Brody Dalle Domestic Violence Restraining Order 2

Request for Domestic Clerk stamps date here when form is filed.
DV-100
Violence Restraining Order
CONFORMED COPY
You must also complete Form CLETS-001, Confidential CLETS Information, ORIGINAL FILED
and give it to the clerk when youfile this Request. Superior Court of California
County of Los Angeles
© Name of Person Asking for Protection:

BRODY DALLE-HQMME
DEC 062019
Age:41I
Your lawyer in this case (ifyou have one): Sherri R.'Carter, Executive Ollicer/Clerk ol Court
Name: SAMANTHA KLEIN, ESQ State Bar No.: 222414
By: Mayra Saiazar, Deputy
Firm Name: WASSER,C.QQPERMAN & MANDLES, P.C
Address (Ifyou have a lawyerfor this case, give your lawyer’s
information. Ifyou do not have a lawyer anawant to keep your home Fill in court name and street address:
address private, give a different mailing address instead. Ycou do not Superior Court of California, County of
have to give your telephone,fax, or e-mail): LOS ANGELES
Address: 2049 Century Park East, Ste. 800 111 N. Hill Street
111 N. Hill Street
City: Los Angeles State: CA Zip:90067 Los Angeles. CA 90012
Telephone: (310)277-7117 _ Fax: (310)553-1793 CentralDistrict
E-Mail Address: samantha.kl6in@wcmfamilylaw.eom Court fills in case number when form is filed.
© Name of Person You Want Protection From:

JOSHUA HOMME
Case Number:
19STFL13699
Description of person you want protection from:
Sex: ai M F Height: BIS Weight: 240 H air C olor: R ed Eye Color: Blue.
R ace: C aucasian Age: 46 D ate of Birth: 05/17/1973
Address (if known):
City: Los Angeles State: C A Zip:
© Do you want an order to protect family or household members? |^ Yes 21 No
Ifyes, list them:
F ull N a m e S ex Ag e Liv e s with you? R elationship to you
Y es No
Y es No
Y es No
Check here ifyou need more space. Attach a sheet ofpaper and write "DV-lO O, Protected People "for a title.
© What is your relationship to the person in @ ? (Check all that apply):
a. oa We are now married or registered domestic partners. If you do not have one of these relationships,
b. We used to be married or registered domestic partners. the court may not be able to consider your
c. We live together. request. Read F orm D V-500-IN F O for help.
d. We used to live together.
e. We are related by blood, marriage, or adoption (specify relationship):
f. We are dating or used to date, or we are or used to be engaged to be married.
We are the parents together of a child or children under 18:
C hild’s Name: C amille Harley Joan Homme D ate of Birth: 01/17/2006
C hild’s Name: Orrin Ryder Homme D ate of Birth: 08/12/2011
C hild’s N ame: Wolf Dillon R e ece H Q mme_ D ate of Birth: 02/13/2016
C heck here if you ne ed more space. Attach a sheet ofpaper and write “D V-100, Additional C hildren "for a
title .
h. W e have signed a Voluntary D eclaration of P aternity for our child or children. (Attach a copy ifyou have
one).
T his is not a C ourt O rd er.
Revised Juty"v 2016? M'andatorvTom^* '’^ R equest for Domestic Violence R estraining Order D V-100, P age 1 of 6
Family Code, g 6200 et Essential (Domestic Violence Prevention)
cVb^Zom iS Forms-
DH - 006046
Case Number:
19STFL13699
Other Restraining Orders and Court Cases

a. Are there any restraining/protective orders currently in place OR that have expired in the last six months
(emergency protective orders, criminal,juvenile, family)?
I iNo HRYes fdatp. nforder): 11/28/2019 2Lnd (expiration date): 12/06/2019 (Attach a copy ifyou have one).
b. Have you or any other person named in @ been involved in another court case with the person in @?
[HNo Y e s If yes, check each kind of case and indicate where and when each was fded:
Kind of C ase C ounty or Tribe Where F iled Y e ar F iled C ase Number (if known)
^ Divorce, Nullity, Legal Separation

_ C ivil H arassment
_ Domestic Violence
__ Criminal
_ Juvenile, Dependency, G uardianship
_ C hild Support
^ Parentage, P aternity
Other (specify):
Check here if you need more space. Attach a sheet ofpaper and write “DV-lO O, Other Court C ases ’’for a
title .
Check the orders you want. 0

P ersonal C onduct Orders
I ask the court to order the person in not to do the following things to me or anyone listed in @ :
a. Q Q Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal
property, disturb the peace, keep under surveillance, impersonate (on the Internet, electronically or
otherwise), or block movements
b. [H Contact, either directly or indirectly, in any way, including but not limited to, by telephone, mail or e-mail
or other ele ctronic me ans
The person in (5) will be ordered not to take any action to get the addresses or locations of any protected
person unless the court finds good cause not to make the order.
© [H Stay-Away Order
a. I ask the court to order the person in (^to stay at least 1QQ yards away from (check all that apply):
[•1 Me My school
tSl My home E ach person listed in
r*l My job or workplace The child(ren)'s school or child care
Q Q My vehicle Other (specify):
b. If the person listed in 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, workplace, or vehicle? Yes [5|No (If no, explain):
Wfi have a residence. An Emergency Protective Order with a kick-out order was issued on 11/28/2Q19. _
and will expire on 12/06/2019. ©
© [SI Move-O ut Order
(If the person in (?) H^^ss with you and you want that person to stay away from your home, you must ask for
this move-out order.)
I ask the court to order the person in (2) to move out from and not return to (address):
Marital residence located in Los Angeles. C alifornia.
I have the right to live at the above address because (explain):

This is the marital residence. The residence was purchased with community funds

R evised July 1,2016
R equest for Domestic Violence R estraining Order D V-100, P age 2 of 6
rrR ’ E ssential (Domestic Violence Prevention)
E g F orms-
DH - 006047
Case Number:
19STFL13699
© IGuns or Other Firearms and Ammunition

believe the person in @ owns or possesses guns, firearms, or ammunition. OYes I^No I IT don’t know
Ifthejudge approves the order, the person in @ will be ordered not to own, possess, purchase or receive a
firearm or ammunition. The person will be ordered to sell to, or store with, a licensed gun dealer, or turn in to law
or possesses.
©enforcement, any guns orfirearms that he or she owns
m Record Unlawful Communications
I ask for the right to record communications made to me by the person in @ that violate the judge’s orders.
C are of Animals
I ask for the sole possession, care, and control of the animals listed below. I ask the court to order the person in
(2) to stay at least yards away from and not take, sell, transfer, encumber, conceal, molest, attack,
strike, thre aten, harm, or otherwise dispose of the following animals:
I ask for the animals to be with me because:
© S) Child Custody and Visitation

a. a i I do not have a child custody or visitation order and I want one.
b. ! have a child custody or visitation order and I want it changed.
If you ask for orders, you must fill out and attach Form DV-105, Request for Child Custody and Visitation Orders.
DV-180,
You and the other parent may tell the court that you want to be legal parents of the children (use Form
Agre ement and Judgment of Parentage).
® a.
Child Support (Check all that apply):
I do not have a child support order and I want one.
b. I have a child support order and I want it changed,
c. m I now receive or have applied for T A N F , Welfare, C alW O RKS, or Medi-C al.
If you ask for child support orders, you must fill out and attach form FL-I50, Income and Expense Declaration or
F orm F L-I55, Financial Statement (Simplified).
[H Property C ontrol
I ask the court to give only me temporary use, possession, and control of the property listed here:
See item no. 8 regarding move-out order. ^
D ebt P ayment
I ask the court to order the person in (2) to make these payments while the order is in effect:
I I Check here if you need more space. Attach a sheet ofpaper and write “DV-IO O, Debt Payment "for a title.
F or: Amount: $ D u e d ate:
P ay to:
Property R estraint
I am married to or have a registered domestic partnership with the person in . I ask the judge to order
that the person in (?) not borrow against, sell, hide, or get rid of or destroy any possessions or property, except
in the usual course of business or for necessities of life. I also ask the judge to order the person in(?)to notify
me of any new or big expenses and to explain them to the court.
© Spousal Support
I am married to or have a registered domestic partnership with the person in @ and no spousal support order
exists. I ask the court to order the person in (2) to pay spousal support. (You must complete, fie, and serve Form
FL-150, Income and Expense D eclamtionêfyrôwiê an«e^^^
R evised July 1. 2016
rpn- E ssential (Domestic Violence Prevention)
cVb'Zom P Eorms-
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Case Number:
19STFL13699
I Rights to Mobile Device and Wireless Phone Account

a. Prop erty control of mobile device and wireless phone account
I ask the court to give only me temporary use, possession, and control of the following mobile devices:
and the wireless phone account for the
following wireless phone numbers because the account currently belongs to the person in (2):
(including area code): number of child in my care
1
my number
(including area code): my number number of child in my care
\^C heck here if you need more space. Attach a sheet ofpaper and write “DV-lO O, Rights to Mobile Device
and Wireless Phone Account "for a title.
b. D e bt P ayment
I ask the court to order the person in (2) to make the payments for the wireless phone accounts listed in 18a
because;
Name of the wireless service provider is: Amount: $ D u e D ate:
If you are requesting this order, you must complete, fde, and serve F orm FL-150, Income and Expense
D eclaration, before your he aring.
c. I I Tra nsfer of Wirele ss Phon e A ccount
I ask the court to order the wireless service provider to transfer the billing responsibility and rights ot the
wireless phone numbers listed in 18a to me because the account currently belongs to the person in(®.
If the judge makes this order, you will be financially responsible for these accounts, including monthly service
fees and costs of any mobile devices connected to these phone numbers. You may be responsible for other fees.
You must contact the wireless service provider to find out what fees you will be responsible for and whether you
are eligible for an account.
Insura nc e
I ask the court to order the person in(2)N O T to cash, borrow against, cancel, transfer, dispose of, or change the
beneficiaries of any insurance or coverage held for the benefit of me or the person in (?), or our child(ren), for
whom support may be ordered, or both.
Lawyer’s F e es and C osts
I ask that the person in @ pay some or all of my lawyer’s fees and costs.
You must complete, file, and serve form FL-150, Income and Expense Declaration, before your hearing.
P ayments for C osts and S ervices
I ask the court to order the person in @ to pay the following:
You can askfor lost earnings or your costs for services caused directly by the person in (2) (damaged property,
medical care, counseling, temporary housing, etc.). You must bring proof of these expenses to your hearing.
P ay to: F or: Amount: $
P ay to: F or: Amount: $
B atterer Intervention Program

I ask the court to order the person listed in @ to go to a 52-week batterer intervention program and show proof
of completion to the court.
O th er O rd ers
What other orders are you asking for?
Check here if you need more space. Attach a sheet ofpaper and write “DV-IO O, Other Orders "for a title.
rp R " E ssential (Domestic Violence Prevention) ->
cVbxom Eg Forms-
DH - 006049
Case Number:
19STFL13699
24 Time for S ervice (Notice)

