The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

DV-101

Description of Abuse

Case Number:

This form is attached to DV-100, Request for Domestic Violence Restraining Order .

Describe how the person in abused you or your children:
2

Name of person asking for protection:

Name of person you want protection from:

Describe abuse to you or your children.

1 2

a. Date of abuse:

b. Who was there?

Describe any use or threatened use of guns or other weapons:

Describe any injuries:

Did the police or other law enforcement come?
If yes, did they give you or the person in an Emergency Protective Order?
2
The Emergency Protective Order protects
Attach a copy of the Emergency Protective Order if you have one.

The person in

You

Yes

I don’t know

Judicial Council of California, www.courts.ca.gov
Rev. January 1, 2017, Optional Form
Family Code, § 6200 et seq.

Description of Abuse
(Domestic Violence Prevention)

DV-101, Page 1 of 2

Case Number:

Describe abuse to you or your children.

Has the person in abused you (or your children) other times?
a. Date of abuse:

Who was there?

Describe how the person in abused you or your children:
2

Describe any use or threatened use of guns or other weapons:

Describe any injuries:

Did the police or other law enforcement come?
If yes, did they give you or the person in an Emergency Protective Order?
The Emergency Protective Order protects
Attach a copy of the Emergency Protective Order if you have one.

The person in

You

Yes

Describe abuse to you or your children.

Yes

I don’t know

Check here if you need more space. Attach a sheet of paper and write “DV-101—Description of Abuse” for a
title.

Rev. January 1, 2017

Description of Abuse
(Domestic Violence Prevention)

DV-101, Page 2 of 2

Description of Abuse

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 30
Average fields per page: 15
Reading Level: Grade 4
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

topmost_protected_full_name__1 was topmostSubform[0].Page1[0].ProtectedFullName_ft[0] (0.54 conf)
topmost_protected_full_name__2 was topmostSubform[0].Page1[0].ProtectedFullName_ft[1] (0.39 conf)
topmost_subform_page_stamp_court_case_number_ft was topmostSubform[0].Page1[0].Stamp_court_case[0].CaseNumber_ft[0] (0.39 conf)
topmost_page_restrained_city__1 was topmostSubform[0].Page1[0].RestrainedCity_ft[0] (0.40 conf)
topmost_subform_page_ft was topmostSubform[0].Page1[0].who_ft[0] (0.40 conf)
topmost_page_text_field__1 was topmostSubform[0].Page1[0].TextField2[0] (0.36 conf)
topmost_page_text_field__2 was topmostSubform[0].Page1[0].TextField2[1] (0.36 conf)
topmost_page_text_field__3 was topmostSubform[0].Page1[0].TextField2[2] (0.36 conf)
topmost_subform_page_option_cb__1 was topmostSubform[0].Page1[0].Option_cb[0] (0.41 conf)
topmost_subform_page_option_cb__2 was topmostSubform[0].Page1[0].Option_cb[1] (0.41 conf)
topmost_subform_page_option_cb__3 was topmostSubform[0].Page1[0].Option_cb[2] (0.41 conf)
topmost_subform_page_option_cb__4 was topmostSubform[0].Page1[0].Option_cb[3] (0.41 conf)
topmost_subform_page_option_cb__5 was topmostSubform[0].Page1[0].Option_cb[4] (0.41 conf)
topmost_subform_page_option_cb__6 was topmostSubform[0].Page1[0].Option_cb[5] (0.41 conf)
topmost_subform_page_option_cb__7 was topmostSubform[0].Page1[0].Option_cb[6] (0.41 conf)
topmost_page_case_number_ft was topmostSubform[0].Page2[0].CaseNumber_ft[0] (0.43 conf)
topmost_page_restrained_city__2 was topmostSubform[0].Page2[0].RestrainedCity_ft[0] (0.40 conf)
topmost_subform_page_option_cb__8 was topmostSubform[0].Page2[0].Option_cb[0] (0.41 conf)
topmost_subform_page_option_cb__9 was topmostSubform[0].Page2[0].Option_cb[1] (0.41 conf)
topmost_subform_page_option_cb__10 was topmostSubform[0].Page2[0].Option_cb[2] (0.41 conf)
topmost_subform_page_option_cb__11 was topmostSubform[0].Page2[0].Option_cb[3] (0.41 conf)
topmost_subform_page_option_cb__12 was topmostSubform[0].Page2[0].Option_cb[4] (0.41 conf)
topmost_subform_page_option_cb__13 was topmostSubform[0].Page2[0].Option_cb[5] (0.41 conf)
topmost_subform_page_option_cb__14 was topmostSubform[0].Page2[0].Option_cb[6] (0.41 conf)
topmost_page_text_field__4 was topmostSubform[0].Page2[0].TextField2[0] (0.36 conf)
topmost_subform_page_field_name_cb was topmostSubform[0].Page2[0].FieldName_cb[0] (0.38 conf)
topmost_subform_page_area_ft was topmostSubform[0].Page2[0].#area[5].who_ft[0] (0.40 conf)
topmost_page_text_field__5 was topmostSubform[0].Page2[0].TextField2[1] (0.36 conf)
topmost_page_text_field__6 was topmostSubform[0].Page2[0].TextField2[2] (0.36 conf)
topmost_page_text_field__7 was topmostSubform[0].Page2[0].TextField2[3] (0.36 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Description of Abuse

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02