Request for Order ‘Glark stamps date here when form is fied @ Your name (person asking for protection): FILE “Your address (skip this if you have a lawyer): (If you want your address 10 be private, give a mailing address instead): FEB O8 2008 3830_Tomlinson Ave —— He City: Riverside ‘State: CA__— Zip: 92503. ‘Your telephone number (optional): Your lawyer (if you have one): (Name, address, telephone number, and State Bar number): Filin courtname and stoet 7 ‘Superior Court of California, County of Riverside superior Court of California 4175 Main Street P.O. Box 431 2) ‘Name of person you want protection fom: Riverside, California 92501 Syed Farook SE Pee oa —— “Gin ten case nanbor an fare. Description ofthat person: Sex: /%M (IF Height, 5*8 cons ne Weight: 155 Race: pakin Hair Color: bL i ate ip 2188/2 Eye Color: 21. —.— Age: 59__ Date of Birth: 5/5/49 @ Besitey, wo nelson? Fant onset members Fall Name Age Lives with you?’ How ae they elated to you? Eba Fa: 26. ([kiYes"7JNo daughter Rahgel Farook are Sx'Yes[“7jNo daughter Rizwan Farook 20. GelVes (No daughter aE Yes !No — Check here if you need more space. Attach Form MC-020 and write “DV-100, Item 3—Protected People” by ‘your statement. NOTE: In any item that asks for Form MC-020, you can use an 8 1/2. 11-inch sheet of paper Instead. @) Whatis yourretaionship tothe person in@? (Check all hat app a... We are now married or registered domestic partners 6.” We used to be married or registered domestic partners c. We live together. 4. We uscd to live together, ¢. __ We are relatives, in-laws, or related by adoption (specify relationship): Weare dating or used to date 8 h — We are engaged to be married or were engaged to be married x Weare the parents together of a child or children under 18: Childs Name: Bba Farook Date of Birth: 8/2/91 Child's Names o _ Date of Birth; Child's Name: ate of Birth: Check here ifyou need more space. Auach Form MC-020 and write "DY-100, lem 4h” by your statement. We have signed a Voluntary Declaration of Paternity for our child or children, (Attach a copy if you have one) Mek kok eee Sasa corsa Reve aly 1, 2007 are Form Request for Order ee ‘ sd ami Cote, 20 on) (Domestic Violence Prevention) Dve00, Page Tota =Yourname: Rafia Zarook © other Court cases 2. Have you and the person in @) been involved in another court case? [C) No 7] Yes If yes, where? County HE What are the case numbers? (you know) What kind of case? (Check all that apply) Registered Domestic Partnership [| Divoree/Dissoluion [1 ParentagePterity "Legal Separation Domestic Violence _—“(Crimminal Juvenile “Child Support. (| Nullity Civil Harassment Other (specifiy: anit EE ze ». Are there any domestic violence restraining/protective orders now (criminal, juvenile, family)? -KINo "Yes Ifyes, attach a copy if you have one. What orders do you want? Check the boxes that apply to your case. ( “x. Personal Conduct Orders 1 ask the court to order the person in (2) not to do the following things to me or any of the people listed in ® #4 Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal property, disturb the peace, keep under surveillance, ot block movements b. Contact (either directly or indirectly) or telephone, or send messages or mail or e-mail The person in @ will be ordered not to take any action to get the addresses or locations of any protected person their family members, caretakers, or guardians unless the court finds good cause not to make the order. @ “X Stay-Away Order {ask the court to order the person in @) to stay at least 100 yards away from (check all that apply): ao Me ¢. _x_ The children’s school or child care b,x > The people listed in 3) fx My vehicle ©. Myhome & | Other (specify)s_ 4... My job or workplace HEHE the person listed in (2) is ordered to stay away from all the places listed above, will he or she still be able to get to his or her home, school, job, or place of worship? “| Yes "X”No (Ifna,explainye are married and live here together x | Move-Out Order | ask the court to order the person in (2) to move out from and not return to (address). 3830 Tomlinson Ave Riverside CA_92503 _ have the right to live at the above address bocause (explain): I peed this home for myself and. children to live in we have no other place to live he is unstable ® X_ Child Custody, Visitation, and Child Support | ask the court to order child custody, visitation, and/or ehild support. You must fl! out and attach Form DV-108. ~ Spousal Support You can make this request only if you are married to, or are a registered domestic partner of, the person in @) and no spousal support order exists. To ask for spousal support, you must fill out, file, and serve Form Fl.