The papers must be personally served on the person in @ at least five days before the hearing, unless the
court orders a shorter time for service. If you want there to be fewer than five days between service and the
he aring, explain why below. F or help, re ad F orm D V-200-IN F O , " What Is Proof of Personal Service?"
25 No F e e to S erve (Notify) R estrained P erson

If you want the sheriff or marshal to serve (notify) the restrained person about the orders for fre e, ask the court
clerk what you ne ed to do.
26 C ourt H e aring
The eoiirt will schedule a he aring on your request. If the judge does not make the orders effective right away
("temporary restraining orders"), the judge may still make the orders after the hearing. If the judge does not make
the orders effe etive right away, you can ask the eourt to cancel the hearing. Read form D V-112, Waiver of H e aring
on D enied Request for T emporary R estraining Order, for more information.
0 Deseribe
DescribehowAbuse
the person in (0 abused you. Abuse means to intentionally or recklessly cause or attempt to cause
bodily injury to you; or to plaee you or another person in reasonable fear of imminent serious bodily injury; or to
harass, attaek, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, keep you under
surveillance, impersonate (on the Internet, electronically or otherwise), batter, telephone, or conta etyou; or to
disturb your peace; or to destroy your personal property. (For a eomplete definition, see F am. Code, §§ 6203, 6320.)
a. D ate of most recent abuse:
1. W ho w a s there?
2. Describe how the person in (0 abused you or your child(ren):

S E E A T T A C H E D D E C LA R A TIO N
Check here if you need more space. Attach a sheet ofpaper and write “DV-IO O, Recent Abuse "for a title.
3. Did the person in @ use or threaten to use a gun or any other weapon? Q No Yes (If yes, describe):
4. D escribe any injuries:
5. Did the polie e eome? No Yes

If yes, did they give you or the person in @ an Emergeney Protective Order? Yes No I don’t know
Attach a copy if you have one.
The order proteets you or the person in @

R evised July 1, 2016
r rR " E ssential (Domestic Violence Prevention)
cVbôm g Forms
DH - 006050
Case Number:
19STFL13699
Describe Abuse (continued)

SEE ATTACHED DECLARATION.
Has the person in @ abused you (or your child(ren)) other times?
b. Date of abuse:
1. Who was there?
2. Describe how the person in abused you or your child(ren):
\^^Check here ifyou need more space. Attach a sheet ofpaper and write “DV-100, Recent Abuse"for a
title.
3. Did the person in (2) use or threaten to use a gun or any other weapon? QNo Y es (Ifyes, describe):
4. D escribe any injuries:
5. Did the police come? Q N o Q Y es

If yes, did they give you or the person in @ an Emergency Protective Order?
I I Yes No I don’t know Attach a copy if you have one.
The order protects you or the person in @
If the person in @ abused you other times, check here I I and use F orm DV-101. D escription of Abuse
or describe any previous abuse on an attached sheet ofpaper and write "DV-lO O, Previous Abuse"/or a
title .
O th er P ersons to B e Prote cte d

The persons listed in item(^ need an order for protection because (describe): —
Number of pages attached to this form, if any:

I declare under penalty of perjury under the laws of the State of C alifornia that theii lation above is true and correct.
Date: December ^ //
7
R R Q D Y D ALL E-H O MM E
Type or print your name Sign your name
D ate: D ecember
SAMANTHA KLEIN, E S Q. (S E N 222414)

Lawyer’s name, if you have one Lawyers signature
P F R* E ssential
PI F orms-
(Domestic Violence Prevention)
c e hxom
DH - 006051
Request for Child Custody and Case Number:
DV-105 Visitation Orders 19STFL13699
This form is attached to DV-lOO, Requestfor Domestic Violence Restraining Order.

Check the orders you want 0.
Q) Your name: BRODY DALLE-HQMME Mom D ad O ther*
Other parent’s name:JQSHUA HOMME I I Mom Q O D ad Other*

*If Other, specify relationship to child:
©a C hild C ustody
I ask the court for custody as follows: Legal C ustody to: (Person Physical C ustody to:
who makes decisions a bout (P erson you want the
he alth, education, and welfare) child to live with)
C hild's N a m e D ate of Birth Mom D ad O th er Mom D ad O th er
a. C amille Harley Joan Homme 01/17/2Q Q6 SI [11 [a

b. Orrin Ryder Homme 08/12/2011 [g [a
c. Wolf Dillon R e ece Homme 02/13/2016 [ll [a [ [a
d.
Check here if you need more space. Attach a sheet ofpaper and write “DV-105, C hild Custody” for a title.
@a C hange C urrent C ourt Order

I want to change a current child custody or visitation court order.
C ase Number (if you have it): C ounty:
E xplain your current order and why you want a change.
Check here if you need more space. Attach a sheet ofpaper and write “DV-105, Change Current Court
Order "for a title.
C hild's A ddre ss
Where has the child in @(a) lived for the last 5 years? Give each city and state the child has lived unless it is
unknown to the other parent and you want to keep it confidential because of domestic violence or child abuse.
Start with where the child lives now and work backwards in time. (If the current address is confidential, check
the box below andjust provide the current state).
C hild (3) (a) lived with: D ates liv e d there:
Child @ (a) addresses (city and state): Mom D ad O th er
C onfidential Los Angeles, C A SI From 11/28/2019 to present

Los Angeles, C A SI SI From Birtli to 11/28/2014
From to
From to
I I Check here if you need more space. Attach a sheet ofpaper and write “D V-105, C hild’s Address” for a
title .

D V-105, P age 1 of 3
Judicial C ouncil of C alifornia, wvm.courts.ca.gov
R equest for C hild C ustody and Visitation Orders
R ev. January 1, 2012, Mandatory F orm ->
F amily C ode, § 3063 P F R* E ssential (Domestic Violence Prevention)
ceb .com F I F orms-
DH - 006052
Case Number:
19STFL13699
@ Other Children’s Addresses

Check here if the other child’s (or children’s) address information is the same as listed in (?).
I I If it is different, check here. Attach a sheet ofpaper and write “DV-105, Other C hildren’s Addresses ’’for a
title. List other children’s address information, including dates, and name of person child lived with.
@ O ther C ustody C ase

W ere you involved in, or do you know of, any other custody case for any child listed in this form?
[g No 1^ Yes If yes, fill out below and attach a copy of any custody or visitation orders ifyou have them:
a. N ame of e ach child in other custody case:
b. Type of case: P arentage (Paternity) Divorce C hild Support G uardianship

I I Juvenile/D ependency I I Domestic Violence
[ O ther (specify):
c. I was a P arty Witn e ss Other (specify):
d. C o\xrt(name):
A ddre ss: C ounty: State:
e. D ate of court order:
f. C ase number ('//'yow/7ave zY);

O ther P eople With or C laiming to H ave C ustody or Visitation Rights
Do you know of anyone who is not involved in this case who has or claims to have custody or visitation
rights with any child listed on this form? No Y e s Ifyes, fill out below:
N ame and address of that person:
I I Has custody Claims custody rights Claims visitation rights

F or these children (name of e ach child):
Check here if you need more space. Attach a sheet ofpaper and write “DV-105, Other People With or
Claiming Custody or Visitation ’’for a title.
© Q Q V isit a tion
I ask the court to order that the person in (2) have the following temporary visitation rights:
(C heck all that apply) *mutually agreed upon vis its in the presence
a. I I No visitation until the he aring of an agreed upon 3rd party.
b. I I No visitation after the he aring
c. SI The following visitation* ! until the hearing ! after the hearing
(1) ! W e ekends (starting): (The 1st weekend of the month is the 1st weekend with a S aturday.)
2nd 3rd 4th 5 th we ekend of month
from at a.m. p.m. to at a .m.
(day of week) (time) (day of we ek) (time)

(2) ! W e ekdays (starting):
from at a.m. p.m. to . at a.m. p.m.
(day of we ek) (time) (day of we ek) (time)
R ev. January 1, 2012 D V-105, P age 2 of 3
rp R* E ssential
^
ceb.com plForms- (Domestic Violence Prevention)
DH - 006053
Case Number:
19STFL13699
@ Other Visitation
Attach a sheet of paper with other visitation days and times, like summer vacation, holidays, and birthdays.
List dates and times. Write “D V-105, Visitation” for a title.
R esponsibility for Transportation
The parent will take or pick up the child or make arrangements for someone else to do so.
I ask the court to ord er that;
a. Mom D ad Other (name): ta k e childre n to the visits,
b. Mom D ad Other (name): pick up children from the visits.

c. Drop-off / pick-up of children will be at (address):.
d. 1^ Check here if other arrangement. Attach a sheet of paper and write '‘DV-105, Responsibility for
Transportation ” for a title.
© [H Supervised Visitation
a. I ask that the visitation in @ be supervised by
I I A professional supervisor [51A non-professional supervisor Other
Name and telephone number, if known: *agreed upon non-professlon al supervisor
b. I ask that the visitation in @ be supervised by
I I A professional supervisor A non-professional supervisor Other
N ame and telephone number, if known:
c. I ask that any costs for supervision be paid by:
%
Mom % D ad % O ther (name)
[51 Travel With C hildren

I ask the court to order that:
Mom [51 Dad Other (name): must have written permission

from the other parent, or a court order, to take the children outside of:
a. The State of C alifornia. 33 County of: Lqs AngeleS
b. Other place(s) (list):
C hild Abduction Risk

I I I believe that there is a risk the other parent will take our child out of C alifornia and hide the child from me.
If you check this box you must fdl out and attach Form DV-108, Request for Order: No Travel with Children.
Important Instructions
• You must tell the court if you find out any other information about a custody case in any court for the children
liste d on this form.
• If the court makes a temporary custody order, the parent receiving custody must not take the child out of
C alifornia without a noticed he aring. (See F amily C ode §3063.)

