EPO-002 
GUN VIOLENCE EMERGENCY PROTECTIVE ORDER 
1.  RESTRAINED PERSON (insert name):

LAW ENFORCEMENT CASE NUMBER: 

Clerk stamps date here when form is filed.

Address:

Gender:
Eye color:

M

F
Race:

2.   TO THE RESTRAINED PERSON  

Nonbinary

Ht.:

Wt.:

Hair color:

Age:

Date of birth:

(Also see important Warnings and Information on page 2):   
You are required to surrender all firearms, ammunition, and magazines that you 
own or possess in accordance with Section 18120 of the Penal Code and you 
may not have in your custody or control, own, purchase, possess, or receive, or 
attempt to purchase or receive, any firearm, ammunition, or magazine while this 
order is in effect. However a more permanent gun violence restraining order may be 
obtained from the court. You may seek the advice of an attorney as to any matter 
connected with the order. The attorney should be consulted promptly so that the 
attorney may assist you in any matter connected with the order.  
If you have any firearms (guns), firearm parts (any receiver, frame, or unfinished 
receiver or frame as defined in Penal Code section 16531), ammunition, or 
magazines you MUST IMMEDIATELY SURRENDER (GIVE) THEM if asked by a 
police officer. If a police officer does not ask you to surrender the items, within 24 hours 
of getting this order, you must take them to a police station or a licensed gun dealer to 
sell or store them and must file a receipt with the court proving that this has been done. 
You have 48 hours to file a receipt with the court shown to the right. If you do not file 
a receipt within 48 hours you have violated this order and can go to jail.

3.  This order will last until:

Time

INSERT DATE  OF 21st CALENDAR DAY (DO NOT COUNT  DAY THE ORDER IS  GRANTED)

4. Court Hearing 

A court hearing will be set within 21 days.
A court hearing will take place at the court above on: Date:

Fill in court name and street address:
Superior Court of California, County of

Court fills in case number when form is filed.

Case Number:

Time/Dept:

You must attend the court hearing if you do not want this restraining order against you. You may attend the hearing 
remotely (check your court's website for instructions). At the hearing, the judge can make this order last for up to five years.
5. Reasonable grounds for the issuance of this order exist, and a Gun Violence Emergency Protective Order (1) is necessary because 
the Restrained Person poses an immediate danger of causing personal injury to themself or to another by having custody or control, 
owning, purchasing, possessing, or receiving any firearms, firearm parts, ammunition, or magazines; and (2) less restrictive 
alternatives were ineffective or have been determined to be inadequate or inappropriate under the circumstances. 

6.  Judicial officer (name):

granted this order on (date): 

at (time): 

APPLICATION
7.  Officer has a reasonable cause to believe that the grounds set forth in item 5, above, exist (state supporting facts and dates; 

specify weapons—number, type and location): 

8. 

Firearms (including parts) were 
Ammunition (including magazines) was 
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

physically searched for

physically searched for

observed

observed

reported

reported

seized.

seized.

By:   

Agency:

Address:

(PRINT NAME OF LAW ENFORCEMENT OFFICER)

(SIGNATURE OF LAW ENFORCEMENT OFFICER)

Telephone No:

Badge No:

9. I personally delivered copies of this Order to the restrained person name in item 1. 

Date of service: 

Time of service:

Address:

PROOF OF SERVICE

10. At the time of service, I was at least 18 years of age. 

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 SERVER/LAW ENFORCEMENT OFFICER) 

(SIGNATURE OF SERVER) 

Judicial Council of California,   
Rev. January 1, 2023, Mandatory Form 
Penal Code, § 18125 et seq.

Gun Violence Emergency Protective Order (CLETS-EGV) 
ONE copy to court, ONE copy to restrained person, ONE copy to issuing agency

