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Here is the text we could read:

EA-630

Order on Request to
Terminate
Elder or
Dependent Adult Abuse Restraining Order

Modify

Clerk stamps date here when form is filed.

Prevailing party completes items and .

Party Seeking Modification/Termination
a.

Full Name:

Lawyer (if any for this case):

Name:

Firm Name:

State Bar No.:

Fill in court name and street address:

Superior Court of California, County of

Address (If this party has a lawyer, give the lawyer’s information.
If the party does not have a lawyer and wants to keep home
address private, give a different mailing address instead.
Telephone, fax, or e-mail are not required.)

Fill in case number:

Case Number:

State:

Fax:

Zip:

State:

Zip:

Address:
City:

Telephone:

2 Other Party
Full Name:

Address:

City:

E-Mail Address:

Hearing
There was a hearing on (date):

(Name of judicial officer):

These people were at the hearing:

at time:

a.m.

p.m.

Dept.:

Room:

made the orders at the hearing.

The party seeking

modification

termination

The party opposing
The lawyer for the party seeking

modification

termination

modification

termination

(name):

The lawyer for the party opposing

modification

termination

(name):

b.
c.

4 Order

The request to

modify

terminate

the attached

Elder or Dependent Adult Abuse Restraining Order After Hearing (form EA-130)
Order Renewing Elder or Dependent Adult Abuse Restraining Order (form EA-730)

originally issued on (date):

is:

DENIED. The order and expiration date remain the same.

This is a Court Order.

Judicial Council of California, www.courts.ca.gov
New January 1, 2018, Mandatory Form
Welfare and Institutions Code, § 15657.03(i)

Order on Request to Modify/Terminate
Elder or Dependent Adult Abuse Restraining Order
(Elder or Dependent Adult Abuse Prevention)

EA-630, Page 1 of 3

Case Number:

DENIED without prejudice because the other party was not served on time.

GRANTED.

(1)

(2)

The order is TERMINATED as of the date this Order is signed on page 3.

The order is MODIFIED as stated:

Below

On Attachment 4c(2)

(Specify, referring to item numbers in the original order):

The clerk will transmit this Order and its proof-of-service form to a law enforcement agency to be entered
into CARPOS.

By the close of business on the date that this Order is made, the prevailing party or his or her lawyer
should deliver a copy of the Order and its proof-of-service form to the law enforcement agency listed
below to enter into CARPOS:

Name of Law Enforcement Agency

Address (City, State, Zip)

$ $

Item

Amount

Item

Amount

Additional items and amounts are attached at the end of this Order on Attachment 5.

Mandatory Entry of Order Into CARPOS Through CLETS

This Order must be entered into the California Restraining and Protective Order System (CARPOS) through the
California Law Enforcement Telecommunications System (CLETS). (Check one):

The clerk will enter this Order and its proof-of-service form into CARPOS.

(3)

The order now EXPIRES on (date):

at (time):

Lawyer’s Fees and Costs

The person in

must pay to the person in

the following amounts for:

Lawyer’s fees

Costs

Additional law enforcement agencies are listed at the end of this Order on Attachment 6.

New January 1, 2018

EA-630 Page 2 of 3

This is a Court Order.

Order on Request to Modify/Terminate
Elder or Dependent Adult Abuse Restraining Order
(Elder or Dependent Adult Abuse Prevention)

Case Number:

To the Prevailing Party:

7 Service of Order

If service is required, someone age 18 or older—not you—must serve a copy of this order on the other party. If a
party is represented by a lawyer, you must serve the lawyer instead of the party.

The other party attended the hearing. No further service is required.

Order Granted—The other party did not attend the hearing. Service is required. This Order:
must be personally served on the other party within of the date of this Order.
may be served by mail on the other party within 5 days of the date of this Order.

days

Order Denied—The other party did not attend the hearing. Service by Mail: The other party may be served
with this Order by mail.

Date:

Judicial Officer

Clerk’s Certificate
[seal]

I certify that this Order on Request to Modify/Terminate Elder or Dependent Adult Abuse
Restraining Order is a true and correct copy of the original on file in the court.

(Clerk will fill out this part.)

—Clerk's Certificate—

Date:

Clerk, by

, Deputy

This is a Court Order.