D V-105, P age 3 of 3
R ev. January 1, 2012
C pD- E ssential
^
ceb .com 51 Forms- (Domestic Violence Prevention)
DH - 006054
Declaration of
Brody Dalle-Homme
DH - 006055
DH - 006056
1 DECLARATION OF BRODY DALLE-HOMME
2 I, BRODY DALLE-HOMME,hereby deelare as follows:
3 1. Declarant is the Petitioner in the within matter. I have personal knowledge of the
4 following facts, and if called upon, I could and would testify competently thereto. I submit the
5 following with respect to my requested relief.
6 2. On the evening of November 27, 2019,1 was at my home with two of my children.
7 Wolf(age 3), Camille (age 13), my sister, her boyfriend, and my husband’s mother.
8 3. 1 was in Wolfs room putting him to sleep sometime between 9:45 and 10:00 p.m,
9 when 1 heard Josh’s car screeching around the corner and into the driveway. 1 left Wolfs room and
10 went into my bedroom where 1 could see Josh sitting in a chair on the patio in the dark and he began
11 speaking to me. 1 could tell that he had been drinking based on how he was speaking. 1 had also
12 seen on our American Express statements that he had purchased alcohol that day.
13 4. 1 went downstairs to tell Josh’s mother that he shouldn’t be driving. Josh was
14 supposed to go that evening to meet up with his father and my other son Ryder for a guy’s night and
15 1 did not want him driving in his condition. When Josh came inside the house he was clearly
16 intoxicated and 1 heard his mother say to him that she could smell the alcohol on his breath and he
17 should not drive.
18 5. Josh told me that he wanted to talk to me alone so Camille and Josh’s mother went
19 into the media room so that he and 1 could speak in the kitchen. This was at around 10:15 p.m. Josh
20 started yelling at me and insulting me.
21 6. A few minutes later, my sister and her boyfriend arrived home and came into the
22 kitchen so Josh and 1 went outside onto the patio. He continued to hurl insults at me, screaming and
23 yelling, telling me that 1 was a liar and a coward. He also kept saying “you think you are so fucking
24 perfect.” 1 did not engage with him or yell back but his tone kept escalating and he appeared to be
25 getting angrier.
26 7. 1 asked Josh to be quiet since our son was sleeping and Camille was upstairs and
27 would hear him. He then looked at me and said “1 was thinking about how 1 wanted to kill you, and
28 no one would know because you would be dead.” 1 asked Josh if he was threatening me. Josh said
-1 -
MARRIAGE OF DALLE-HOMME/HOMME DECLARATION OF BRODY DALLE-HOMME
L.A.S.C. CASE NO. 19STFL0I3699 dec.120219 - Client.docx
DH - 006057
1 no. I must have looked shocked when he said he wanted to kill me because he then said, “That’s
9?
2 what I was waiting for, I wanted to see your face change.
3 8. At this time. Josh moved towards me, and my back was against a railing so there was
4 nowhere else I could go. I turned my head to the side quickly and he head-butted me so violently on
5 the top right part of my head that my head jerked back and my knees buckled. I screamed. I was on
the floor and Josh looked at me and said “you fucking faker.
99
7 9. Right after I fell to the ground and screamed, he opened the sliding door to the inside
8 and yelled that I was faking it and had made it all up. Immediately after that, Camille and my sister
9 rushed outside and held me while I was on the ground shaking and crying. Josh’s mom came
10 outside too. Camille asked Josh “what did you do?” and Josh responded “I didn’t do anything, she
99
11 put herself there.” Camille said “but why would she do that” and Josh said “that’s your mom. Josh
12 never asked if I was okay, never helped me up, and never checked on me.
13 10. My sister took me into the guestroom on our first floor to try and calm me down.
14 Josh’s mother came in and said “He’s afraid you’re going to call the police.” I asked why he was
15 afraid if he didn’t believe he had done anything wrong.
16 11. Soon after that. Josh and his mother left the house but returned 10 to 15 minutes later
17 to retrieve his cell phone. After spending a few minutes locating the phone, they left again.
18 12. At 10:51 p.m., shortly after the incident, I texted Dr. Sophy (Josh’s therapist and our
19 couple’s counselor) to let him know what had happened and that Josh had head-butted me.
20 13. I waited until my daughter had calmed down and gone to sleep to call the police. I
21 did not want to expose her to any more trauma. At 1 a.m. I called 911 and told them that my
22 husband had attacked me. They arrived within ten minutes, took my statement, took my sister’s
23 statement, took my sister’s boyfriend’s statement and then issued an Emergency Protective Order
24 which is in place until 5:00 p.m. on Friday, December 6, 2019 and provides protection for me. A
25 true and correct copy of the Emergency Protective Order is attached hereto and marked as Exhibit A.
26 14. Right after the incident, a raised welt appeared at my hairline where Josh head-butted
27 me. I had a red circular mark above my right eyebrow. The next morning bruising appeared. After
28 a week I still had bruising and my right eyebrow remains swollen. I continue to have headaches
-2-
L.A.S.C. CASE NO. 19STFL013699 dec.120219 - Client.docx
DH - 006058
1 since the injury. True and correct copies of photographs taken of my injuries in the days since the
2 attack are attached hereto as Exhibit B.
3 15. This is not the first time Josh has physically hurt me or been abusive,just the most
4 recent time. 1 will have evidence of the prior incidents at the time of a hearing.
5
6 I declare under penalty of perjury under the laws of the State of California that the foregoing
7 is true and correct.
8 Executed this 5
day of December, 2019, at Los Angele^^Tîfornia.
9
10
BROdV DALLE-HOMME,Declarant
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
-3-
L.A.S.C. CASE NO. 19STFL013699 dec.120219 - Client.docx
DH - 006059
Exhibit A
DH - 006060
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DH - 006061
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{ COiâiNEBEViD BEPO«T
Page of
03.01.00 (05/’l7)
Los Angeles Police Department UCR code
INVESTIGATIVE REPORT cc;___ 0 MULTIPlE DHSO^tf WS
REPOnTOf; I investDIV, INC* DRf
CASE SCREENING FACTOR(S) f'ftk'TuFa giiTfd II k WT AGE DC®

LAST name;first. MIDDLE(OR NAME OF BuIFnESS) SEX D£SC
Q SUSPECT/VEHICLE NOT SEEN
I; PRINTS OR OT>IER EVIDENCE NOT PRESENT
I %
m MO NOT DISTINCT
APbRESS
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I
c NO SERIOUS INJURY TO VICTIM
Sj ONLY ONE VICTIM INVOLVED E-MAIL ADDR E SS

A ' tJeIlphone
P R E MIS E S (SP E CIFIC TYP E) ATM O R. Lie. N O. IIP N O N E . O T H E R ID A N O .) F O R EIG N LA N G U A G E S P O K E N O C C U P A TIO N
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2. (/ ..»> > AiO .wA)

O MO long FORM LIST UNIQUE ACTIONS. IF SHORT FORM. DESCRIBE SUSPE CTS ACTIONS IN BRIEF PHRASES. INCLUDING WEAPON USED. DO NOT REPEAT ABOVE INFO BUT CLARIFY
R E P O RT AS N E C E SSARY. IF ANY O F TH E MISSIN G IT EMS AR E P O T E NTIALLY ID E NTIFIABLE, IT EMIZ E AND D E S C RIB E ALL IT EMS MISSIN G IN THIS IN CID E NT IN TH E NARRATIV E.
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T R A N SIT-R E L A T E D • HlAYlftAT O W MiRSV'S fi liSriK rt-. ' ' M O TIV A T E D B Y D O M EÎcTn
IN C ID E N T C A R D P R O VID E D T O T H E VIC TIM B H A T R E D/P R E JU Di C E VIOLE N C E i
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1
INITIALS, LA S T N AM E S E RIAL N O . DIVv O E T AlL SIG N A T U R E O R R E C EIV E D BY PH O N E LJ
PERSON
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R E P O R TIN G <Â Px‘jA iiim
R E P O R TIN G
IF SH O RT F O RM AND VIC TtM,'PR AR E N O T TH E SAME, E NT E R PR IN F O RMATIO N

EMPLOYE E(S) ^ 6Ak5.
N O T E:
IN INV OLV E D P E RS O NS S E C TIO N.
T HIS R E P O R T D O E S N O T C O N S TIT U T E V A LID ID E N TI F I C A TI O N
\
K E E P T HIS R E P O R T F O R R E F E R E N C E v IN S T R U C CIO N E S E N E S P A N O L A L R E V E R S O .
Vour case will he assigned io a detective for follow-up investigation based upon specific facts obtained during the initial investigation. I
Studies have shown that the presence of these facts can predict whether a detailed follow-up investtgatirm would likely result in the arrest
and prosecution of the suspect(s) or the rân’erv of property, in a manner that is cost-effective to you, the taxpayer. Significant decreases
c in personnel have made it impossible for detectives to personally discuss each and every case with all crime victims. A detective will not
I
I
{
routinely contact you, unless the detective requires additional information.
T O R E P O R T A D DITIO N AL IN F O RMA TIO N; !f you have specific facts to provide which might assist in the investigation of your case, please
contact the detective Monday through Friday, between 8:00 A.M. and 9:30 A.M., or between 2:30 P.M. and 4:00 P.M. at telephone number
. If the detective is not available when you call, please leave a message and include the telephone number where you
can be re a ch e d. i
C O PY O F R E P O RT; If you wish to purcha.sc a copy of the complete report, phone (213) 486-8130 to obtain the purchase price. Send a
check or money order payable to the Los Angeles Police Department to Records and Identification Divi.sion, Box 30158, Los Angeles, G A
90030. Include a copy of this report or the following information with your request: I) Name and address of victims; 2) Type of report and
DR number (if listed above); 3) Date and location of occurrence. N O T E: Requests not accompanied by proper payment will not be processed.
DR NUMB E R: If not entered on this form, the DR number may be obtained by writing to Record.? and Identificaljon Division and giving the
information needed to obtain a copy of the report {.see above paragraph). Specify that you only want the DR number. It will be forwarded
without delay. There is no charge for this service.
C R E DIT C ARDS/C H E C KS; Immediately notify concerned credit corporation or banks w avoid possibility of being liable for .someone else
using your stolen or lost credit card or check.
H O W Y O U C A N H E L P T H E IN V E S TI G A TI O N O F Y O U R C A S E :
* Keep this memo for reference.
* If stolen items have serial numbers not avaihiblc at time of report, attempt to locate them and phone them to the detective at the listed number.
* if you di.scover additional lo,sses, complete and mail in the Supplemental Property Lo.ss form given to you by the reporting employee.
* Promptly report recovery of property.
* Promptly report additional information such as a neighbor informing you of suspiciou.s activity at time crime occurred.
VICTIM-W1TNES.S A.SSISTANC E PRO GRAM: The Lo.s Angeles City and County Victim-Witness Assistance Propr:im (VWAP) can help to m
'W,
determine if you qualify for Victim of Violent Crime compensation. If you qualify, Uiey will assist with filling your claim application. If >..i. .ue
e a victim or a witness to a crime and will be going to court, they will explain die court procedures to you. Their staff may also assist you will
other problems cre ated by the crime.
m.
To find the program location nearest to you, call the Victim-Witness Assistance Program at the Los Angeles City Attorney's Office
(213) 485-6976, or the Los Angeles C ounty District Attorney's O ffice (800) 380-3811. 'A
VIC TIMS O F VIO L E N T C RIM E C OMP E NSATIO N: R efer to paragraph at bottom of reverse side.
www.LAPD Qnlinc.org
www.ioinL A P D .cnm
DH - 006062
i
EPO-001 ONE cow to court, ONE c<^y to r»»lr»Jn«l person,ONE cc^y to protected person,ONE copy to issuing agency LAW ENFORCEMENT CASE NUMBER
EMÎflÊ^pY PROXECJIVE ORDER (S0e /©verse for Important notices.)

