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CIVIL HARRASMENT
INSTRUCTIONS TO THE SHERIFF OF LOS ANGELES COUNTY
COURT SERVICES DIVISION - CIVIL MANAGEMENT BUREAU
The Sheriff must have original signed instructions by the attorney or party without attorney pursuant to CCP 262
ATTORNEY OR PARTY WITHOUT ATTORNEY
NAME
LAW FIRM
STREET ADDRESS
SUITE / APT
CITY
STATE
ZIP
TELEPHONE NO.
FAX
EMAIL

Office Use Only

PLAINTIFF
DEFENDANT
CASE NO.
SHERIFF’S OFFICE
To the Los Angeles County Sheriff, you are instructed to:
Serve the attached Request for Civil Harassment Restraining Orders (CH100), Notice of Court Hearing (CH109), Temporary Restraining Order (CH110), blank Response to Request for Civil Harassment Restraining Orders (CH120), How Can I Respond to a Request for Civil Harassment Restraining Orders (CH-120-INFO), blank Proof of Service of Response by Mail (CH-250)) and applicable attachments.
Additional documents to be served
Defendant / Debtor / Person to be Served:
NAME (natural person)
NAME OF BUSINESS (if any, include type of legal entity)
STREET ADDRESS
CITY
STATE
ZIP
Make all payments, refunds or notices to the following (if different from the party at the top of this form):
NAME
ADDRESS
All instructions must be submitted by the above attorney or party (if no attorney.) All correspondence will be sent to said party.
DATE
BY (SIGNATURE OF ABOVE ATTORNEY OR PARTY WITHOUT ATTORNEY)
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