Declaration of Default/Non-Compliance - Civil Harassment/Workplace Violence

Orange County Superior Court · Locally Approved Forms

Verified current as of September 10, 2026

This form is used to tell the court that someone who was ordered to stay away from you (through a civil harassment or workplace violence restraining order) has broken that order or failed to follow it. You would need this form if you're the person who got the restraining order and want to report to the court that the other person violated its terms.