CLETS-001, Confidential Information for Law Enforcement (Judicial Council of California) Instructions

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This form contains 61 fields organized into 16 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Contact and Employer
Telephone Text
Enter the person’s primary telephone number, including area code and any extension if applicable.
Employer name and address Text
Enter the person’s current employer name and the full employer address (street, city, state, and ZIP).
Court Case Info
Date Received by Court Date
Enter the date the court received this form.
Case Number Text
Enter the court-assigned case number for this matter exactly as it appears on court documents.
Court Header
Case number Text
Enter the official case number assigned to this matter exactly as it appears on court documents.
Court name and address Text
Enter the full court name and mailing address (city, state, and ZIP) as it should appear on the form.
Firearms and Related Information
Firearms and Related Items — Details Text
Provide any information about firearms, firearm parts, ammunition, or body armor the person may have, including type, make/model, quantity, serial numbers, and likely location or where items are kept. Fill only if 'Yes (Give any information you have below, like the type, amount, or location of any items, if known.)' is 'Yes'.
Depends on: Yes (Give any information you have below, like the type, amount, or location of any items, if known.)
No Checkbox
Check this box if you know the person does not have any firearms (guns), firearm parts, ammunition, or body armor.
I don't know Checkbox
Check this box if you are unsure whether the person has any firearms, firearm parts, ammunition, or body armor.
Yes (Give any information you have below, like the type, amount, or location of any items, if known.) Checkbox
Check this box if the person does have firearms, firearm parts, ammunition, or body armor, and provide any known details (type, amount, location, etc.) in the space below.
General
textbox_0_13_090853bd Text
textbox_0_14_09b47168 Text
textbox_0_15_844643eb Text
Language Spoken (Yes / No / Other)
Language spoken (if not English) Text
Enter the name of the language the person speaks when they do not speak English; provide a short language name or description (e.g., Spanish, Mandarin). Fill only if 'No (list language)' is 'Yes'.
Depends on: No (list language)
I don't know Checkbox
Check this box if you do not know whether the person speaks English.
Yes Checkbox
Check this box if the person speaks English.
No (list language) Checkbox
Check this box if the person does not speak English, and list the language they speak on the line provided.
Other People - Additional / Notes
Check here if you have more people to list Checkbox
Check this box when you have additional people to protect beyond the spaces provided on this page and will attach a separate sheet labeled "Item 4" with their information.
choicebutton_1_6_3e244701 CheckBox
Additional people / notes Text
Enter any additional people you want protected or other notes related to Item 4, including each person’s full name, relationship to you, gender, race, and date of birth; if listing many people, indicate the order and attach extra pages as needed.
Other Person 1 (Protected)
Other Person 1 - Name Text
Enter the full name of the person you want protected (first and last name, and middle name or initial if applicable).
Other Person 1 - Race Text
Enter the person's race or ethnicity as they identify it.
Other Person 1 - Gender Text
Enter the person's gender identity (for example, M, F, X for nonbinary, or a written description).
Other Person 1 - Date of Birth Date
Enter the person's date of birth.
Other Person 2 (Protected)
Other Person 2 - Name Text
Enter the full name of the second person you want protected, including first and last name.
Other Person 2 - Race Text
Enter the person's race or ethnicity as they identify.
Other Person 2 - Gender Text
Enter the person's gender or gender marker (for example 'M', 'F', or 'X (nonbinary)') or a short written description of their gender.
Other Person 2 - Date of Birth Date
Enter the person's date of birth.
Other Person 3 (Protected)
Other Person 3 - Name Text
Enter the full name of the third person you want protected (include first and last name).
Other Person 3 - Gender Text
Enter this person’s gender (for example M, F, X/nonbinary, or a written description).
Other Person 3 - Race Text
Enter the race or ethnicity of the third person you want protected.
Other Person 3 - Date of Birth Date
Enter the date of birth for the third person you want protected.
Other Person 4 (Protected)
Other Person 4 Name Text
Enter the full name of Other Person 4 who you want protected.
Other Person 4 Race Text
Enter the race or ethnicity of Other Person 4.
Other Person 4 Gender Text
Enter the gender of Other Person 4 (for example: M, F, X, nonbinary, or a written description).
Other Person 4 Date of Birth Date
Enter the date of birth of Other Person 4.
Person Physical Identifiers
Driver's license (number and state) Text
Enter the person's driver’s license number and the issuing state (e.g., number followed by state abbreviation).
Social Security number (SSN) Text
Enter the person's Social Security number as it appears on official documents.
Marks, scars, or tattoos Text
Describe any distinctive marks, scars, or tattoos on the person that could help identify them.
Person Section Header and Names
Person You Want a Restraining Order Against — Other names used Text
Enter any other names, aliases, maiden names, or nicknames that the person has used or is known by.
Person You Want a Restraining Order Against — Name Text
Enter the full legal name of the person you want the restraining order against (first, middle, last).
choicebutton_0_23_474376a8 CheckBox
Vehicle Information
License Plate Number Text
Enter the vehicle's license plate or registration number (letters and/or numbers) as shown on the plate.
Vehicle Year Number
Enter the model year of the vehicle.
Vehicle Model Text
Enter the vehicle's model name or designation (for example, Civic, F-150, Camry).
Vehicle Type Text
Enter the vehicle type or body style (for example, sedan, coupe, SUV, truck, motorcycle).
Your Information
Do you speak English? Yes Checkbox
Check this box if you speak English.
Do you speak English? No (list language) Checkbox
Check this box if you do not speak English and list the language you speak on the line provided.
Gender: X (nonbinary) Checkbox
Check this box if you identify as nonbinary or prefer the X gender marker.
Gender: Female (F) Checkbox
Check this box if you identify as female.
Gender: Male (M) Checkbox
Check this box if you identify as male.
choicebutton_1_8_68592c3d CheckBox
Telephone Text
Enter the telephone number where the court or others can contact you, including area code and country code if applicable.
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Race Text
Enter your race or racial identity as you prefer to describe it.
Date of Birth Date
Enter your date of birth.
Language (if you do not speak English) Text
If you do not speak English, enter the language you speak. Fill only if 'Do you speak English? No (list language)' is 'Yes'.
Depends on: Do you speak English? No (list language)
Age Text
Enter your current age in years.
Your Name
Your Name Checkbox
Check this box when you are the person filling out the form and need to provide your full name in the 'Your Name' section.
Skip if asking for GV-100 or RT-100 Checkbox
Check this box if you are asking for a gun violence (form GV-100) or retail crime (form RT-100) restraining order and should skip the following 'Your Information' section.
Your Name Text
Enter your full legal name (first, middle initial or middle name if any, and last name) as the person completing this form.