-130 before your hearing, cacy Rae Reve oy 2007 Request for Order Heian! (Domestic Violence Prevention) >“Yourname: Rafia Farook What orders do you want? Check the boxes that apply to your case. (7 GA 5 Record Unlawful Communications ask for the right to record communications made to me by the person in (@) that violate the judge's orders. Property Control ‘ask the court to give only me temporary use, possession, and control of the property listed here: @® ~~ devt Payment ‘ask the court to order the person in @) to make these payments while the order isin effect: Check here ifyou need more space. Attach Form MC-020 and write "DV-100, tem 13—Debt Payment" by your statement ‘Amount: $ Due date: ‘Amount:$ ______ Due date: Due date: For: For: Amount: $ %_ Property Restraint {am maried to or havea registered domestic partnership withthe person in @). Las the judge to order thatthe person in @ not borrow agains, sel, ide, or get rid of or destroy any possessions or property, except inthe usual course of business or for necessities of life. I also ask the judge to order the person in (2) to notify me of any new or big expenses and to explain them to the court. @) ~_:Attomey Fees and Costs | ask that the person in (2) pay some or all of my attorney fees and costs. You must complete and file Form FL-150, income and Expense Declaration, _— Payments for Costs and Services ask that the person in @) pay the following: You can ask for last earnings or your costs for services caused directly by the person in (2) (damaged property, medical care, counseling, temporary housing, ete). You must bring proof ofthese expenses to your hearing. Pay to: — Amount; $ Pay to: Amount: § Ht Pay wo: Amount: § G2) Batterer intervention Program J.ask the court to order the person listed in (2) to go to a 52-week batterer intervention program and show proof of completion to the court. No Fee to Serve (Notify) Restrained Person ‘Ifyou want the sheriff or marshal to serve (notify) the restrained person about the orders for free, ask the court clerk what you need to do. Meee kaso ovens iy) 2007 Request for Order (Domestic Violence Prevention) BV-100, Page 3 ofa =>@ @ What orders do you want? Check the boxes that apply to your case. [7 More Time for Notice {need extra time to notify the person in @) about these papers. Because of the facts explained on this form, 1 want the papers served upto 5___ days before the date ofthe hearing. For help, read Form DV-210-1NFO. necessary, add additional facts: Other Orders What other orders are you asking for? _ Check here ifyou need more space. Auach Form MC-020 and write "DY-100, Item 20-—Other Orders" by ‘your statement ‘Guns or Other Firearms believe the person in (@) owns or possesses guns or firearms. [—|Yes (x No [-~ Idon't know Ifthe judge approves the order, the person in(@) will be required to sell to a gun dealer or turn into police any _g1ns or firearms that he or she owns or possesses. Describe the most recent abuse. 8. Date of most recent abuse: 2/3/2008 b. Whowas there? myself, Sved and our children ¢. What did the person in (2) do or say that made you aftaid? ed hada fight with my son and me and he got drunk I called at 6 am his brother in Chicago and I said he threatening to Kill himself. Hi brother called the police from Chicago and the police was at my house at Sai_and they put him in the county hospital for 72 hours observation. 4. Deseribe any use or threatened use of guns or other weapons: no ©. Deseribe any injuries: no f Did the police come? “No “x_ Yes Iyes, did they give you an Emergency Protective Order? ~ Yes _x. No ~~ I donit know Attach a copy if you have one Check here ifyou need more space. Use Form MC-020 and write "DV-100, tem 22—Recent Abuse” by your statement ~ Check here ifthe person in @) has abused you (or your children) other times. Use Form DV-1G1 or Form MC-020 to describe any previous abuse | declare under penalty of perjury under the laws ofthe State of California that the information above is true and correct. Date: 2/4/2008. ; Rafia Farook. HH HUBHEE Rel ou $, Type or print your néime Sign your MCR ane Foved.ay Ha? Request for Order DV-100, Page 4 of Violence Prevention)DV-101 Description of Abuse ees ! sf 2 'W This formis attached to DV-100, Item 21. Yourname: Rafia Farook Name of person you want protection from (restrained person}: Syed Farook Describe the 2nd most recent abuse. Date of 2nd most recent abuse: 1/31/08 b. Whowasthere? myself, Syed and our children © What did the person in do or say to you that made you afraid? Syed was drinking since the ing uy 2 He went to sellp and 1 come workil hou: at_7:00pm He got up from his ped and asked me if I got my W-2 form and I said no. He said bitch he was screaming at my daughter and throwing dishes in th kitchen 4. Describe any use or threatened use of guns or other weapons. no. 6/1 Det ara lnkne in tHE HAE EE 1. Did the police come? TX. No __ Yes yes, did they give you an Emergency Protective Order? Yes. 1 No =! idont know Attach a copy if you have one. Fenpahccnptogleat Description of Abuse DV-0t, Page 1 of 2 Jona 203, Oponl orm aml Coe § 5230280 > (Domestic Violence Prevention)[Casp-yumber: Yourname: Rafia Farook 1O 2/58) Describe other recent abuse. ‘& Date of other recent abuse: 1_nonth ago b. Whowas there? myself, Syed and our children & What did the person in» do or say to you that made you afraid? He was drunk and I was outside of my house and he pushed me towards my car and