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:

ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER:

FOR COURT USE ONLY

MD-109

STATE:

FAX NO.:

ZIP CODE:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

COURT OR AGENCY:
STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

NOTICE OF HEARING 
on Petition to Determine if Dog is 

Potentially Dangerous

Vicious

CASE NUMBER:

has filed a Petition to Determine If Dog Is Potentially Dangerous or Vicious. Copies of the petition and supporting documents 
are attached to this notice.

Name and address of court or agency if different from above:

1.

NOTICE is given that petitioner (name):

(representative capacity, if any):

2.

A HEARING on the matter will be held as follows:

Hearing 
Date

g

Date:

Dept.:

Time:

Room:

3.

At the hearing, you may present evidence as to why the dog should not be declared potentially dangerous or vicious. Failure to 
appear at the hearing may result in an order terminating or restricting your possession of the dog.

DO NOT BRING THE DOG TO THE HEARING

Date:

, Deputy

Clerk, by

Agency

(TYPE OR PRINT NAME)

(SIGNATURE)

(TITLE)

(TELEPHONE NUMBER)

Form Approved for Optional Use 
Judicial Council of California 
MD-109 [Rev. September 1, 2018]

(Proof of Service on reverse)

NOTICE OF HEARING 
(Menacing Dog)

Page 1 of 2

Food & Agricultural Code,  § 31621

PETITIONER:

RESPONDENT:

CASE NUMBER:

MD-109

PROOF OF SERVICE
Petition to Determine If Dog Is Potentially Dangerous or Vicious

Personal Service

Certified Mail

Service of the notice on the other party may be made by one of the following ways:

(1) Personally delivering these papers to the other party.

OR

(2)

Mailing the papers by certified mail return receipt requested, postage prepaid, mailed to the last known address of the other 
party.

1.

2.

At the time of service I was at least 18 years of age and not a party to this legal proceeding.

I served copies of the following papers in the manner shown below:

a.

Papers served: Petition to Determine If Dog is Potentially Dangerous or Vicious with supporting documents and 
Notice of Hearing.

b.

Manner of service (check and complete either (1) or (2) below)

(1)

Personal service.  I personally delivered these papers to the owner or keeper of the dog as follows:
(a) Name:

(b)

Address where served:

(2)

Certified mail return receipt requested.  I deposited these papers in the United States mail, in a sealed envelope with 
postage fully prepaid. I used certified mail and requested a return receipt. The envelope was addressed and mailed to the 
owner or keeper of the dog as follows: 

(c)

(d)

Date served:

Time served:

(a) Name:

(b)

Address:

Date of mailing:
Place of mailing (city, state):

(c)

(d)

(e)

3.

My residence or business address is:

I am a resident of or employed in the county where the notice was mailed.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 

Date:

(TYPE OR PRINT NAME OF PERSON WHO SERVED THE NOTICE)

(SIGNATURE OF PERSON WHO SERVED THE NOTICE)

Telephone number of person who served the notice:

MD-109 [Rev. September 1, 2018]

Page 2 of 2

PROOF OF SERVICE 
(Notice of Hearing—Menacing Dog)

Notice of Hearing (Menacing Dog)

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): 52
Average fields per page: 26
Reading Level: Grade 6
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.