New January 1, 2018

EA-630 Page 3 of 3

Order on Request to Modify/Terminate
Elder or Dependent Adult Abuse Restraining Order
(Elder or Dependent Adult Abuse Prevention)

Order on Request to Modify/Terminate Elder or Dependent Adult Abuse Restraining Order

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): 3
Fields(s): 90
Average fields per page: 30
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.

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topmost_subform_page_title_sf_request_cb__2 was topmostSubform[0].Page1[0].Title_sf[0].RequestTo_cb[1] (0.45 conf)
topmost_page_hearing_date_dt was topmostSubform[0].Page1[0].HearingDate_dt[0] (0.39 conf)
topmost_page_hearing_time_dt was topmostSubform[0].Page1[0].HearingTime_dt[0] (0.36 conf)
topmost_subform_page_hearing_dept was topmostSubform[0].Page1[0].HearingDept_ft[0] (0.37 conf)
topmost_page_hearing_room_ft was topmostSubform[0].Page1[0].HearingRoom_ft[0] (0.34 conf)
topmost_page_hearing_judge was topmostSubform[0].Page1[0].HearingJudge_ft[0] (0.36 conf)
page_protected_lawyer_name was topmostSubform[0].Page1[0].ProtectedLawyerName_ft[0] (0.40 conf)
topmost_page_time_def_cb__1 was topmostSubform[0].Page1[0].TimeDef_cb[0] (0.39 conf)
topmost_page_time_def_cb__2 was topmostSubform[0].Page1[0].TimeDef_cb[1] (0.39 conf)
topmost_subform_page_hearing_protected_cb was topmostSubform[0].Page1[0].HearingProtected_cb[0] (0.33 conf)
topmost_subform_page_hearing_restrained_cb was topmostSubform[0].Page1[0].HearingRestrained_cb[0] (0.38 conf)
page_hearing_protected_lawyer was topmostSubform[0].Page1[0].HearingProtectedLawyer_cb[0] (0.35 conf)
page_restrained_lawyer_name__1 was topmostSubform[0].Page1[0].RestrainedLawyerName_ft[0] (0.43 conf)
page_hearing_restrained_lawyer was topmostSubform[0].Page1[0].HearingRestrainedLawyer_cb[0] (0.40 conf)
page_caption_sf_court_info was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo_ft[0] (0.36 conf)
topmost_subform_page_caption_sf_case_number_ft was topmostSubform[0].Page1[0].Caption_sf[0].CaseNumber_ft[0] (0.43 conf)
topmost_subform_page_terminate was topmostSubform[0].Page1[0].Terminate[0] (0.38 conf)
topmost_subform_page_request_cb__1 was topmostSubform[0].Page1[0].RequestTo_cb[0] (0.42 conf)
topmost_subform_page_request_cb__2 was topmostSubform[0].Page1[0].RequestTo_cb[1] (0.42 conf)
topmost_subform_page_order_issue_cb__1 was topmostSubform[0].Page1[0].OrderAtIssue_cb[0] (0.35 conf)
topmost_subform_page_order_issue_cb__2 was topmostSubform[0].Page1[0].OrderAtIssue_cb[1] (0.35 conf)
topmost_page_order_date_dt was topmostSubform[0].Page1[0].OrderDate_dt[0] (0.40 conf)
topmost_subform_page_granted_denied_cb__1 was topmostSubform[0].Page1[0].GrantedDenied_cb[0] (0.34 conf)
page_restrained_full_name was topmostSubform[0].Page1[0].RestrainedFullName_ft[0] (0.42 conf)
page_restrained_lawyer_name__2 was topmostSubform[0].Page1[0].RestrainedLawyerName_ft[1] (0.43 conf)
topmost_page_restrained_bar was topmostSubform[0].Page1[0].RestrainedLawyerBar_no[0] (0.39 conf)
