GV-109

Notice of Court Hearing

Petitioner must complete items       and       only.

1

2

1 Petitioner

a. Your Full Name or Name of Law Enforcement Agency:

 I am:

A family member of the Respondent.
An officer of a law enforcement agency.

An employer of the Respondent. 

A coworker of the Respondent.

An employee or teacher of a secondary or postsecondary 
school that the Respondent has attended in the last 6 
months.

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

b.

Your Lawyer (if you have one for this case):
Name:   
Firm Name:

State Bar No.:

Court fills in case number when form is filed.

Case Number:

c. Your 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 telephone, fax, or email. Law enforcement officer, give agency 
information.) 

State:

Zip:

Fax:

Address:

City:

Telephone:
Email Address:

2

Respondent

Full Name:

3

Hearing

The court will complete the rest of this form.

Name and address of court if different from above:

Hearing 
Date

Date:
Dept.:

Time:

Room:

You may attend your hearing remotely, such as by phone or videoconference. For more information, go to the court’s 
website for the county listed above. To find the court’s website, go to www.courts.ca.gov/find-my-court.htm.  

4 Temporary Gun Violence Restraining Order (Any order granted is on form GV-110, served with this 

notice.)

(1)

(2)

a. A Temporary Gun Violence Restraining Order as requested in Petition for Gun Violence Restraining Order 

(form GV-100) is (check only one box below):

GRANTED until the court hearing.

DENIED until the court hearing. (Specify reasons for denial in b, below.)

Judicial Council of California,  
Rev. January 1, 2023, Mandatory Form 
Penal Code, § 18100 et seq.  
Approved by DOJ

 Notice of Court Hearing 
(Gun Violence Prevention)

GV-109, Page 1 of 3

Case Number:

4

b.

Reasons for denial of a Temporary Gun Violence Restraining Order as requested in Petition for Gun Violence 
Restraining Order (form GV-100) are:

(1)

The facts as stated in form GV-100 do not show that there is a substantial likelihood that both of the 
following are true:  
Respondent poses a significant danger of causing personal injury to themself or another person by 
having custody or control of, owning, purchasing, possessing, or receiving firearms, firearm parts (any 
receiver, frame, or unfinished receiver or frame as defined in Penal Code section 16531), ammunition, 
or magazines.
A gun violence restraining order is necessary to prevent personal injury to Respondent or to another 
person because less restrictive alternatives either have been tried and found to be ineffective, or have 
been determined to be inadequate or inappropriate for the current circumstances.

(2)

Other (as stated):

Below

On Attachment 4b(2)

5

Service of Documents on Respondent

five

At least                                     calendar days before the hearing, a law enforcement officer or someone age 18 or 
older—and not a party to the action—must personally give (serve) a court file-stamped copy of this Form 
GV-109 to the Respondent, along with a copy of all the forms indicated below:

a.
b.

c.

GV-100, Petition for Gun Violence Restraining Order (file-stamped)

GV-110, Temporary Gun Violence Restraining Order (file-stamped) IF GRANTED

GV-120, Response to Petition for Gun Violence  Restraining Order (blank form)

GV-120-INFO, How Can I Respond to a Petition for a Gun Violence Restraining Order?
GV-250, Proof of Service by Mail (blank form)

d.
e.
f. GV-125, Consent to Gun Violence Restraining Order and Surrender of Firearms (blank form)

g.

Other

(specify):

Date:

Judicial Officer

Rev. January 1, 2023

GV-109, Page 2 of 3

 Notice of Court Hearing 
(Gun Violence Prevention)

Case Number:

To the Petitioner in 1:

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•
•

•

•

• 

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The court cannot make an order at the court hearing unless the Respondent has been personally given (served) a copy 
of the Petition and a temporary order if issued. To show that the Respondent has been served, the person who served 
the forms must fill out a proof of service form. Proof of Personal Service (form GV-200) may be used.

For information about service, read What Is “Proof of Personal Service”? (form GV-200-INFO).

If you are unable to serve the Respondent in time, you may ask for a later hearing date, which will give you more time 
to serve the documents. Use Request to Continue Court Hearing for Gun Violence Restraining Order (form GV-115).

To the Respondent:

If you want to oppose the Petition for Gun Violence Restraining Order (form GV-100) in writing, file Response to 
Petition for Gun Violence Restraining Order (form GV-120) and have someone age 18 or older—not you—mail it to 
the Petitioner. 
The person who mailed the form must fill out a proof of service form. Proof of Service by Mail (form GV-250) may be 
used. File the completed form with the court before the hearing and bring a copy with you to the court hearing.

Whether or not you respond in writing, attend the hearing if you want the judge to hear from you before making an  
order. You may tell the judge why you agree or disagree with the order requested.

You may bring witnesses and other evidence.

At the hearing, the judge may order you to turn in to law enforcement, or sell to or store with, a licensed gun dealer, 
any firearms (guns), firearm parts (any receiver, frame, or unfinished receiver or frame as defined in Penal Code section 
16531), ammunition, or magazines that you own or possess.  If issued, the order will last for one year. 

• 

If you do not oppose the petition and are willing to give up your firearm rights, complete and file a Consent to Gun 
Violence Restraining Order and Surrender of Firearms (form GV-125).

Request for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language  
interpreter services are available if you ask at least five days before the hearing. Contact the  
clerk’s office or go to www.courts.ca.gov/forms for Disability Accommodation Request (form 
MC-410). (Civ. Code, § 54.8.)

(Clerk will fill out this part.)

—Clerk's Certificate—

I certify that this Notice of Court Hearing (form GV-109) is a true and correct copy of the original on file in the 
court. 

Clerk’s Certificate

[seal]

 Date:

Clerk, by

Rev. January 1, 2023

 Notice of Court Hearing 
(Gun Violence Prevention)

, Deputy

GV-109, Page 3 of 3