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1. PROTECTED PERSONS ('/nsert names of all persons protected by this Order):

i I C l-M:- b? f M•A. £A
/ i H ‘ y i.( <> 5/
2. RESTRAINED PERSON (name): y - * ! ' ^
Sex: Qm OF Hi: {, Wt.: 2,f,/ H aircolor: ft & Eye color: Race: { A .J

Age-J/C Date of birth: r: !-/ 7-3
3, T O T H E R E S T R AIN E D P E R S O N:
a. Q YOU MUST NOT harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy any
personal property of, disturb the peace of, keep under surveillance, or block the movements of each person named in item 1,
4 b. [3 YOU MUST NOT contact, either directly or indirectly, by any means, including but not limited to by telephone, mail, e-mail or
other electronic me ans, any person named in item 1,
c. Y O U MUST C3 stay away at least: yards from e ach person named in item 1.
W
1
O stay away at le ast: yards from
[3 move out immediately from
(address): I
d. YOU MUST NOT own, possess, purchase, receive, or attempt to purchase or receive any firearm or ammunition. If you have
any firearms, you must turn them in to a law enforcement agency or sell them to, or store them with, a licensed gun dealer. i
must not take any action, directly or through others, to obtain the addresses or locations of any person named in item 1.
4. (Name): is given temporary care and control of the following
minor children of the parties (names and ages):
i
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5. THIS O RD E R WILL E XPIR E AT THE CLO S E O F THE C O URT BUSIN E SS DAY O N; r'-' ..
6. TO THE PROTE CTED PERSON: If you need protection for a longer period of time, IN S E R T D A T E O F FIF T H C O U R T D A Y O R S E V E N T H
you must request restraining orders from the court in the county where you live; C AtE N D A H D AY, V WIC H E V E R IS E A RLIE R; D O N O T
C O U N T D A Y T H E O R D E R IS G R A N T E D
(Name and address of court): S T/jArl ey M&Sk CoykTA /// Ai. H ilt LA C/f 9m/^.
If you go to court to request restraining orders, take your copy of this form with you. If a Juvenile petition is pending, file in that court.
7. Reasonable grounds for the issuance of this Order exist, and an emergency protective order is necessary to prevent the occurrence
c.
or recurrence of domestic violence, child abuse, child abduction, elder or dependent adult abuse, or stalking.
8- Judicial officer (name).'Jl ; r-j
granted this Order on (date): / / at (time):
A P PLIC A TIO N
9 The events that caused the protected person to fear immediate and present danger of .domesfid violence child abuse child
abûdioa elder or dependent adult abuse (except solely financial abuse), or stalking are (give facts and dates; specify weapons)-
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10. Firearms were: Q observed reported n searched for Q seized

11. 0 The person to be protected lives with the person to be restrained and requests an order that the restrained person move out
immediately from the address in item 3c. ,v / A
12.
personto be restrained, and a temporary custody grfer is r
> requested because of the facts alleged in item 9. A custody order does do^not exist, ^ \
By: fr C Ai) k.V . I
(PRINT NAME O F LAW ENF ORC EMENT O F FIC ER)
(SIGNATURE O F LAW E N F O R C EME NT O F FIC ER)
Agency:
l Arp Telephone No,: { /g^)<7 77- 29 J/ Badge No.: 1/2 I fS
P R O O F O F S E R VIC E J
13. Person served (nynej;.. . - y, (
14. I
I personally deliver^
Address;
co0es- of this Order to the person served as foTows-
i u n
D ate; Tim e;
15. At the time of service, I

166. My
Mvname
name, AHHr.c. = telephone number
address, and age and not a party to this cause,
18 vearsareof(this I am a California law enforcement officer.
does not have to be servet^s home telephone number or address):
declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 'd
D ate;
~(TyFe or pftiNT NAM^ ^F'S E RVfeR)

_
^SIG NATUR E O F S E RV E R)
F arm Adopted fof Meodatory Use
Judicial C ounal of C alifornia
EPO-O01 (Rev January 1. 2014] EMERG ENCY PROTE CTIVE ORDER (CLETS-EPO) F amily Coda. §§ 6240-6276;
Awjfoved by O O J (Domestic Violence, Child Abuse. Elder or Dependent Adult Abuse, or SUIking) .P enal C ode. §646.91
www.courts. C Bgov
A »„- Lb £j
DH - 006063
\
EMERGENCY PROTECTIVE ORDER EPO-001
WARNINGS AND INFORMATION
i
TO THE RESTRAINED PERSON: VIOLATION OF THIS ORDER IS A MISDEMEANOR PUNISHABLE BY A $1,000 FINE,ONE
YEAR IN JAIL, OR BOTH, OR IT MAY BE PUNISHABLE AS A FELONY. THIS PROTECTIVE ORDER SHALL BE ENFORCED BY
ALL LAW ENFORCEMENT OFFICERS IN THE STATE OF CALIFORNIA WHO ARE AWARE OF OR SHOWN A COPY OF THE
X
ORDER. THE TERMS AND CONDITIONS OF THIS ORDER REMAIN ENFORCEABLE REGARDLESS OF THE ACTS OF THE
PARTIES: IT MAY BE CHANGED ONLY BY ORDER OF THE COURT(PENAL CODE SECTION 13710(b)).
YOU ARE PROHIBITED FROM OWNING. POSSESSING,PURCHASING. RECEIVING, OR ATTEMPTING TO PURCHASE OR

;)
RECEIVE A FIREARM OR AMMUNITION.(PENAL CODE SECTIONS 29825(a|,30305(a).) A VIOLATION IS SUBJECT TO A
$1,000 FINE AND IMPRISONMENT OR BOTH. WITHIN 24 HOURS OF RECEIPT OF THIS ORDER, YOU MUST TURN IN YOUR
# FIREARMS TO A LAW ENFORCEMENT AGENCY,SELL THEM TO A LICENSED FIREARMS DEALER,OR STORE THEM WITH A
LICENSED FIREARMS DEALER UNTIL THE EXPIRATION OF THIS ORDER.(PENAL CODE SECTION 29830.)PROOF OF
SURRENDER,SALE, OR STORAGE MUST BE FILED WITH THE COURT WITHIN 48 HOURS OF RECEIPT OF THIS ORDER.
b
To the restrained person: This order will last until the dale and time in item 5 on the reverse. The protected person may. however,
obtain a more permanent restraining order from the court. You may seek the advice of an attorney on any matter connected with this
order. The attorney should be consulted promptly so that the attorney may assist you in responding to the order.
A la persona bajo restrlccion judicial: Esta orden durara hasta la fecha y hora indicada en el punto 5 ai dorso. La persona protegida
puede, sin embargo, obtener una orden de entredicho (restriccidn judicial) mds permanente de la code. Usted puede consultar a un Si
abogado en conexidn con cualquier asunto reiacionado con esta orden. Debe consultar al abogado inmediatamente para que 61 o eila le
pueda ayudar a responder a la orden.
To the protected person: This order will last only until the date and time noted in item 5 on the reverse. If you wish to seek continuing
protection, you will have to apply for an order from the court at the address in item 6. You may apply for a protective order free of charge.
In the case of an endangered child, you may also apply for a more permanent order al the address in item 6, or if there is a juvenile
dependency action pending, you may apply for a more permanent order under section 213.5 of the Welfare and Institutions Code. In the
case of a child being abducted, you may apply for a Child Custody and Visitation Order from the court. You may seek the advice of an
attorney on any matter connected with your application for any future court orders. The attorney should be consulted promptly so that the
attorney may assist you in making your application. You do not have to have an attorney to get the protective order.
A la persona protegida: E sta orden durar6 solo hasta la fecha y hora indicada en el punto 5 al dorso. Si usted dese a que la proteccion
continue, tendra que solicitar una orden de la corte en la direccibn indicada en el punto 6, La solicifud de la orden de proteccibn es gratis.
En e! caso de que un niho o una nifia se encuentre en peligro, puede solicitar una orden mbs permanente en la direccibn indicada en el
punto 6, o si hay una accibn legal pendiente de tutela juvenil, puede solicitar una orden mbs permanente conforme a la seccibn 213.5 del
cbdigo tituiado en ingles Welfare and Institutions Code. En el caso del secuestro de un nifio o una nirta, usted puede solicitar de la corte
una orden para la guarda del nifio o de la niha (Child Custody and Visitation Order). Puede consultar a un abogado en conexibn con
cualquier asunto reiacionado con las solicitudes de brdenes de la corte que usted presente en el future. Debe consultar un abogado
inmediatamente para que 6I o ella te pueda ayudar a presentar su solicitud. Para obtener la orden de proteccibn no es necesario que un
abogado le represente.
To law enforcement; The emergency protective order shall be served upon the restrained party by the officer, if the restrained party can
reasonably be located, and a copy shall be given to the protected party, A copy shall be filed with the court as soon as practicable after
issuance. Also, the officer shall have the order entered into the computer database system for protective and restraining orders
maintained by the Department of Justice, The availability of an emergency protective order shall not be affected by the fact that the r
endangered person has vacated the household to avoid abuse. A law enforcement officer shall use every reasonable means to enforce
an emergency protective order. A law enforcement officer who acts in good faith to enforce an emergency protective order shall not be I
held civilly or criminally liable.
If a child is in danger of being abducted: This order will last only until the date and time noted in item 5 on the reverse. You may apply H
for a child custody order from the court.
En el caso de peligro de secuestro de un nifio o de una nifia: Esta orden serb vblida sblo hasta la hora y fecha indicada en el punto 5
al dorso. Usted puede solicitar de la corte una orden para la guarda del nifio o de la nifia (Child Custody and Visitation Order).
This emergency protective order Is effective when made. This order shall expire on the date and time specified in item 5 on the re v ers e .
h The provisions of this emergency protective order take precedence in enforcement over provisions of other existing protective orders
between the same protected and restrained persons to the extent the provisions of ttiis order are more restrictive. In other words, the
provisions in this emergency protective order lake precedetree over the provisions in any other protective order, including a criminal
protective order, if (1) the person to be protected is already protected by the other protective order, (2) the person to be restrained is ;
subject to that other order, and (3) the provisions in this emergency order are more restrictive than the provisions in that other order. The ’
provisions in another existing protective order remain in effect and take precedence if they are more restrictive than the provisions in this '
emerg e ncy protective order.
E P O-fX)1 {R«v January 1,2014]
EME R G E N C Y PR O T E C TIV E O RD E R (CLE TS-E P O) P age 2 of2
(Domestic Violence, Child Abuse, Elder or Dependent Adult Abuse, or Stalking)
DH - 006064
Exhibit B
DH - 006065
3
DH - 006066
DH - 006067
DH - 006068
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DH - 006069
EXHIBIT 1
Clerk stamps date here when form is filed.
Request for Domestic
DV-100 Violence Restraining Order
You must also complete Form CLETS-001, Confidential CLETS Information,
and give it to the clerk when you file this Request.
1 Name of Person Asking for Protection:
BRODY DALLE-HOMME Age: 42
Your lawyer in this case (if you have one):
Name: Samantha Klein, Esq. State Bar No.: 222414
Firm Name: WITHERS BERGMAN LLP
Address (If you have a lawyer for this case, give your lawyer’s
information. If you do not have a lawyer and want to keep your home Fill in court name and street address:
address private, give a different mailing address instead. You do not have Superior Court of California, County of
to give your telephone, fax, or e-mail.): LOS ANGELES
Address: 1925 Century Park East, Suite 400 111 North Hill Street
Los Angeles 90012
City: Los Angeles State: CA Zip: 90067 Stanley Mosk
Telephone: 310.277.9930 Fax: 310.277.9935
E-Mail Address: samantha.klein@withersworldwide.com
Court fills in case number when form is filed.
2 Name of Person You Want Protection From: Case Number:
JOSHUA HOMME 19STFL13699
Description of person you want protection from:
Sex: M F Height: 6’5” Weight: 240 Hair Color: Red Eye Color: Blue
Race: Caucasian Age: 48 Date of Birth: 05/17/1973
Address (if known): 7038 Grasswood Avenue
City: Malibu State: CA Zip: 90265
3 Do you want an order to protect family or household members? Yes No
If yes, list them
Full name Sex Age Lives with you? Relationship to you
Camille Harley Joan Homme Female 15 Yes No Daughter
Orrin Ryder Homme Male 10 Yes No Son
Wolf Dillon Reece Homme Male 5 Yes No Son
Check here if you need more space. Attach a sheet of paper and write “DV-100, Protected People” for a title.
4 What is your relationship to the person in 2 ? (Check all that apply):
a. We are now married or registered domestic partners. If you do not have one of these relationships,
b. We used to be married or registered domestic partners. the court may not be able to consider your
c. We live together. request. Read Form DV-500-INFO for help.
d. We used to live together.
e. We are related by blood, marriage, or adoption (specify relationship): Married
f. We are dating or used to date, or we are or used to be engaged to be married.
g. We are the parents together of a child or children under 18:
Child’s Name: Camille Harley Joan Homme Date of Birth: 01/17/2006
Child’s Name: Orrin Ryder Homme Date of Birth: 08/12/2011
Child’s Name: Wolf Dillon Reece Homme Date of Birth: 02/13/2016
Check here if you need more space. Attach a sheet of paper and write “DV-100, Additional Children” for a
title.
h. We have signed a Voluntary Declaration of Paternity for our child or children. (Attach a copy if you have
one
This is not a Court Order.
Judicial Council of California, www.courts.ca.gov Request for Domestic Violence Restraining Order DV-100, Page 1 of 6
Revised July 1, 2016, Mandatory Form
Family Code, § 6200 et seq. (Domestic Violence Prevention) 
American LegalNet, Inc.
www.FormsWorkFlow.com
Case Number:
19STFL13699
5 Other Restraining Orders and Court Cases