then choked me. He threw TV_on_that day. ‘any use or threatened use of guns or other weapons. no fe. Describe any injuries. no f. Did the police come? lyes, did they give you an Emergency Protective Order? Attach a copy if you have one, | No TI don't know "x" Describe other abuse against you or your children, My husband is mentally il} and is on medication but also is a alcoholic and drinks along with the medicine and he constantly threats to kill himself. He k and ar with me and our and threatens to kill himself on a daily basis, you need more space, check the box and attach Form MC-020. Or attach a sheet of paper and wnte "DV-101— Description of Abuse" at the top. Newievr 200 Description of Abuse ‘Dv-401, Page 2 of2 (Domestic Violence Prevention)Child Custody, Visitation, and Cosp Nomen Support Request (P2158 )2— 17 This form is attached to DV-100, Item 9. Yourname: Rafia Fa: [¢jMom | | Dad [| Other » Other parent's name: Syed Farook (Mom |x| Dad [~_ Other Change of Current Court Orders 1 want to change a current child custody or visitation court order. Explain your current order and why you want a change. Then skip to and finish the form. If you do not want a change, skip to and finish the form. | t want to keep my current child custody court order without any changes. /f there are no court orders for custody, you cannot check this box. if you check this box, skip the rest of this form. If you have a copy of the current court order, attach it. ‘x | Child Custody: | ask the court for custody as follows: Legal Custody to: (Person who makes decisions about health, ‘education, efc. Check at east one,) with. Check af least one.) (Child's Name Date ofBirth Mom Dad Othert Mom Dad Other a. Eba Farook AB EHH HERE Peete IEE b. SEC ECE Tat 1 a a ianiigeun Hi sa a Itmore children, check here. Attach @ sheet of paper and write *DV-105, Item §— Child Custody" by your request. “tf Other, specily relationship fo child and name of person: Child's Address ‘Where has the child in “a lived for the last 5 years? Give each address unless itis private, Start with where the child lives now and work backwards in time. Chas a ce sa Child © a's addresses: Mom Dad Other Dates lived there: 3830 Tomlinson Ave Riverside CA Gl ix 2002 to present 4 to ue ao to i CO to “if Other, specity relationship to child and name of person: Other Children's Addresses x] Check here ifthe other child's (or chiiren's) address information is the same as listed in | IRitis diferent, check here, Attach a sheot of paper and write DV-105, item 7 — Other Children's Addresses” by your list. List other ctildren’s address information, including dates, and name of person child lived with, This is nota Court Order. enna tbe eno Fern Child Custody, Visitation, and Support Request she DuHOe rece tate Fn con Seam (Bomestic Vince Prevertion os =>i Number Your name: Ratia Parook “e258 )2— Other custody case? ‘Were you involved in, or do you know of, any other custody case for any child listed inthis form? _x|No |_iYes tyes, fill out below: a. Name of each child in other custody case: b. Type ofcase: “| Divorce Guardianship Adoption [| Juvenile [Other (speci © Iwasa |__| Witness |__|Party |__j Other (spect): 4. Court (name) Address: City: State Date of cour order: Other people claim to have custody? Do you know of anyone who is not involved in this case who has or claims to have custody or visitation tights with any cid listed on tis frm? = No’ |¥es tyes, fi out below: Name and address ofthat person: | _|Has custody ___ Claims custody nghis___ Claims vistation rights For these children (name of each child): Check here if you need more space. Attach a sheet of paper and write "DV-108, Item 9° by your statement. (3d) Visitation | ask the court to order thatthe person in > have the folowing temporary visitation rights (Chock al that apply) a. _x | No visitation until the hearing b.. No visitation afer the hearing ¢. [ Thetolowing visitation |_| unt he hearing | after the nearing (1) _— Weekends (starting): (The 1st weekend of the month is the 1st weekend with a Saturday.) ~ 1st [J2nd —) 3rd 4th Sth weekend of month from at am. [—pm.to “jJamCpm. ‘eay tno) (ine) (oy atmo (2) [1 Weekdays (starting): - from at lam |_pmto at [Jam Tpm ayetwea tine) (Gay aiweel) Cine) (3) | Other Visitation [Attach a sheet of paper with other visitation days and times, lke holidays, birthdays, sports events. Lst dates and times. Write ‘DV-105, tem 10 — Visitation” by your statement This is not a Court Order Fa en 1204 Child Custody, Visitation, and Support Request Bv-06, Page 2013 {Domest Vikence Preven) >Casp-yumber Yourname: Raia Farook iQ 215 8)2— | Supervised Visitation ‘@. | ask that the vistation in °° be supervised by (wnte name and telophone number): b. Lask that any costs for supervision be paid as folows: Mom % Dad % Other (name) % * — Responsibility for Transportation for Visitation "Responsibility for transportation" means the parent wil take or pick up the child or meke arrangements for someone else 0.do so. a, Mom | {Dad | _ | Other (name: to the visits, >, Mom | ‘Dad [other (name): from the visits, Drop-off pick-up of children will be at (address): (cl Travel With Children —JMom x iDad [-_lother (name): Syed. Farook MUST have writen permission from ‘he other parent, ora court order, to take the children outside o: a. The State of Calfomia. b. __. Other place(s) ist): Child Abduction | | believe that there is a risk the other parent will take our child out of California without my permission. Ityou check this box you must il out and attach DV-108. Child Support a. || ask the court for child support. You must flout and fle FL.