topmost_subform_page_restrained_lawyer_firm_ft was topmostSubform[0].Page1[0].RestrainedLawyerFirm_ft[0] (0.38 conf)
topmost_page_restrained_street was topmostSubform[0].Page1[0].RestrainedStreet_ft[0] (0.39 conf)
topmost_page_restrained_city was topmostSubform[0].Page1[0].RestrainedCity_ft[0] (0.40 conf)
topmost_subform_page_restrained_state_ft was topmostSubform[0].Page1[0].RestrainedState_ft[0] (0.41 conf)
topmost_subform_page_restrained_zip_ft was topmostSubform[0].Page1[0].RestrainedZip_ft[0] (0.38 conf)
topmost_page_restrained_phone was topmostSubform[0].Page1[0].RestrainedPhone_ft[0] (0.36 conf)
topmost_subform_page_restrained_fax_ft was topmostSubform[0].Page1[0].RestrainedFax_ft[0] (0.42 conf)
page_restrained_e_mail_ft was topmostSubform[0].Page1[0].RestrainedE-Mail_ft[0] (0.37 conf)
topmost_protected_full_name was topmostSubform[0].Page1[0].ProtectedFullName_ft[0] (0.39 conf)
topmost_page_protected_street was topmostSubform[0].Page1[0].ProtectedStreet_ft[0] (0.43 conf)
topmost_page_protected_city was topmostSubform[0].Page1[0].ProtectedCity_ft[0] (0.40 conf)
topmost_subform_state_ft was topmostSubform[0].Page1[0].ProtectedState_ft[0] (0.36 conf)
topmost_subform_page_protected_zip_ft was topmostSubform[0].Page1[0].ProtectedZip_ft[0] (0.40 conf)
topmost_subform_page_area_request_cb__1 was topmostSubform[0].Page1[0].#area[6].RequestTo_cb[2] (0.42 conf)
topmost_subform_page_area_request_cb__2 was topmostSubform[0].Page1[0].#area[6].RequestTo_cb[3] (0.42 conf)
topmost_subform_page_area_request_cb__3 was topmostSubform[0].Page1[0].#area[7].RequestTo_cb[4] (0.42 conf)
topmost_subform_page_area_request_cb__4 was topmostSubform[0].Page1[0].#area[7].RequestTo_cb[5] (0.42 conf)
topmost_subform_page_area_request_cb__5 was topmostSubform[0].Page1[0].#area[8].RequestTo_cb[6] (0.42 conf)
topmost_subform_page_area_request_cb__6 was topmostSubform[0].Page1[0].#area[8].RequestTo_cb[7] (0.42 conf)
topmost_subform_page_area_request_cb__7 was topmostSubform[0].Page1[0].#area[9].RequestTo_cb[8] (0.42 conf)
topmost_subform_page_area_request_cb__8 was topmostSubform[0].Page1[0].#area[9].RequestTo_cb[9] (0.42 conf)
topmost_page_modifications was topmostSubform[0].Page2[0].Modifications[0] (0.38 conf)
topmost_subform_page_px_caption_sf_case_number_ft was topmostSubform[0].Page2[0].PxCaption_sf[0].CaseNumber_ft[0] (0.39 conf)
topmost_subform_page_granted_denied_cb__2 was topmostSubform[0].Page2[0].GrantedDenied_cb[0] (0.34 conf)
topmost_subform_page_request_cb__3 was topmostSubform[0].Page2[0].RequestTo_cb[0] (0.42 conf)
topmost_subform_page_request_cb__4 was topmostSubform[0].Page2[0].RequestTo_cb[1] (0.42 conf)
topmost_expiration_date was topmostSubform[0].Page2[0].Expiration_date[0] (0.40 conf)
topmost_subform_page_expiration_time was topmostSubform[0].Page2[0].Expiration_time[0] (0.40 conf)
topmost_subform_page_option_cb__1 was topmostSubform[0].Page2[0].Option_cb[0] (0.41 conf)
topmost_subform_page_option_cb__2 was topmostSubform[0].Page2[0].Option_cb[1] (0.41 conf)
topmost_subform_page_granted_denied_cb__3 was topmostSubform[0].Page2[0].GrantedDenied_cb[1] (0.34 conf)