a. Are there any restraining/protective orders currently in place OR that have expired in the last six months
(emergency protective orders, criminal, juvenile, family)?
No Yes (date of order): and (expiration date): (Attach a copy if you have one).
b. Have you or any other person named in 3 been involved in another court case with the person in 2 ?
No Yes If yes, check each kind of case and indicate where and when each was filed:
Kind of Case County or Tribe Where Filed Year Filed Case Number (if known)
Divorce, Nullity, Legal Separation
Civil Harassment
Domestic Violence Los Angeles County 2019 19STFL13699
Criminal
Juvenile, Dependency, Guardianship Los Angeles County 2020 20CCJP01144A-C
Child Support
Parentage, Paternity
Other (specify):
Check here if you need more space. Attach a sheet of paper and write “DV-100, Other Court Cases” for a
title.
Check the orders you want. 
6 Personal Conduct Orders
I ask the court to order the person in 2 not to do the following things to me or anyone listed in 3 :
a. Harass, attack, strike, threaten assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal
property, disturb the peace, keep under surveillance, impersonate (on the Internet, electronically or
otherwise), or block movements
b. Contact, either directly or indirectly, in any way, including but not limited to, by telephone, mail or e-mail
or other electronic means
The person in 2 will be ordered not to take any action to get the addresses or locations of any protected
person unless the court finds good cause not to make the order.
7 Stay-Away Order
a. I ask the court to order the person in 2 to stay at least 100 yards away from (check all that apply):
Me My school
My home Each person listed in 3
My job or workplace The child(ren)’s school or child care
My vehicle Other (specify):
b. If 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, workplace, or vehicle? Yes No (If no, explain):
8 Move-Out Order
(If the person in 2 lives with you and you want that person to stay away from your home, you must ask for
this move-out order.)
I ask the court to order the person in 2 to move out from and not return to (address):
I have the right to live at the above address because (explain):

Revised July 1, 2016
Request for Domestic Violence Restraining Order DV-100, Page 2 of 6
(Domestic Violence Prevention) 
Case Number:
19STFL13699
9
Guns or Other Firearms or Ammunition
I believe the person in 2 owns or possesses guns, firearms, or ammunition. Yes No I don’t know
If the judge approves border, the person in 2 will be ordered not to own, possess purchase, or receive a
firearm or ammunition. The person will be ordered to sell to, or store with, a licensed gun dealer, or turn in to law
enforcement, any guns or firearms that he or she owns or possesses.
10
Record Unlawful Communications
I ask for the right to record communications made to me by the person in 2 that violate the judge’s orders.
11 Care of Animals
I ask for the sole possession, care, and control of the animals listed below. I ask the court to order the person in
2 to stay at least yards away from and not take, sell, transfer, encumber, conceal, molest, attack,
strike, threaten, harm, or otherwise dispose of the following animals:
I ask for the animals to be with me because:
12 Child Custody and Visitation

a. I do not have a child custody or visitation order and I want one.
b. I have a child custody or visitation order and I want it changed.
If you ask for orders, you must fill out and attach Form DV-105, Request for Child Custody and Visitation Orders.
You and the other parent may tell the court that you want to be legal parents of the children (use Form DV-180,
Agreement and Judgment of Parentage).
13 Child Support (Check all that apply):
a. I do not have a child support order and I want one.
b. I have a child support order and I want it changed.
c. I now receive or have applied for TANF, Welfare, CalWORKS, or Medi-Cal.
If you ask for child support orders, you must fill out and attach form FL-150, Income and Expense Declaration or
Form FL-155, Financial Statement (Simplified).
14 Property Control
I ask the court to give only me temporary use, possession, and control of the property listed here:
15 Debt Payment
I ask the court to order the person in 2 to make these payments while the order is in effect:
Check here if you need more space. Attach a sheet of paper and write “DV-100, Debt Payment” for a title.
Pay to: For: Amount: $ Due date:
16 Property Restraint
I am married to or have a registered domestic partnership with the person in 2 . I ask the judge to order
that the person in 2 not borrow against, sell, hide, or get rid of or destroy any possessions or property, except
in the usual course 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.
17 Spousal Support
I am married to or have a registered domestic partnership with the person in 2 and no spousal support order
exists. I ask the court to order the person in 2 to pay spousal support. (You must complete, file, and serve Form
FL-150, Income and Expense Declaration, before your hearing).
Case Number:
19STFL13699
Rights to Mobile Device and Wireless Phone Account

18
a. Property control of mobile device and wireless phone account
I ask the court to give only me temporary use, possession, and control of the following mobile devices:
and the wireless phone account for the
following wireless phone numbers because the account currently belongs to the person in 2 :
Check here if you need more space. Attach a sheet of paper and write “DV-100, Rights to Mobile Device
and Wireless Phone Account” for a title.
b. Debt Payment
I ask the court to order the person in 2 to make the payments for the wireless phone accounts listed in 18a
because:
Name of the wireless service provider is: Amount: $ Due Date:
If you are requesting this order, you must complete, file, and serve Form FL-150, Income and Expense
Declaration, before your hearing.
c. Transfer of Wireless Phone Account
I ask the court to order the wireless service provider to transfer the billing responsibility and rights to the
wireless phone numbers listed in 18a to me because the account currently belongs to the person in 2 .
If the judge makes this order, you will be financially responsible for these accounts, including monthly service
fees and costs of any mobile devices connected to these phone numbers. You may be responsible for other fees.
You must contact the wireless service provider to find out what fees you will be responsible for and whether you
are eligible for an account.
19 Insurance
I ask the court to order the person in 2 NOT to cash, borrow against, cancel, transfer, dispose of, or change the
beneficiaries of any insurance or coverage held for the benefit of me or the person in 2 , or our child(ren), for
whom support may be ordered, or both.
Lawyer’s Fees and Costs
20
I ask that the person in 2 pay some or all of my lawyer’s fees and costs.
You must complete, file and serve form FL-150, Income and Expense Declaration, before your hearing.
21
Payments for Costs and Services
I ask the court to order the person in 2 to pay the following:
You can ask for lost earnings or your costs for services caused directly by the person in 2 (damaged property,
medical care, counseling, temporary housing, etc.). You must bring proof of these expenses to your hearing.
Pay to: For: Amount: $
Pay to: For: Amount: $
22 Batterer Intervention Program
I 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.
23 Other Orders
What other orders are you asking for? Reappoint Eve Lopez as minor's counsel for all three children. This
Court previously appointed Ms. Lopez as counsel for Camille Homme on June 29, 2020.
Check here if you need more space. Attach a sheet of paper and write “DV-100, Other Orders” for a title.
Case Number:
19STFL13699
24 Time for Service (Notice)

The papers must be personally served on the person in 2 at least five days before the hearing, unless the
court orders a shorter time for service. If you want ther to be fewer than five days between service and the
hearing, explain why below. For help read Form DV-200-INFO, “What Is Proof of Personal Service”?
25 No Fee to Serve (Notify) Restrained Person

If you 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.
26 Court Hearing
The court will schedule a hearing on your request. If the judge does not make the orders effective right away
(“temporary restraining orders”), the judge may still make the orders after the hearing. If the judge does not make
the orders effective right away, you can ask the court to cancel the hearing. Read form DV-112, Waiver of Hearing
on Denied Request for Temporary Restraining Order, for more information.
27 Describe Abuse
Describe how the person in 2 abused you. Abuse means to intentionally or recklessly cause or attempt to cause
bodily injury to you; or to place you or another person in reasonable fear of imminent serious bodily injury; or to
harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, keep you under
surveillance, impersonate (on the Internet, electronically or otherwise), batter, telephone, or contact you; or to
disturb your peace; or to destroy your personal property. (For a complete definition, see Fam. Code, §§ 6203, 6320.)
a. Date of most recent abuse: See attached Declarations of Brody Dalle-Homme, Gunner Foxx
1. Who was there?
2. Describe how the person in 2 abused you or your child(ren):
Check here if you need more space. Attach a sheet of paper and write “DV-100, Recent Abuse” for a title.
3. Did the person in 2 use or threaten to use a gun or any other weapon? No Yes (If yes, describe):
4. Describe any injuries:
5. Did the police come? No Yes

If yes, did they give you or the person in 2 an Emergency Protective Order? Yes No I don’t know
Attach a copy if you have one.
The order protects you or the person in 2

Case Number:
19STFL13699
27 Describe Abuse (continued)