-150 or F.-155 before your hearing. b.| I now receive or have applied for TANF, Welfare, CalWORKS. or Medi-Cal. ©. aleady have child suppor order, but want changed Important! ‘You must tel the cour if you ind out any other information about a custody case in any cout for the children listed on this form, [ieee amen Child Custody, Visitation, and Support Request ‘DV-06, Page 3013 {Domest Vine Prevertion) fe any 12; Request for Order: Case Spmber walt No Travel With Children 1D 2) 58 {W This form is attached to DV-105, Child Custody, Visitation, and Support Request. Your name: Rafia Parook | Mom [| Dad [—] Other* Other parent's name: Syed Farook [= Mom | xJ Dad — Other* * If "Other," specify relationship with child: © Do you think the other parent may take the child without your permission to: a. Another county in California? [Yes OX! No If "yes," what county? b. |] Another state? Yes |X]No If*yes," what state? ©. A foreign country? | Yes Tk No Uf*yes,"what counery? If "Ves," isthe other parent a citizen of that country? — Yes. °X] No If "¥es," does the other parent have family or emotional ties to that country? Yes. x) No Explain: © Why do you think the other parent may take the child without your permission? ‘The other parent: (Check all that apply) a. _— Has violated — or threatened to violate — a custody or visitation order in the past, b. (| Does not have strong ties to California ©.“ Has done things recently that make it easy for him or her to take the child away without permission. He or she has: (Check all that apply) Quit his or her job _— Sold his or her home Closed a bank account — | Ended a lease |] Sold or gotten rid of assets Hidden or destroyed documents Applied for a passport, birth certificate, or school or medical records d. x” Has a history of: (Check all that apply) x Domestic violence | 2 Child abuse Not cooperating with me in parenting ~ Taking the children without my permission | | Has criminal record £. Please explain your answers to a he is unstable and threatens to commit suicide This is not a Court Orde ‘Zeal omelot Caroma feeay alae ceo Request for Order: No Travel With Children sine Dvs0e, Paget of 2 Family Code, § 2088 (Domestic Vitence Prevention) >Your name: Rafia Farook (Case Number: 1D 215-8) — What orders do you want? Check the boxes that apply to your case. (7 Os \} No Travel | Post a Bond ask the court to order the other parent to post a bond for $ If the other parent takes the child without my permission, I can use this money to bring the children back [] Do Not Move Without My Permission or Court Order 1 ask the court to order the other parent not to move with the children without my written permission or @ ‘court order. jout My Permission |Lask the court to order the other parent not to travel with the children outside: (Check all that apply) [| Thiscounty > California The United States] Other (specif): Notify Other State of Travel Restrictions | ask the court to order the other parent to register this order in the state of the children can travel fo that state for visits, before Turn In and Do Not Apply for Passports or Other Vital Documents ask the court to order the other parent to turn in and not apply for passports or other documents (such as visas or birth certificates) that can be used for travel. Provide Itinerary and Other Travel Documents If the other parent is allowed to travel with the children, | ask the court to order the other parent to give me before leaving: | The children's travel itinerary Copies of round-trip airline tickets “1 Addresses and telephone numbers where the children can be reached = ' An open airline ticket for me in case the children are not returned Other (specifi Notify Foreign Embassy or Consulate of Passport Restrictions Task the court to order the other parent to notify the embassy or consulate of of this order and to provide the court with proof ofthat notification within calendar days Foreign Custody and Visitation Order Task the court to order the other parent fo get a custody and visitation order equal to the most recent U.S. order before the children can travel to that country for visits. I understand that foreign ‘orders may be changed or enforced depending on the laws of the country. | declare under penalty of perjury under the laws of the State of California thatthe information on this form is true and correct. Date: 2/4/2008 Raeiuk S. Farooi Tipe or pri your name A Request for Order: No Travel With Children nine (Domestic Violence Prevention)