topmost_subform_page_fees_costs_cb__1 was topmostSubform[0].Page2[0].FeesCosts\.cb[0] (0.42 conf)
topmost_subform_page_fees_payor was topmostSubform[0].Page2[0].FeesPayor_no[0] (0.44 conf)
topmost_subform_page_fees_payee was topmostSubform[0].Page2[0].FeesPayee_no[0] (0.43 conf)
topmost_subform_page_fees_lawyer was topmostSubform[0].Page2[0].FeesLawyer_cb[0] (0.45 conf)
topmost_subform_page_fees_costs_cb__2 was topmostSubform[0].Page2[0].FeesCosts_cb[0] (0.42 conf)
topmost_page_fees_item_ft__1 was topmostSubform[0].Page2[0].FeesItem1_ft[0] (0.44 conf)
topmost_page_fees_amount_dc__1 was topmostSubform[0].Page2[0].FeesAmount1_dc[0] (0.42 conf)
topmost_page_fees_item_ft__2 was topmostSubform[0].Page2[0].FeesItem3_ft[0] (0.42 conf)
topmost_page_fees_amount_dc__2 was topmostSubform[0].Page2[0].FeesAmount3_dc[0] (0.42 conf)
topmost_page_fees_item_ft__3 was topmostSubform[0].Page2[0].FeesItem2_ft[0] (0.42 conf)
topmost_page_fees_amount_dc__3 was topmostSubform[0].Page2[0].FeesAmount2_dc[0] (0.42 conf)
topmost_page_fees_item_ft__4 was topmostSubform[0].Page2[0].FeesItem4_ft[0] (0.42 conf)
topmost_page_fees_amount_dc__4 was topmostSubform[0].Page2[0].FeesAmount4_dc[0] (0.42 conf)
topmost_subform_page_fees_f_cb was topmostSubform[0].Page2[0].Fees_OF_cb[0] (0.43 conf)
topmost_subform_page_carpos_rb__1 was topmostSubform[0].Page2[0].CARPOSWho_rb[0] (0.39 conf)
topmost_subform_page_carpos_rb__2 was topmostSubform[0].Page2[0].CARPOSWho_rb[1] (0.39 conf)
topmost_subform_page_carpos_rb__3 was topmostSubform[0].Page2[0].CARPOSWho_rb[2] (0.39 conf)
topmost_page_clets_agency_ft__1 was topmostSubform[0].Page2[0].CLETSAgency1_ft[0] (0.38 conf)
topmost_page_clets_agency_ft__2 was topmostSubform[0].Page2[0].CLETSAgency2_ft[0] (0.38 conf)
topmost_page_agency_ft__1 was topmostSubform[0].Page2[0].CLETSAgencyAddress1_ft[0] (0.41 conf)
topmost_page_agency_ft__2 was topmostSubform[0].Page2[0].CLETSAgencyAddress2_ft[0] (0.41 conf)
topmost_subform_page_clets_agency_f_cb was topmostSubform[0].Page2[0].CLETSAgency_OF_cb[0] (0.41 conf)
topmost_subform_page_service_cb__1 was topmostSubform[0].Page3[0].Service_cb[0] (0.37 conf)
topmost_subform_page_clerk_signature_da was topmostSubform[0].Page3[0].ClerkSignature_da[0] (0.38 conf)
topmost_subform_page_footer_sf_case_number_ft was topmostSubform[0].Page3[0].Footer_sf[0].CaseNumber_ft[0] (0.40 conf)
topmost_subform_page_c_h_signature_date_dt was topmostSubform[0].Page3[0].CH730SignatureDate_dt[0] (0.40 conf)
topmost_subform_page_service_cb__2 was topmostSubform[0].Page3[0].Service_cb[1] (0.37 conf)
topmost_subform_page_service_cb__3 was topmostSubform[0].Page3[0].Service_cb[2] (0.37 conf)
topmost_page_request_service was topmostSubform[0].Page3[0].Request_service_days[0] (0.41 conf)
topmost_subform_page_service_granted_cb__1 was topmostSubform[0].Page3[0].ServiceGranted_cb[0] (0.40 conf)
topmost_subform_page_service_granted_cb__2 was topmostSubform[0].Page3[0].ServiceGranted_cb[1] (0.40 conf)
topmost_subform_page was topmostSubform[0].Page3[0].T16[0] (0.38 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