Has the person in 2 abused you (or your child(ren)) other times?
See attached Declarations of Brody Dalle-Homme
b. Date of abuse: and Gunner Foxx
1. Who was there?
2. Describe how the person in 2 abused you or your child(ren):
Check here if you need more space. Attach a sheet of paper and write “DV-100, Recent Abuse” for a
title.
3. Did the person in 2 use or threaten to use a gun or any other weapon? No Yes (If yes, describe):
4. Describe any injuries:
5. Did the police come? No Yes

If yes, did they give you or the person in 2 an Emergency Protective Order?
Yes No I don’t know Attach a copy if you have one.
The order protects you or the person in 2
If the person in 2 abused you other times, check here and use Form DV-101, Description of Abuse
or describe any previous abuse on an attached sheet of paper and write “DV-100, Previous Abuse” for a
title.
28 Other Persons to Be Protected
The persons listed in item 3 need an order for protection because (describe):
See attached Declarations of Brody Dalle-Homme and Gunner Foxx
29 Number of pages attached to this form, if any: 12
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date: August 27, 2021
Brody Dalle-Homme ►
Type or print your name Sign your name
Date: August 27, 2021
Samantha Klein, Esq. ►
Lawyer’s name, if you have one Lawyer’s signature
DV-105 Request for Child Custody and Case Number:
19STFL13699
Visitation Orders
This form is attached to DV-100, Request for Domestic Violence Restraining Order.
Check the orders you want .
1 Your name: BRODY DALLE-HOMME Mom Dad Other*
2 Other parent's name: JOSHUA HOMME Mom Dad Other*

*If Other, specify relationship to child:
3 Child Custody
I ask the court for custody as follows: Legal Custody to: (Person Physical Custody to:
who makes decisions about (Person you want the
health, education, and welfare) child to live with)
Child's Name Date of Birth Mom Dad Other Mom Dad Other
a. Camille Harley Joan Homme 01/17/2006
b. Orrin Ryder Homme 08/12/2011
c. Wolf Dillon Reece Homme 02/13/2016
d.
Check here if you need more space. Attach a sheet of paper and write "DV-105, Child Custody" for a title.
4 Change Current Court Order

I want to change a current child custody or visitation court order.
Case Number (if you have it): 19STFL13699 County: Los Angeles
Explain your current order and why you want a change. See attached Declarations of Brody Dalle-Homme
and Gunner Foxx
Check here if you need more space. Attach a sheet of paper and write "DV-105, Change Current Court
Order" for a title.
5 Child's Address
Where has the child in 3 (a) lived for the last 5 years? Give each city and state the child has lived unless it is
unknown to the other parent and you want to keep it confidential because of domestic violence or child abuse.
Start with where the child lives now and work backwards in time. (If the current address is confidential, check
the box below and just provide the current state).
Child 3 (a) lived with: Dates lived there:
Child 3 (a) addresses (city and state): Mom Dad Other
Confidential – Los Angeles, CA From August 2021 to present
Los Angeles, CA From August 2021 to present
Los Angeles, CA From August 2021 to present
From to
Check here if you need more space. Attach a sheet of paper and write "DV-105, Child's Address" for a
title.

s
Judicial Council of California, www.courts.ca.gov

Request for Child Custody and Visitation Orders DV-105, Page 1 of 3
Rev. January 1, 2012, Mandatory Form
Family Code, § 3063 (Domestic Violence Prevention) 
Case Number:
19STFL13699
6 Other Children's Addresses

Check here if the other child's (or children's) address information is the same as listed in 5 .
If it is different, check here. Attach a sheet of paper and write "DV-105, Other Children's Addresses" for a
title. List other children's address information, including dates, and name of person child lived with.
7 Other Custody Case
Were you involved in, or do you know of, any other custody case for any child listed in this form?
No Yes If yes, fill out below and attach a copy of any custody or visitation orders if you have them:
a. Name of each child in other custody case: Camille Harley Joan Homme, Orrin Ryder Homme, Wolf Dillon
Reece Homme
b. Type of case: Parentage (Paternity) Divorce Child Support Guardianship
Juvenile/Dependency Domestic Violence
Other (specify): Divorce (Case No. 19STFL13699)
c. I was a Party Witness Other (specify):
d. Court (name): Los Angeles Superior Court - Edmund D. Edelman Children's Court
Address: 201 Centre Plaza Drive, Monterey Park County: Los Angeles State: CA
e. Date of court order: case closed
f. Case number (if you have it): 20CCJP01144A-C
8 Other People With or Claiming to Have Custody or Visitation Rights
Do you know of anyone who is not involved in this case who has or claims to have custody or visitation
rights with any child listed on this form? No Yes If yes, fill out below:
Name and address of that person:
Has custody Claims custody rights Claims visitation rights

For these children (name of each child):
Check here if you need more space. Attach a sheet of paper and write "DV-105, Other People With or
Claiming Custody or Visitation" for a title.
9 Visitation
I ask the court to order that the person in 2 have the following temporary visitation rights:
(Check all that apply)
a. No visitation until the hearing
b. No visitation after the hearing
c. The following visitation* until the hearing after the hearing
(1) Weekends (starting): (The 1st weekend of the month is the 1st weekend with a Saturday.)
1st 2nd 3rd 4th 5th weekend of month
from at a.m. p.m. to at a.m. p.m.
(day of week) (time) (day of week) (time)
(2) Weekdays (starting):
from at a.m. p.m. to at a.m. p.m.
(day of week) (time) (day of week) (time)
s
Rev. January 1, 2012

Case Number:
19STFL13699
10 Other Visitation
Attach a sheet of paper with other visitation days and times, like summer vacation, holidays, and birthdays.
List dates and times. Write "DV-105, Visitation" for a title.
11 Responsibility for Transportation

The parent will take or pick up the child or make arrangements for someone else to do so.
a. Mom Dad Other (name): take children to the visits.
b. Mom Dad Other (name): pick up children from the visits.
c. Drop-off / pick-up of children will be at (address):
d. Check here if other arrangement. Attach a sheet of paper and write "DV-105, Responsibility for
Transportation" for a title.
12 Supervised Visitation
a. I ask that the visitation in 9 be supervised by
A professional supervisor A non-professional supervisor Other
Name and telephone number, if known:
b. I ask that the visitation in 10 be supervised by
A professional supervisor A non-professional supervisor Other
Name and telephone number, if known:
c. I ask that any costs for supervision be paid by:
Mom % Dad % Other (name) %
13 Travel With Children

Mom Dad Other (name): must have written permission
from the other parent, or a court order, to take the children outside of:
a. The State of California County of:
b. Other place(s) (list):
14 Child Abduction Risk
I believe that there is a risk the other parent will take our child out of California and hide the child from me.
If you check this box you must fill out and attach Form DV-108, Request for Order: No Travel with Children.
Important Instructions
You must tell the court if you find out any other information about a custody case in any court for the children
listed on this form.
If the court makes a temporary custody order, the parent receiving custody must not take the child out of
California without a noticed hearing. (See Family Code §3063.)

s
Rev. January 1, 2012

II
DocuSign Envelope ID: 5DAC74B8-9B1 D-481 B-AC09-BDD869040B35
1 Samantha Klein (SBN 222414)

Samantha.Klein@withersworldwide.com
2 Withers Bergman LLP
1925 Century Park East, Suite 400
3 Los Angeles, California 90067
Telephone: 310.277 .9930
4 Facsimile: 310.277.9935
5 Attorneys for Petitioner Brody Dalle-Homme
8 SUPERIOR COURT OF THE STATE OF CALIFORNIA
9 COUNTY OF LOS ANGELES, CENTRAL DISTRICT
10
11 In re the Marriage of Case No. 19STFL13699
12 BRODY DALLE-HOMME, DECLARATION OF BRODY DALLE-

HOMME IN SUPPORT OF REQUEST
13 Petitioner, FOR DOMESTIC VIOLENCE
RESTRAINING ORDER
14 V.
Dept.: 2
15 JOSHUA HOMME, Judge: Hon. Lawrence P. Riff
16 Respondent.
17
18 I, BRODY DALLE-HOMME, declare as follows:
19 1. I am the Petitioner in the within matter. I have personal knowledge of the following
20 facts, and if called upon, I could and would testify competently thereto. I submit the following in
21 support of my Request for Domestic Violence Restraining Order against my ex-husband Joshua
22 Homme ("Josh") to protect myself and our three children: Camille Harley Joan Homme ("Camille")
23 (DOB: 1/17/2006), age 15, Orrin Ryder Homme ("Ryder") (DOB: 8/12/2011), age 10, and Wolf
24 Dillon Reece Homme ("Wolf') (DOB: 2/13/2016), age 5. 1
25
26
1 Josh and I were married on December 3, 2005. I filed for divorce in November 2019. Our
27 Custody Judgment was filed in October 2020 and our Further Judgment resolving all financial
28 issues was signed earlier this summer. It has been submitted to the Court but I understand it has
not been filed. Our marital status has not been terminated.
WITHERS
1
BERGMANLLP DECLARATION OF BRODY DALLE-HOMME IN SUPPORT OF REQUEST FOR DOMESTIC VIOLENCE
RESTRAINING ORDER
II
1 2. Josh has a long history of substance abuse problems and aggressive behavior. He
2 entered an in-person drug and alcohol rehabilitation program in December 2019 and then
3 represented for many months that he was attending Alcohol Anonymous. He also agreed to drug
4 and alcohol testing. During the time period that he was testing, there was evidence of tampering
5 and at least one positive test. Soberlink suspended his account at one point as a consequence of the
6 tampering. Josh's behavior during our marriage was affected by his substance abuse issues. There
7 are several examples which have been reported in the media that demonstrate how he can behave
8 when intoxicated. I tolerated Josh's controlling and abusive behavior during our marriage, until I
9 no longer could.
3. Shortly after filing for divorce, after an incident at our home on November 28, 2019,
11 I obtained an Emergency Protective Order. Before it expired I obtained a Temporary Restraining
12 Order in December 2019. A Department of Child and Family Services investigation was opened
13 and ultimately a Dependency Court case was opened as well. I was accused of failing to protect my
14 children from Josh's abuse. Instead of pursuing a permanent Domestic Violence Restraining Order
15 against Josh, I focused on our children. Josh and I were able to reach a final child custody and
16 visitation agreement at the urging of our co-parenting counselor. I hoped that reaching resolution
17 would reduce Josh's anger and hostility toward me, and therefore make our children's lives more
18 peaceful, but it has not. It has not even shielded our children from Josh's abuse.
19 4. Over the last several months, Josh's troubling behavior has escalated. Some of
20 these behaviors are discussed in detail below. Until now, at the beginning of Josh's time, our
21 children tell me that they do not want to go to Josh's house but ultimately, at least Wolf and Ryder
22 would go. But it gets harder and harder each week. Wolf holds on to me tightly. Ryder says no.
23 Camille often simply refuses to leave the house. Then, during our custodial exchange and in front
24 of our children, Josh consistently calls me names such as "cunt," "cow," "liar," "bitch," "crazy,"
25 and "backstabber."
26 5. Based on my observations of our children, their choice of words and their
27 behavior right before and after Josh's custodial time, and my own interactions with Josh
28 recently, I am scared to send our children to Josh's home at the beginning of his custodial time
WITHERS
2
RESTRAINING ORDER
II
1 the afternoon of Friday, August 26, 2021. I cannot send them back to their father when they
2 are saying that they are scared of him, and scared that he will hurt me and them. Someone
3 needs to help our children which is why I am asking that the Court appoint minors' counsel.
4 6. On August 26, 2021, Camille informed me that in early August Josh told her that he
5 would "kill himself' if she and her brothers kept "stabbing him in the back" by telling me what he
6 is saying and doing.
7 7. On August 24, 2021, Ryder shared with Gunner what has been happening at his
8 father's home in detail. Ryder's statements to Gunner are contained in his declaration (attached
9 hereto). Our 10 year old son is afraid that his father will hurt his mother and him.
10 8. On August 20, 2021, our children returned to my home pursuant to our parenting
11 schedule. Camille and Ryder told me that they were scared at Josh's house when they were with
12 him the previous week and considered running away to my home.
13 9. On June 18, 2021, I was dropping Ryder and Wolf at Josh's home. Camille refused
14 to go. When we arrived at approximately 5:00 p.m., Josh was standing in his driveway. He was on
15 his phone and seemed agitated. I parked several houses from Josh's home and Ryder and Wolf
16 started getting out. Josh walked to the passenger side of the door and punched the car window,
17 yelling "Where's my fucking daughter?" He demanded to know where Camille was and said that I
18 had filled her head with shit. Josh then called me a "cow" and a "cunt" in front of Ryder and Wolf.
19 He would not let me close my car door. Josh was so close to my face that I could see the bags under
20 his eyes. I moved further inside my car because I was scared that he was going to hurt me. Finally,
21 he let go of my door. I closed the door and Josh turned around and yelled "hey Brody fuck you"
22 and gave me the middle finger. I could see Ryder and Wolf at the top of Josh's driveway and they
23 looked scared.
24 10. Over the last few months, Ryder has told me the following:
25 a. Josh threw something at Ryder.
26 b. Josh face palmed Ryder.
27 c. Josh flicks Ryder's ear all the time.
28 d. Josh pushes and shoves Ryder.
WITHERS
3
RESTRAINING ORDER
II
1 e. Josh hits Ryder on the top of his head.
2 f. Josh pokes Ryder in the chest.
3 g. Josh calls Ryder a ''traitor."
4 h. Josh regularly calls Ryder "fat."
5 1. Josh demanded that Ryder go downstairs and get him tequila. Ryder was scared
6 and stayed downstairs.
7 j. Josh screams in Ryder's face.
8 k. Josh told Ryder he has murdered people.
9 1. Josh has said to Ryder, "Your Mom thinks you're fat."

