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:

WV-200

Proof of Personal Service

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Petitioner (Employer)
Name:

Employee in Need of Protection
Name:

Respondent (Person From Whom Protection Is Sought)
Name:

4 Notice to Server
The server must:
•
•
•

Be 18 years of age or older.
Not be listed in items , , or of form WV-100.
2

Give a copy of all documents checked in below to the respondent.
(You cannot send them by mail.) Then complete and sign this form
and give or mail it to the petitioner.

PROOF OF PERSONAL SERVICE

Court fills in case number when form is filed.

Case Number:

I gave the respondent a copy of the forms checked below:
a.
b.
c.
d.
e.
f.
g.
h.
i.

WV-109, Notice of Court Hearing
WV-110, Temporary Restraining Order
WV-100, Petition for Workplace Violence Restraining Orders
WV-120, Response to Petition for Workplace Violence Restraining Orders (blank form)
WV-120-INFO, How Can I Respond to a Petition for Workplace Violence Restraining Orders?
WV-130, Workplace Violence Restraining Order After Hearing
WV-250, Proof of Service by Mail (blank form)
WV-800, Receipt for Firearms and Firearm Parts (blank form)
Other (specify):

I personally gave copies of the documents checked above to the respondent

b. At (time):

a.m.

p.m.

a. On (date):

At this address:

7 Server's Information

(If you are a registered process server):

County of registration:

City:

Name:

Address:

City:

Date:

State:

Zip:

Telephone:

State:

Zip:

Registration number:

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

Type or print server’s name

Server to sign here

Judicial Council of California,
Rev. January 1, 2023, Optional Form
Code of Civil Procedure, §§ 527.8, 1011

Proof of Personal Service
(Workplace Violence Prevention)

WV-200, Page 1 of 1

Proof of Personal Service

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): 1
Fields(s): 33
Average fields per page: 33
Reading Level: Grade 6
LIST Grouping(s): CO-00-00-00-00.

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.

v_page_county_court_info_ft was WV-200[0].Page1[0].Caption[0].County[0].CourtInfo_ft[0] (0.53 conf)
w_v_page_case_number_ft was WV-200[0].Page1[0].Caption[0].CaseNumber[0].CaseNumber_ft[0] (0.38 conf)
w_v_page_list_name_ft__1 was WV-200[0].Page1[0].List1[0].PetitionerName_ft[0] (0.28 conf)
v_page_list_student_name_ft was WV-200[0].Page1[0].List2[0].StudentName_ft[0] (0.38 conf)
w_v_page_list_name_ft__2 was WV-200[0].Page1[0].List3[0].RespondentName_ft[0] (0.28 conf)
w_v_page_list_li__1 was WV-200[0].Page1[0].List5[0].Li5A[0].T49[0] (0.32 conf)
w_v_page_list_li_b was WV-200[0].Page1[0].List5[0].Li5B[0].T247[0] (0.32 conf)
w_v_page_list_li_c was WV-200[0].Page1[0].List5[0].Li5C[0].T61[0] (0.32 conf)
w_v_page_list_li__2 was WV-200[0].Page1[0].List5[0].Li5D[0].T72[0] (0.32 conf)
w_v_page_list_li_e was WV-200[0].Page1[0].List5[0].Li5E[0].T831[0] (0.32 conf)
w_v_page_list_li_f was WV-200[0].Page1[0].List5[0].Li5F[0].T943[0] (0.32 conf)
w_v_page_list_li_g was WV-200[0].Page1[0].List5[0].Li5G[0].T94[0] (0.32 conf)
w_v_page_list_li_h was WV-200[0].Page1[0].List5[0].Li5H[0].T215[0] (0.32 conf)
w_v_page_list_li__3 was WV-200[0].Page1[0].List5[0].Li5I[0].T107[0] (0.32 conf)
w_v_page_list_li__4 was WV-200[0].Page1[0].List5[0].Li5I[0].T108[0] (0.32 conf)
w_v_page_list_service_date_dt was WV-200[0].Page1[0].List6[0].Li6A[0].ServiceDate_dt[0] (0.32 conf)
w_v_page_list_li_b_personal_time_ft was WV-200[0].Page1[0].List6[0].Li6B[0].PersonalTime_ft[0] (0.37 conf)
w_v_page_list_li_b_time__1 was WV-200[0].Page1[0].List6[0].Li6B[0].time[0] (0.29 conf)
w_v_page_list_li_b_time__2 was WV-200[0].Page1[0].List6[0].Li6B[0].time[1] (0.29 conf)
w_v_page_list_c_service_ft__1 was WV-200[0].Page1[0].List6[0].Li6C[0].ServiceZip_ft[0] (0.33 conf)
w_v_page_list_c_service_state was WV-200[0].Page1[0].List6[0].Li6C[0].ServiceState_ft[0] (0.32 conf)
w_v_page_list_c_service_ft__2 was WV-200[0].Page1[0].List6[0].Li6C[0].ServiceStreet_ft[0] (0.31 conf)
w_v_page_list_li_c_service_city_ft was WV-200[0].Page1[0].List6[0].Li6C[0].ServiceCity_ft[0] (0.33 conf)
page_list_servers_info_server_name was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerName_ft1[0] (0.39 conf)
w_page_list_servers_info_server__1 was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerStreet_ft[0] (0.41 conf)
w_page_list_servers_info_server__2 was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerZip_ft[0] (0.40 conf)
page_list_servers_info_server_city was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerCity_ft[0] (0.41 conf)
page_list_servers_info_server was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerTelephone_ft[0] (0.41 conf)
w_page_list_servers_server_state was WV-200[0].Page1[0].List7[0].ServersInfo[0].ServerState_ft[0] (0.39 conf)
w_v_page_p_server_reg_number was WV-200[0].Page1[0].List7[0].PServer[0].ServerRegNumber_ft[0] (0.33 conf)
w_v_page_list_p_server_reg was WV-200[0].Page1[0].List7[0].PServer[0].ServerRegCty_ft[0] (0.30 conf)
w_page_c_h_date_dt was WV-200[0].Page1[0].Declaration[0].CH200SignatureDate_dt[0] (0.34 conf)
v_page_declaration_server_name_ft was WV-200[0].Page1[0].Declaration[0].ServerName_ft[0] (0.35 conf)

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

Proof of Personal Service

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