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:

CH-200

Proof of Personal Service

Clerk stamps date here when form is filed.

1 Person Seeking Protection

2 Person From Whom Protection Is Sought

Name:

3 Notice to Server
The server must:
• Be 18 years of age or older.
• Not be listed in items

1 or 3

of form CH-100.

• Give a copy of all documents checked in to the person in .
2
(You cannot send them by mail.) Then complete and sign this
form and give or mail it to the person in .

Fill in court name and street address:

Superior Court of California, County of

PROOF OF PERSONAL SERVICE

Court fills in case number when form is filed.

Case Number:

I gave the person in 2 a copy of the forms checked below:
a.
b.
c.
d.
e.
f.
g.
h.
i.

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

I personally gave copies of the documents checked above to the person in :2
a. On (date):

b. At (time):

a.m.

p.m.

State:

Zip:

State:

Zip:

c. At this address:

City:

6 Server s Information

’

Name:

Address:

City:

Telephone:

Date:

(If you are a registered process server):
County of registration:

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, § 527.6

Proof of Personal Service
(Civil Harassment Prevention)

CH-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): 32
Average fields per page: 32
Reading Level: Grade 5
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.

c_h_page_right_county_info was CH-200[0].Page1[0].Right_Caption[0].CountyOf[0].CourtInfo_ft[0] (0.53 conf)
c_h_page_right_case_number was CH-200[0].Page1[0].Right_Caption[0].CaseNumber[0].CaseNumber_ft[0] (0.38 conf)
c_page_list_item_full_name__1 was CH-200[0].Page1[0].List1[0].item1[0].ProtectedFullName_ft[0] (0.36 conf)
c_page_list_item_full_name__2 was CH-200[0].Page1[0].List2[0].item2[0].RestrainedFullName_ft[0] (0.37 conf)
c_h_page_list_form_served_cb__1 was CH-200[0].Page1[0].List4[0].Lia[0].FormServed109_cb[0] (0.38 conf)
c_h_page_list_lib_form_served was CH-200[0].Page1[0].List4[0].Lib[0].FormServed110_cb[0] (0.38 conf)
c_h_page_list_lic_form_served_cb was CH-200[0].Page1[0].List4[0].Lic[0].FormServed100_cb[0] (0.38 conf)
c_h_page_list_lid_form_served was CH-200[0].Page1[0].List4[0].Lid[0].FormServed120_cb[0] (0.38 conf)
c_h_page_list_lie_form_served was CH-200[0].Page1[0].List4[0].Lie[0].FormServed120INFO_cb[0] (0.31 conf)
c_h_page_list_form_served_cb__2 was CH-200[0].Page1[0].List4[0].Lif[0].FormServed130_cb[0] (0.38 conf)
c_h_page_list_lig_form_served_cb was CH-200[0].Page1[0].List4[0].Lig[0].FormServed800_cb[0] (0.38 conf)
c_h_page_list_form_served_cb__3 was CH-200[0].Page1[0].List4[0].Lih[0].FormServed800_cb[0] (0.38 conf)
c_h_page_list_lii_form_served_cb was CH-200[0].Page1[0].List4[0].Lii[0].FormServedOther_cb[0] (0.39 conf)
c_h_page_list_lii_form_served_ft was CH-200[0].Page1[0].List4[0].Lii[0].FormServedOther_ft[0] (0.39 conf)
c_h_page_list_date_dt was CH-200[0].Page1[0].List5[0].Lia[0].ServiceDate_dt[0] (0.37 conf)
c_h_page_list_lib_time__1 was CH-200[0].Page1[0].List5[0].Lib[0].PersonalTime_ft[0] (0.37 conf)
c_h_page_list_lib_time__2 was CH-200[0].Page1[0].List5[0].Lib[0].time[0] (0.38 conf)
c_h_page_list_lib_time__3 was CH-200[0].Page1[0].List5[0].Lib[0].time[1] (0.38 conf)
c_h_page_list_service_street was CH-200[0].Page1[0].List5[0].Lic[0].ServiceStreet_ft[0] (0.37 conf)
c_h_page_list_service_city was CH-200[0].Page1[0].List5[0].Lic[0].ServiceCity_ft[0] (0.33 conf)
c_h_page_list_service_state was CH-200[0].Page1[0].List5[0].Lic[0].ServiceState_ft[0] (0.35 conf)
c_h_page_list_lic_service_zip_ft was CH-200[0].Page1[0].List5[0].Lic[0].ServiceZip_ft[0] (0.34 conf)
c_h_page_item_server_name__1 was CH-200[0].Page1[0].List6[0].item6[0].ServerName_ft11[0] (0.36 conf)
c_h_page_list_item_server__1 was CH-200[0].Page1[0].List6[0].item6[0].ServerStreet_ft[0] (0.38 conf)
c_h_page_list_item_city was CH-200[0].Page1[0].List6[0].item6[0].ServerCity_ft[0] (0.36 conf)
c_h_page_list_item_state was CH-200[0].Page1[0].List6[0].item6[0].ServerState_ft[0] (0.38 conf)
c_h_page_list_item_server_ft was CH-200[0].Page1[0].List6[0].item6[0].ServerZip_ft[0] (0.30 conf)
c_h_page_list_item_server__2 was CH-200[0].Page1[0].List6[0].item6[0].ServerTelephone_ft[0] (0.40 conf)
c_h_page_list_item_server_reg was CH-200[0].Page1[0].List6[0].item6[0].ServerRegCty_ft[0] (0.33 conf)
c_h_page_item_reg_number was CH-200[0].Page1[0].List6[0].item6[0].ServerRegNumber_ft[0] (0.36 conf)
c_h_page_item_date_dt was CH-200[0].Page1[0].List6[0].item6[0].CH200SignatureDate_dt[0] (0.37 conf)
c_h_page_item_server_name__2 was CH-200[0].Page1[0].List6[0].item6[0].ServerName_ft12[0] (0.36 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:

Create an Interactive Version of this Form:

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