10 m. Josh has told Wolf, "You don't make my life better."
11 n. Wolf asked Josh why he yelled at me, and Josh said, "Because I'm fucking sick
12 of her."
13 11. In addition, our children and I need protection because of the following behaviors.
14 a. Josh has punished our children when he is upset at me by taking their phones
15 away so that they could not contact me. This happened on May 22, 2021 and
16 June 7, 2021, and several times over the summer. While at Josh's house's,
17 Camille has called me in secret because Josh has said they cannot call me.
18 b. In front of our children, Josh has threatened to take them away from me if my
19 boyfriend, Gunner, was at my house.
20 c. Josh threatened to "kill" Gunner, "shoot" Gunner, and "fucking murder" Gunner.
21 This happened in early June 2021 in front of Camille. She refused to see Josh
22 for approximately a month after the incident.
23 d. On June 26, 2021, Wolf told me that I "don't make [his] life better." I asked him
24 what he meant. He responded by saying "dad said you don't make my life
25 better."
26 12. There is also video and audio recordings of Josh being abusive, and harassing texts
27 and emails from him. I need a restraining order to protect our children and to protect myself from
28 Josh. Minor's counsel needs to be appointed to interview and advocate for our children. Camille,
WITHERS
4
RESTRAINING ORDER
II
DocuSign Envelope ID: 5DAC74B8-9B1D-481 B-AC09-BDD869040B35
1 Ryder and Wolf cannot be in Josh's care until their safety can be assured and certainly not without
2 a professional monitor present who will immediately stop a visit if Josh is being abusive.
3 I declare under penalty of perjury under the laws of the state of California that the foregoing
4 is true and correct.
5 Executed this 27 th day of August, 2021 at Los Angeles, California.
8
[~ 717571aC277Q241a4 ...
Brody Dalle-Homme
10
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
W ITHERS
5
B ERGMAN LLP DECLARATION OF BRODY DALLE-HOMME IN SUPPORT OF REQUEST FOR DOMESTIC VIOLENCE
RESTRAINING ORDER

1 SAMANTHA KLEIN (SBN 222414)

samantha.klein@withersworldwide.com
2 ANN K. SCHU (SBN 299755)
ann.schu@withersworldwide.com
3 SARA Z. MAY (SBN 313306)
sara.may@withersworldwide.com
4 WITHERS BERGMAN LLP
1925 Century Park East, Suite 400
5 Los Angeles, California 90067
Telephone: 310.277.9935
6
7 Attorneys for Brody Dalle-Homme
8
SUPERIOR COURT OF THE STATE OF CALIFORNIA
9
COUNTY OF LOS ANGELES, CENTRAL DISTRICT
10
In re the Marriage of: Case No. 19STFL13699
11
BRODY DALLE-HOMME, DECLARATION OF GUNNER FOXX
12
Petitioner,
13
v.
14
JOSH HOMME
15
Respondent.
16
17
18 I, Gunner Foxx, declare as follows:

19 1. The facts stated in this declaration are based on my personal knowledge, and, if called
20 to testify, I could and would competently testify to them.
21 2. I am a witness in the above-entitled proceeding. I am Petitioner Brody Dalle-

22 Homme’s (“Brody”) boyfriend and have grown to have a close and loving relationship with the
23 parties’ three children, Camille (age 15), Ryder (age 11), and Wolf (age 5). I make this declaration
24 in support of Brody’s Request for a Domestic Violence Restraining Order.
25 3. On August 24, 2021, Ryder confided in me about concerning incidents involving his
26 father, Respondent Josh Homme (“Josh”). Ryder and I were spending time together at Brody’s
27 home and planned to go to a gym near her apartment complex, as we usually do. I observed that
28 Ryder seemed visibly upset, anxious and scared so I asked Ryder what was on his mind. Ryder told
W ITHERS
B ERGMAN LLP PERSONAL/S4M-US-9801089/1 1
DECLARATION OF GUNNER FOXX

1 me he was feeling scared, that he hated his dad and did not want to go back over to his house. This
2 is not the first time Ryder has expressed fear of his father or not wanting to be in his father’s care,
3 but he seemed particularly distressed on this day. Ryder proceeded to confide in me that he did not
4 want to go to the gym because he did not want to leave his mom alone in the apartment but changed
5 his mind after I suggested a little movement might help him work through his emotions. While at
6 the gym, Ryder expressed to me that he had a lot of stuff that he was holding in but was afraid no
7 one would believe him and that if his dad found out, and he had to go back there, he would hurt him
8 and his mom.
9 4. I could tell Ryder was holding a lot in and he was visibly distressed so I encouraged
10 him to get things off his chest if he felt comfortable. Ryder’s voice sounded like he was nervous as
11 he spoke to me. He again said he was scared and angry and wanted to stay with his mom and that
12 he did not want to go to his dad’s house anymore. I suggested that he talk to his dad and
13 communicate how he was feeling by a phone call, letter, or text. He laughed and said: “You don’t
14 know my Dad. He’s not like you.”
15 5. Ryder continued to say that he was: “scared and worried about mom.” Ryder said:
16 “whenever we’re gone I’m scared that dad is going to hurt Mom. I’m always scared that he’s going
17 to come here and hurt Mom, that’s why I was hesitant of coming to the gym. Because if he comes
18 here and we’re gone he’s gonna hurt mom. I’m the one who takes the brunt of everything.”
19 6. I asked Ryder why he would think that and he told me that he has seen his dad punch
20 his mom, scream in her face, throw her down, trip her, head butted her in her face, threaten her,
21 punch her car window, and screamed profanities at her.
22 7. Ryder also confided in me that he is scared that Josh would come to Brody’s house
23 to hurt him and his siblings. I then asked Ryder why he thinks Josh would hurt him and Ryder told
24 me that his dad has hurt him before. Ryder said: “Because he already has. He has hit me, yelled at
25 me, pushed me, and throws stuff at me.”
26 8. Ryder also told me that his Josh manipulates and bribes Wolf, the parties’ five year
27 old son, to say hurtful things about me and Brody, and then films Wolf saying those things with his
28 phone.
W ITHERS

1 9. Ryder continued to sound worried and fearful and told me: “I don’t want my dad to
2 get in trouble, but I don’t want him to do this. I just want him to stop doing all of this.” Ryder said:
3 “My dad says I’m not allowed to share my feelings or be scared of him or be sad. I feel bad for
4 Wolf. …My dad says he’s going to do something to my mom. He said that it’s time for war. That’s
5 why I’m scared.”
6 10. I asked Ryder what he thinks would happen if he talked to his dad to tell him how he
7 felt. He responded: “I’m scared he’s going to try and hurt me, or everyone and will camp outside
8 the apartment.” He then got excited in remembering when we heard something in the bushes outside
9 of the apartment earlier that day and stated: “Maybe it was him we heard in the bushes?!” He
10 continued to say: “he is scary, he’s a scary dude. He’s big, tall and strong. I imagine a scene from
11 the Shining, where he would break the window because dad has a big axe that he keeps in the house.”
12 11. Ryder then told me that he has observed five bottles of whiskey at this dad’s house
13 at the beginning of every custodial week, and that there is only one left by the time he leaves. He
14 also said that he has found two bottles of vodka in the freezer. Ryder also described Josh leaving
15 the house in his car with a bottle in a paper bag. He believes Josh is drinking when he decides to go
16 on a drive without him and his siblings.
17 12. I asked Ryder if Josh ever has a bottle in a paper bag while he is driving with Ryder
18 and his siblings and he responded: “it wasn’t in a paper bag. But he drinks while we are in the car.
19 The car is parked and it’s a cocktail you can buy, like a hard seltzer.” I asked Ryder if Josh then
20 drives around with the kids after he has been drinking and Ryder responded: “Yep!”
21 13. Ryder also told me that Josh “smokes everywhere” even when he and his siblings
22 are at the house. He also shared that, “He also calls me a liar and says I don’t have asthma cause it
23 hurts to breathe around the smoke. And I don’t like to talk about it because he calls me a liar.”
24 14. Ryder confided in me about his father for about an hour. After we spoke, he was
25 visibly relieved as if he had been holding in all his fears for a while. You could see the change in
26 his face.
27 15. Based on my past interactions with Josh and what I know about him, I believe Josh
28 is a dangerous person, especially when he is under the influence of drugs and alcohol.
W ITHERS

1 I declare under penalty of perjury under the laws of the State of California that the foregoing
2 is true and correct, and that this declaration was executed on August 26, 2021, at Los Angeles,
3 California.
5
Gunner Foxx
6
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
W ITHERS
P . n I | Y
DV_1 30 Restraining Order After Hearing Clerkstampsdatehere whenforrnisflled.