topmost_page_hearing_date_dt
topmost_page_hearing_time_dt
topmost_page_order_date_dt
topmost_page_request_service

Suggested Screen 1:

topmost_page_time_def_cb__1
topmost_page_time_def_cb__2

Suggested Screen 2:

topmost_subform_page_hearing_dept
topmost_subform_page_hearing_protected_cb
topmost_subform_page_hearing_restrained_cb

Suggested Screen 3:

page_protected_lawyer_name
page_hearing_protected_lawyer
page_hearing_restrained_lawyer

Suggested Screen 4:

page_restrained_lawyer_name__1
page_caption_sf_court_info
page_restrained_lawyer_name__2

Suggested Screen 5:

topmost_subform_page_caption_sf_case_number_ft
topmost_subform_page_px_caption_sf_case_number_ft
topmost_subform_page_footer_sf_case_number_ft

Suggested Screen 6:

topmost_subform_page_terminate
topmost_subform_page_expiration_time
topmost_subform_page_fees_payor
topmost_subform_page_fees_payee
topmost_subform_page_fees_lawyer
topmost_subform_page

Suggested Screen 7:

topmost_page_hearing_judge
page_restrained_full_name
topmost_page_restrained_bar
topmost_page_restrained_city
topmost_page_restrained_phone
topmost_page_protected_city

Suggested Screen 8:

topmost_subform_page_restrained_lawyer_firm_ft
topmost_subform_page_restrained_state_ft
topmost_subform_page_restrained_zip_ft
topmost_subform_page_restrained_fax_ft
topmost_subform_state_ft
topmost_subform_page_protected_zip_ft

Suggested Screen 9:

page_restrained_e_mail_ft

Suggested Screen 10:

topmost_page_restrained_street
topmost_protected_full_name
topmost_page_protected_street

Suggested Screen 11:

topmost_subform_page_title_sf_request_cb__1
topmost_subform_page_title_sf_request_cb__2
topmost_subform_page_request_cb__1
topmost_subform_page_request_cb__2
topmost_subform_page_area_request_cb__1
topmost_subform_page_area_request_cb__2
topmost_subform_page_area_request_cb__3
topmost_subform_page_area_request_cb__4
topmost_subform_page_area_request_cb__5
topmost_subform_page_area_request_cb__6
topmost_subform_page_area_request_cb__7
topmost_subform_page_area_request_cb__8
topmost_subform_page_request_cb__3
topmost_subform_page_request_cb__4
topmost_subform_page_c_h_signature_date_dt

Suggested Screen 12:

topmost_page_modifications

Suggested Screen 13:

topmost_expiration_date

Suggested Screen 14:

topmost_subform_page_order_issue_cb__1
topmost_subform_page_order_issue_cb__2
topmost_subform_page_granted_denied_cb__1
topmost_subform_page_granted_denied_cb__2
topmost_subform_page_option_cb__1
topmost_subform_page_option_cb__2
topmost_subform_page_granted_denied_cb__3
topmost_subform_page_fees_costs_cb__1
topmost_subform_page_fees_costs_cb__2
topmost_subform_page_fees_f_cb
topmost_subform_page_clets_agency_f_cb
topmost_subform_page_service_cb__1
topmost_subform_page_service_cb__2
topmost_subform_page_service_cb__3
topmost_subform_page_service_granted_cb__1
topmost_subform_page_service_granted_cb__2

Suggested Screen 15:

topmost_page_fees_item_ft__1
topmost_page_fees_item_ft__2
topmost_page_fees_item_ft__3
topmost_page_fees_item_ft__4

Suggested Screen 16:

topmost_page_fees_amount_dc__1
topmost_page_fees_amount_dc__2
topmost_page_fees_amount_dc__3
topmost_page_fees_amount_dc__4

Suggested Screen 17:

topmost_subform_page_carpos_rb__1
topmost_subform_page_carpos_rb__2
topmost_subform_page_carpos_rb__3
topmost_subform_page_clerk_signature_da

Suggested Screen 18:

topmost_page_hearing_room_ft
topmost_page_clets_agency_ft__1
topmost_page_clets_agency_ft__2
topmost_page_agency_ft__1
topmost_page_agency_ft__2

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

Order on Request to Modify/Terminate Elder or Dependent Adult Abuse Restraining Order

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