page_caption_sf_court_info_county was MD-109[0].Page1[0].p1Caption_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.51 conf)
page_caption_sf_court_info_branch was MD-109[0].Page1[0].p1Caption_sf[0].CourtInfo[0].Branch_ft[0] (0.31 conf)
page_p_caption_sf_court_info_city_zip_ft was MD-109[0].Page1[0].p1Caption_sf[0].CourtInfo[0].CityZip_ft[0] (0.31 conf)
page_caption_sf_court_info_street was MD-109[0].Page1[0].p1Caption_sf[0].CourtInfo[0].Street_ft[0] (0.33 conf)
page_caption_sf_court_info_add was MD-109[0].Page1[0].p1Caption_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.37 conf)
page_caption_sf_title_party_name__1 was MD-109[0].Page1[0].p1Caption_sf[0].TitlePartyName[0].Party1_ft[0] (0.31 conf)
page_caption_sf_title_party_name__2 was MD-109[0].Page1[0].p1Caption_sf[0].TitlePartyName[0].Party2_ft[0] (0.31 conf)
page_p_caption_sf_case_number was MD-109[0].Page1[0].p1Caption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.31 conf)
page_p_caption_sf_title_bad__1 was MD-109[0].Page1[0].p1Caption_sf[0].FormTitle[0].Bad_dog_cb[0] (0.38 conf)
page_p_caption_sf_title_bad__2 was MD-109[0].Page1[0].p1Caption_sf[0].FormTitle[0].Bad_dog_cb[1] (0.38 conf)
page_caption_sf_info_state_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyState_ft[0] (0.35 conf)
page_caption_sf_info_zip_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyZip_ft[0] (0.34 conf)
page_caption_sf_info_city_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyCity_ft[0] (0.30 conf)
page_p_caption_sf_atty_info_street_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.34 conf)
page_caption_sf_info_firm_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.38 conf)
page_caption_sf_info_name_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyName_ft[0] (0.33 conf)
page_p_caption_sf_atty_info_bar_dc was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyBarNo_dc[0] (0.33 conf)
page_caption_sf_info_phone_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].Phone_ft[0] (0.32 conf)
page_p_caption_sf_atty_info_fax_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].Fax_ft[0] (0.37 conf)
page_caption_sf_info_email_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].Email_ft[0] (0.41 conf)
page_p_caption_sf_info_ft was MD-109[0].Page1[0].p1Caption_sf[0].AttyInfo[0].AttyFor_ft[0] (0.33 conf)
page_party_ft was MD-109[0].Page1[0].Party1_ft[0] (0.33 conf)
page_party_rep was MD-109[0].Page1[0].PartyRep[0] (0.31 conf)
page_hearing_date_dt was MD-109[0].Page1[0].HearingDate_dt[0] (0.34 conf)
page_hearing_time_dt was MD-109[0].Page1[0].HearingTime_dt[0] (0.38 conf)
page_hearing_rm_ft was MD-109[0].Page1[0].HearingRm_ft[0] (0.33 conf)
page_hearing_dept_ft was MD-109[0].Page1[0].HearingDept_ft[0] (0.37 conf)
page_hearing_add_gp_court_ft was MD-109[0].Page1[0].HearingAdd_gp[0].HearingCourt_ft[0] (0.35 conf)
page_fill_text__1 was MD-109[0].Page1[0].FillText56[0] (0.37 conf)
page_fill_text__2 was MD-109[0].Page1[0].FillText1140[0] (0.37 conf)
page_date_ff was MD-109[0].Page1[0].on_date_ff[0] (0.29 conf)
page_clerk_cb was MD-109[0].Page1[0].Clerk_cb[0] (0.31 conf)
page_agency_cb was MD-109[0].Page1[0].Agency_cb[0] (0.34 conf)
page_fill_text__3 was MD-109[0].Page1[0].FillText56[1] (0.37 conf)
page_fill_text__4 was MD-109[0].Page1[0].FillText56[2] (0.37 conf)
page_fill_text__5 was MD-109[0].Page2[0].FillText1140[0] (0.37 conf)
page_fill_text__6 was MD-109[0].Page2[0].FillText56[0] (0.37 conf)
page_caption_sf_title_party_name__3 was MD-109[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].Party1_ft[0] (0.34 conf)
page_caption_sf_title_party_name__4 was MD-109[0].Page2[0].PxCaption_sf[0].TitlePartyName[0].Party2_ft[0] (0.34 conf)
page_caption_sf_case_number_ft was MD-109[0].Page2[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
page_area_service_cb__1 was MD-109[0].Page2[0].#area[0].Service_cb[0] (0.32 conf)
page_area_service_cb__2 was MD-109[0].Page2[0].#area[0].Service_cb[1] (0.32 conf)
page_fill_text__7 was MD-109[0].Page2[0].FillText1140[1] (0.37 conf)
page_fill_text__8 was MD-109[0].Page2[0].FillText1140[2] (0.37 conf)
page_fill_text__9 was MD-109[0].Page2[0].FillText1140[3] (0.37 conf)
page_fill_text__10 was MD-109[0].Page2[0].FillText1140[4] (0.37 conf)
page_fill_text__11 was MD-109[0].Page2[0].FillText1140[5] (0.37 conf)
page_fill_text__12 was MD-109[0].Page2[0].FillText1140[6] (0.37 conf)
page_fill_text__13 was MD-109[0].Page2[0].FillText1140[7] (0.37 conf)
page_fill_text__14 was MD-109[0].Page2[0].FillText1140[8] (0.37 conf)
page_fill_text__15 was MD-109[0].Page2[0].FillText1140[9] (0.37 conf)
page_fill_text__16 was MD-109[0].Page2[0].FillText1140[10] (0.37 conf)

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

Notice of Hearing (Menacing Dog)

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