a new account.
Get form DV-901
汉语
Get form DV-901 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-901 in Korean
(Korean)
español
Get form DV-901 in Spanish
(Spanish)
Tiếng Việt
Get form DV-901 in Vietnamese
(Vietnamese)
Effective: July 1, 2016
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
DO NOT FILE THIS FORM WITH THE COURT. 
 DO NOT PLACE IN THE COURT FILE.
ATTENTION WIRELESS SERVICE PROVIDER 
  
Under the Domestic Violence Prevention Act, California Family Code section 6347, the information contained on this 
form is CONFIDENTIAL and must not be disclosed to the Restrained Person (listed in       ).
DV-901, Page 1 of 1Judicial Council of California, www.courts.ca.gov 
New July 1, 2016, Mandatory Form 
Family Code, § 6347
ATTACHMENT TO ORDER TRANSFERRING 
WIRELESS PHONE ACCOUNT 
The new account holder (your name):
ATTENTION PROTECTED PERSON: This form should not be filed with the court. Complete this form and send 
it to the wireless service provider (service provider), along with a copy of the order (Form DV-900).
Case Number:
Your name:
DV-901
Confidential Information
ATTACHMENT TO 
ORDER TRANSFERRING WIRELESS PHONE ACCOUNT (Form DV-900)
The best phone number to reach you at is (list a phone number that is not controlled by the restrained person): 
Another phone number to reach you at is (list a phone number that is not controlled by the restrained person):
E-mail address:
WHERE SHOULD I SEND FORM DV-900 AND THIS FORM (DV-901)? 
To find out where to send these forms, go to the California Secretary of State’s website at 
http://www.sos.ca.gov/registries/safe-home/domestic-violence-wireless-plans OR check at  
http://www.courts.ca.gov/selfhelp-domesticviolence.htm and search for your service provider. You will be able to send the 
forms by mail, e-mail, or fax, depending on the service provider. The account(s) CANNOT be transferred to you if you do 
not send these forms to the service provider.
3
To be completed by Protected Person:
Your contact information (This information will be used by the service provider only. The service provider will use 
this information to contact you to set up your account):
2
The service provider is (name of company):1
The current account holder (name of restrained person):2
c.  
a.  
d. 
b. 
Mailing address:

Retrieval chunks

• #1

  Form ID: DV-901 Title: Attachment to Order Transferring Wireless Phone Account 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-901 Primary Download URL: https://www.courts.ca.gov/documents/dv901.pdf Alternate Download U…

• #2

  http://www.courts.ca.gov/selfhelp-domesticviolence.htm and search for your service provider. You will be able to send the forms by mail, e-mail, or fax, depending on the service provider. The account(s) CANNOT be transferred to you if you do not send these forms to the service provider. 3 To be completed by Protec…