
Notice of Court Hearing
(Elder or Dependent Adult Abuse Prevention)
EA-109, Page 2 of 3
New January 1, 2012
EA-100, Request for Elder or Dependent Adult Abuse Restraining Orders (file-stamped)
a.
EA-120, Response to Request for Elder or Dependent Adult Abuse Restraining Orders (blank form)
c.
e.
EA-120-INFO, How Can I Respond to a Request for Elder or Dependent Adult Abuse Restraining Orders?
Other (specify):
f.
EA-250, Proof of Service of Response by Mail (blank form)
d.
EA-110, Temporary Restraining Order (file-stamped) IF GRANTED
b
.
Case Number:
Temporary Restraining Orders (Continued)
4
As set forth on Attachment 4b.
Reasons for denial of some or all of those personal conduct and stay away orders as requested in Form
EA-100, Request for Elder or Dependent Adult Abuse Restraining Orders, are:
b
.
(1)
(2)
Other (specify):
The facts as stated in Form EA-100 do not sufficiently show reasonable proof of a past act or
acts of abuse of the elder or dependent adult by the person in .
2
Service of Documents by the Person in
At least five days before the hearing, someone age 18 or older—not you or anyone to be
protected—must personally give (serve) a court file-stamped copy of this Form EA-109, Notice of Court Hearing,
to the person in along with a copy of all the forms indicated below:
5
2
1
•
If you are unable to serve the person in in time, you may ask for more time to serve the documents. Use
Form EA-115, Request to Continue Court Hearing and to Reissue Temporary Restraining Order.
•
For information about service, read Form EA-200-INFO, What Is “Proof of Personal Service”?
2
The court cannot make the restraining orders after the court hearing unless the person in has been personally given
(served) a copy of your request and any temporary orders. To show that the person in has been served, the person
who served the forms must fill out a proof of service form. Form EA-200, Proof of Personal Service, may be used.
•
2
2
To the Person in :
1
Date:
Judicial Officer