Page 1 of 2

GUN VIOLENCE EMERGENCY PROTECTIVE ORDER
WARNINGS AND INFORMATION

EPO-002

TO THE RESTRAINED PERSON: You are prohibited from owning, possessing, purchasing, receiving, or 
attempting to purchase or receive a firearm (gun), a firearm part (any receiver, frame, or unfinished receiver or 
frame), ammunition, or a magazine. (Pen. Code, §§ 16531 & 18125 et seq.) A violation of this order is a 
misdemeanor punishable by a $1,000 fine or imprisonment for six months or both. (Pen. Code, §§ 19 & 18205.)
Within 24 hours of receipt of this order, you must turn in all items listed above to a law enforcement agency or 
sell them to or store them with a licensed firearms dealer until the expiration of this order. (Pen. Code, § 18125 et 
seq.) A receipt proving surrender, sale, or storage must be filed with the court within 48 hours of receipt of this 
order, or on the next court business day if the 48-hour period ends on a day when the court is closed. You must 
also file the receipt with the law enforcement agency that served you with this Order. You may use Form GV-800, 
Receipt for Firearms, Firearm Parts, Ammunition, and Magazines. 
This Gun Violence Emergency Protective Order is effective when made. It will last until the date and time in item 
3 on the front. The court will hold a hearing within 21 days to determine if a longer-term order should be issued. If 
the date and time are not stated in item 4 on the front, you will get a notice with the date and time of the hearing 
in the mail at the residential address listed on page 1 of this form. If you would like to respond to this order in 
writing you must use Form GV-020, Response to Gun Violence Emergency Protective Order. A family member, 
employer, coworker, teacher, or school administrator may also seek a more permanent restraining order from the 
court.
If you violate this order, you will also be prohibited from having in your custody or control, owning, purchasing, 
possessing, or receiving, or attempting to purchase or receive, a firearm (gun), firearm part (any receiver, frame, 
or unfinished receiver or frame), ammunition, or magazine for an additional five-year period, to begin on the 
expiration of the more permanent gun violence restraining order. (Pen. Code, §§ 16531 & 18205.)
This protective order must be enforced by all law enforcement officers in the state of California who are aware of 
it or shown a copy of it. The terms and conditions of this order remain enforceable regardless of the acts or any 
agreement of the parties; it may be changed only by order of the court.
A LA PERSONA RESTRINGIDA: Tiene prohibido ser dueño de, o poseer, comprar, recibir, o tratar de comprar o recibir un 
arma de fuego, componentes de armas de fuego (todo recibidor o armazón, acabado o inacabado), municiones o cargadores. 
(Código Penal, §§ 16531 & 18125 y siguientes). Una violación de esta orden es un delito menor que está sujeta a una multa de 
$1000 o encarcelamiento de seis meses o ambos. (Código Penal, §§ 19 & 18205.)
Dentro de las 24 horas de recibir esta orden, tiene que entregar todos los artículos indicados arriba a una agencia del orden 
público o venderlos a un comerciante de armas autorizado, o almacenarlos con el mismo hasta el vencimiento de esta orden. 
(Código Penal, § 18125 y siguientes). Se tiene que presentar a la corte una prueba de haberlos entregado, vendido, o 
almacenado dentro de las 48 horas de recibir esta orden, o el próximo día hábil, si el periodo de 48 horas termina un día en que 
está cerrada la corte. También tiene que presentar el recibo a la agencia del orden público que le entregó esta Orden. Se puede 
usar el formulario GV-800, Recibo por armas de fuego, componentes de armas de fuego, munciones, y cargadores.
Esta orden de protección de emergencia de armas de fuego entra en vigencia en el momento en que se emite. Durará hasta la 
fecha y hora indicadas en el punto 3 de la primera página. Se realizará una audiencia dentro de 21 días para determinar si es 
necesario emitir una orden que dure por más tiempo. Si la fecha y la hora no se indican en el punto 4 de la primera página, 
recibirá un aviso con la fecha y la hora de la audiencia por correo a la dirección residencial indicada en la primera página. Si 
desea responder a esta orden por escrito, tiene que usar el formulario GV-020, Respuesta a la orden de protección de 
emergencia de armas de fuego. Un miembro de su familia, su empleador, un colega del trabajo, un maestro o profesor, o 
administrador educativo también puede solicitar al tribunal una orden de restricción más permanente.
Si contraviene esta orden de restricción, se le prohibirá tener en su posesión o control, comprar, poseer o recibir, o tratar de 
comprar o recibir un arma de fuego, componentes de armas de fuego (todo recibidor o armazón, acabado o inacabado), 
municiones o cargadores por otro periodo de cinco años más, comenzando a partir del vencimiento de la orden de restricción 
de armas de fuego más permanente. (Código Penal, §§ 16531 & 18205.)
Todo agente del orden público del estado de California que tenga conocimiento de la orden o a quien se le muestre una copia 
de la misma tiene que hacer cumplir esta orden de protección. Los términos y condiciones de esta orden se podrán hacer 
cumplir independientemente de las acciones de las partes; solo la corte podrá cambiar esta orden.
To law enforcement: The Gun Violence Emergency Protective Order must be served on the restrained person by the officer if the 
restrained person can reasonably be located. Ask the restrained person if he or she has any firearms, firearm parts, ammunition, or 
magazines in his or her possession or under his or her custody or control. A copy must be filed with the court as soon as practicable, 
but not later than three court days, after issuance, so a hearing can be set, if one was not already scheduled. If the court did not give 
you a hearing date when issuing the order (to put in item 4 on the front), the court will set a hearing within 21 days and will provide you 
with notice of the hearing. Also, the officer must have the order entered into the computer database system for protective and 
restraining orders maintained by the Department of Justice. 
The provisions in this temporary Gun Violence Emergency Protective Order do not affect those of any other protective or restraining 
order in effect, including a criminal protective order. The provisions in another existing protective order remain in effect. 

EPO-002 [Rev. January 1, 2023]        GUN VIOLENCE EMERGENCY PROTECTIVE ORDER (CLETS-EGV)

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