
Rev. January 1, 2026
Temporary Restraining Order (CLETS-TWH)
(Workplace Violence Prevention)
Case Number:
This is a Court Order.
WV-110, Page 6 of 7
You must have form WV-120 served on the petitioner or the petitioner’s attorney by mail. You cannot do this yourself.
The person who does the service should complete and sign form WV-250 , Proof of Service of Response by Mail. File
the completed proof of service with the court clerk before the hearing date or bring it with you to the hearing.
In addition to the response, you may file and have declarations served, signed by you and other persons who have
personal knowledge of the facts. You may use form MC-030, Declaration, for this purpose. It is available from the
clerk’s office at the court shown on page 1 of this form or at courts.ca.gov/rules-forms/find-your-court-forms. If you do
not know how to prepare a declaration, you should see a lawyer.
Whether or not you file a response, you should attend the hearing. If you have any witnesses, they must also go to the
hearing.
At the hearing, the judge can make restraining orders against you that last for up to three years. Tell the judge why you
disagree with the orders requested.
If you want to respond, fill out form WV-120, Response to Petition for Workplace Violence Restraining Orders, and
file it with the court clerk. You do not have to pay any fee to file your response if the petition claims that you
threatened violence against or stalked the employee, or placed the employee in reasonable fear of violence.
Read form WV-120-INFO, How Can I Respond to a Petition for Orders to Stop Workplace Violence?, to learn how to
respond to this order.
Obey all the orders. Any intentional violation of this order is a misdemeanor punishable by a fine or by imprisonment
in a county jail, or by both fine and imprisonment. (Pen. Code, § 273.6.)
After You Have Been Served With a Restraining Order
Instructions for Law Enforcement
Enforcing the Restraining Order
This order is enforceable by any law enforcement agency that has received the order, is shown a copy of the order, or has
verified its existence on the California Restraining and Protective Orders System (CARPOS). Agencies are encouraged to
enter violation messages into CARPOS. If the law enforcement agency has not received proof of service on the restrained
person, the agency must advise the restrained person of the terms of the order and then must enforce it. Violations of this
order are subject to criminal penalties.
Start Date and End Date of Orders
This order starts on the date next to the judge’s signature on page 4. The order ends on the expiration date in 4 on page 1.
If a Protected Person Contacts the Restrained Person
Even if a protected person invites or consents to contact with the restrained person, this order remains in effect and must
be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained person. The
order can be changed only by another court order. (Pen. Code, § 13710(b).)