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

Check this box if you need to list additional people beyond the spaces provided in Item 4 and will attach a separate piece of paper labeled “Item 4” with their information.

Enter the official case number assigned to this matter as it appears on court or agency documents.

Enter the court-assigned case number for this matter as it should appear on court records.

Enter the date the court received this form.

Check this box if the person does not have any firearms, firearm parts, ammunition, or body armor.

Check this box if you are unsure whether the person has any firearms, firearm parts, ammunition, or body armor.

Check this box if the person does have firearms, firearm parts, ammunition, or body armor, and provide any known details (type, amount, location) in the space below.

Provide any information you have about the person's firearms, firearm parts, ammunition, or body armor, such as type, quantity, identifying details (make, model, serial numbers), and where the items are located. Fill only if 'Yes (Give any information you have below, like the type, amount, or location of any items, if known.)' is 'Yes'.

Check this box if the person DOES speak English.

Check this box if you do not know whether the person speaks English.

Check this box if the person DOES NOT speak English, and write the language(s) they speak on the line provided.

If the person does not speak English, enter the language they speak (e.g., Spanish, Mandarin); leave blank if they speak English or you do not know. Fill only if 'No (list language)' is 'Yes'.

Enter the full name of the other person you want protected (include first and last name).

Enter the other person's gender or gender identity as you want it recorded (for example M, F, X/nonbinary, or a written description).

Enter the other person's race or ethnicity as they identify.

Enter the other person's date of birth.

Enter the full name of the second person you want protected (include first and last name and middle name or initial if applicable).

Enter the gender of the second person you want protected (e.g., M, F, X, nonbinary, or the word describing their gender).

Enter the race or ethnicity of the second person you want protected as they identify it.

Enter the date of birth of the second person you want protected.

Enter the full name (first and last, and middle name if known) of the third person you want protected.

Enter the gender of the third person you want protected (for example M, F, X for nonbinary, or spell out another gender identity).

Enter the race or ethnicity of the third person you want protected as they identify.

Enter the date of birth of the third person you want protected.

Enter the full name of the other person you want protected (first and last name, and middle name or initial if available).

Enter the other person's gender identity (for example M, F, X/nonbinary, or another description).

Enter the other person's race or ethnicity.

Enter the other person's date of birth.

Enter the full legal name of the person you want the restraining order against.

Enter any other names, aliases, maiden names, or nicknames the person has used.

Describe any distinctive marks, scars, or tattoos that help identify the person.

Enter the person's Social Security number, if known.

Enter the person's driver's license number and the state that issued it.

Enter the make or type of the person's vehicle (for example, car, truck, motorcycle, or vehicle make).

Enter the vehicle model or specific model name/trim for the person's vehicle.

Enter the model year of the person's vehicle.

Enter the vehicle's license plate number, including letters and numbers as shown.

Enter the name of the person's employer and the employer's full address.

Enter the person's telephone number where they can be reached, including area code.

Enter your current age in years.

Enter your date of birth.

Enter a telephone number where you can be reached.

Check this box if you do not speak English, and write the language you speak on the provided line.

Check this box if you speak English.

If you do not speak English, enter the language you speak; otherwise leave this field blank. Fill only if 'Do you speak English? — No (list language)' is 'No'.

Check this box if your gender is nonbinary or you use the X gender designation.

Check this box if your gender is male.

Check this box if your gender is female.

Enter your race or racial identification as you want it recorded on the form.

Enter your full legal name (first, middle initial if any, and last name) as the person completing or filing this form.