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CR-164: CR 164 Form | CA Small Claims
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CR-164
General
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CR 164 Form
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1
p1_caption
Court Info
Case Number
2
list
Field 1
Restrained Full Name Ft
Restrained Sex Cb
Restrained Sex Cb
Restrained Sex Cb
Restrained Race Ft
Restrained Dob Dt
Restrained Age
Restrained Height Ft
Restrained Weight Ft
Restrained Hair Ft
Restrained Eyes Ft
Protected Full Name Ft
Protected Street Ft
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
check box 19
Addresses
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
County
Addresses
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Miles
Addresses
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Expiration Date Dt
Expiration Time Dt
Time Def
Time Def
Time Def
Hearing Time Dt
Ft
Hearing Judge Name Ft
Expiration Date Dt
Pages Attached No
3
p2_caption
Case Number
Case Number
4
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Signature Date Dt
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Certificate Date Dt
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