(Order of Protection)
IX] Orlgmal
‘ ' Order E] Amended Order LrrEfDCamomla
ri orFCIo,
Suggumy ou Loso Angews
G) P rotected P erson (name) : BRODY DALLE - HOMME
. . -' . n ‚Eecufeofficerlclerkotcourt
® Restramed Person R Ca er x N
By: I. lslam, Deputy
*Full Name:JOSHUA HOMME
*Gender: E] M Ü F EI Nonbinary *
FiII in court name and street address:
*Age:48 (Give estimate, ifage unknown.) superior court of California, county of
. . . Los Angeles
D fB h: 05/17/1973 h: ' " :22
ate o m e Heig tLwelght L Stanley Mosk Courthouse
Hair CoIor:Red Eye Color: Blue 1 |1 N_ HILL STREET
icRacet Caucasian LOS ANGELES, CA 90012
Relationship to person in®: Spouse

_ Clerk fllls in case number when form is filed.
Address of restramed person: 7038 Grasswood Avenue Gase „umher:
Type, number, and location of firearms or ammunition:
(Information that has a star (*) next to it is required to add this order
into a California police database. Give all the information you know.)
C1D D Other Protected People

In addition t0 the person in G), the following persons are protected by orders as indicated in items ® through .
FU“ name Relationship to person in G) Age
G) Expiration Date _
This restraining order, except the orders noted below,* end on:
(date): 02/07/2025 at (time); 11;59 EI a.m. |Z| p.m. or Ü midnight
*Custody, visitation‚ child support, and spousal support orders remain in effect after the restraining order
ends. Custody, visitation, and child support orders usually end when the child is 18.
O If no date is written, the restraining order ends three years after the date of the hearing in item ©a.
O If no time is written, the restraining order ends at midnight on the expiration date.
This order must be enforced throughout the United States. See page 7.
i513: This is a Court Order.

„"51
Jgggffe‘ffgggjgfgflggj‘;;;g;{6fi3‘gf„ff*9°" Restraining Order After Hearin_g (CLETS-OAH) Dv-130‚ Page 1 of8

i; ÄEÜLYVEÄ’ 31133420° e‘ s" (Order of Protectron) ->
pp y (Domestic Violence Prevention)
Case Number:
19STFLl3699
® Hearings
L1’
a. The hearing was on (date): l/H- 1/3) 1’ 7/36m1 (name ofjudicial officer): Dianna Gould-Saltman
b. These people were at the hearing (check all that apply):

E The person in CD [X1 The lawyef for the Person in® (name): Lisa Helfend Meer
E The person in ® E The lawyer for the person in® (name): Alan Ja Jackson
c. The people in G) and ® must retum to court on (date): in Department:
at (time): E] a‚m_ E] p_m_ t0 review (list issues):
To the Person in (A) _

The court has granted a Iong-term restraining order. See ® through .
O lfyou d0 not obey these orders, you can be charged with a crime, go tojail or prison, and/or pay a fine.
O It is a felony to take or hide a child in violation ofthis order.
® No Guns or Other Firearms or Ammunition

a. You cannot own, possess, have, buy or try to buy, receive or try to receive, or in any other way get guns,
other firearms, or ammunition.
b. Within 24 hours of receiving this order, you must sell to or store with a licensed gun dealer, or tum in to a
law enforcement agency, any guns or other firearms you have in your immediate possession or control.
C. Within 48 hours of receiving this order, you must file a receipt with the court that proves guns have been
turned in or sold. (You may use form DV-800, ProofofFirearms Turned In, Sold, or Stored, for the receipt.)
d. E The court has received information that the person in @ owns or possesses a firearm.
6- Ü Limited Exemption: The court has made the necessary findings to grant an exemption under Family Code
section 6389(h). Under Califomia law, the person in ® is not required to relinquish this firearm (speczfjz
make, model, and serial number offirearm):
but must only have it during scheduled work hours and to and from their place of work. Even if exempt
under Califomia law, the person in ® may be subject to federal prosecution for possessing or controlling a
firearm.
C’) Cannot Look for Protected People
You must not take any action to look for any person protected by this order, including their addresses or locations.
E If checked‚ this order was not granted because the court found good cause not to make this order.
‚Ü This is a Court Order.

IE1:
s,“
T’! Revised danuaw1v2°22 Restraining Order After Hearing (CLETS-OAH) DV-130. Page 2 of 8
‘E? .
i); (Order of Protectnon) ->
i5 (Domestic Violence Prevention)
case Number:
19STFL 13699
E] Order to Not Abuse

You must not do the following things to the person in G) and any person listed in Q):
C Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal
property, keep under surveillance, impersonate (on the internet, electronically, or otherwise), block movements,
annoy by phone or other electronic means (including repeatedly contact), or disturb the peace.
O "Disturb the peace" means to destroy someone's mental or emotional calm. This can be done directly or
indirectly, such as through someone else. This can also be done in any way, such as by phone, over text, or
online. Disturbing the peace includes coercive control.
O "Coercive control" means a number of acts that unreasonably limit the free will and individual rights of any
person protected by this restrainlng order. Examples include isolating them from friends, relatives, or other
Support; keeping them from food or basic needs; controlling or keeping track of them, including their
movements, contacts, actions, money, or access to Services; and making them do something by force, threat, or
intimidation, including threats based on actual or suspected immigration status.
C9 IX} No-Contact Order

a. You must not contact E the person m0), D the persons in G’),
directly or indirectly, by any means, including by telephone, mail, email, or other electronic means.
b. E Exception to 9a:
(l) E You may have brief and peaceful contact with the person in G) to only communicate about your
children for court-ordered visits.
(2) D You may have contact with your children only during court—ordered contact or visits.
(3) D Other (explain):
c. Peaceful written contact through a lawyer or process server or another person for Service of legal papers related
to a court case is allowed and does not violate this order.
{Z} Stay-Away Order

a. You must stay at least (specijfiz): lOO yards away from (check all that apply):
[Z] Person in D School of person in
[Z] Home of person in D Persons in
Et] Job or workplace of person in D Children’s school or child care.
E Vehicle of person in D Other (specüfxi):
b. E Exception to lOa:
The stay-away orders do not apply:
(l) E For you to briefly and peacefully exchange your children for court-ordered visits.
(2) E For you to visit with your children for court-ordered contact or visits.
(3) E Other (explain): At school events where the Restrained Party must maintain 25 yards from Protected
'
‚g, l This is a Court Order.
m
mm
5:5? Revised Januaw 1. 2022 Restraining Order After Hearing (CLETS-OAH) DV-130‚ Page 3 of 8
(Order of Protection) 9
{im (Domestic Violence Prevention)
Case Number:
l9STFLl3699
® E] Order to Move Out

You must move out immediately from (address):
® E1 Other Orders
® [XI Child Custody and Visitation

The judge has granted child custody and Visitation orders in this case. They are on the attachediorm DV- l 40
Child Custody and Visitation Order
or (speczyfjz otherform): Per existing temporary restraining orders, monitored for both parties.
E] Protect Animals
a.[:| You must stay at least yards away from the animals listed below.
b.Ü You must not take, sell‚ hide‚ molest, attack, strike, threaten, harm, get rid of, transfer, or borrow against the
animals.
QÜ The person in (I) is given the sole possession, care, and control of the animals listed below.
Name (or other way to ID animal) Type of animal Breed (zfknown) Color
® E] Control of Property
Only the person in G) can use, control, and possess the following property:
I] Health and Other lnsurance

The person D in ® Ü in ® is ordered not to cash, borrow against, cancel, transfer, dispose of, or change
the beneficiaries of any insurance or coverage held for the benefit ofthe parties, or their children, if any, for
whom Support may be ordered, or both.
@ [Z] Record Communications

The person in (D may record communications made by the person in ® that violate this order.
.3, This is a Court Order.

Iijfil __ 1_
55.3 Revised Januaw 1- 2022 Restraining Order After Hearing (CLETS-OAH) DV-13°s P399 4 07 3
Case Number:
l9STFLl3699
D Property Restraint
The person Ü in G) Ü in ® must not transfer, borrow against, sell, hide, or get rid of or destroy any property,
including animals, except in the usual course of business or for necessities of life. In addition‚ each person must
notify the other of any new or big expenses and explain them to the court. (If the court granted ® ‚ the person in ®
must not contact the person in To notify the person in G) of new or big expenses, have a server mail or
personally give the information to the person in (D or contact their lawyer, ifthey have one.)
D Pay Debts (Bills) Owed for Property

a. You must make these payments until this order ends:
(l) Pay to: For: Amount: S Due date:
(2) Pay to: For: Amount: S Due date:
(3) Pay to: For: Amount: S Due date:
b- Ü Th_e court finds that the debt or debts Iisted above in Ü a(1) Ü a(2) Ü a(3)
were the result of abuse in this case, and made without the person in ®’s agreement.
D Pay Expenses Caused by the Abuse

You must pay the following:
Pay to: For: Amount: S Due date:
@ 1:1 Child Support

Child Support is ordered on the attached brm FLL-ßg}; Child Support Information and Order Attachment
or (specify otherform):
@ D Spousal Support
Spousal support is ordered on the attached _f_;_)__|t_1_n_o[f_I_o;_3_4_3a„‚ Spousal, Partner, or Family Support Order
Attachment or (speczfi) otherform):
® D Lawyer’s Fees and Costs

You must pay the following lawyer’s fees and costs:
This is a Court Order.

w
i5‘?
Revised Januaw 1» 2°” Restraining Order After Hearing (CLETS-OAH) DV-130. Page 5 of 8
Case Number:
19STFL13699
E] Batterer Intervention Program

a. The person in ® must go to and pay for a probation certified 52-week batterer Intervention program and show
proof of completion to the court.
b. The person in ® must enroll by (date): or if no date is listed, must enroll within 30 days after
the order is made.
c. The person in ® must complete‚ file, and serve f_or_m‚D_\L—_S_Qj_, ProofofEnrollmentfor Batterer Intervention
Program.
@ [j Transfer of Wireless Phone Account

The court has made an order transferring one or more wireless service accounts from you to the person in
These orders are contained on ficml1__I)V—9QQ‚ Order Transjerring Wireless Phone Account.
Service
a. |2] No other proof of service is needed. The people in ® and ® were at the hearing or agreed in writing to
this order.
b_ Ü The person in ® was not present. Proof of service of form DV-1 O9 and form DV-1 l0 (if issued) was
presented to the court.
(I) Ü Order can be served by mail. The judge’s orders in this form are the same as in form DV-1 l0 except
for the expiration date. The person in ® must beserved, either by mail or in person.
(2) Ü Order must be personally served. Thejudge’s orders in this form are different from the orders in form
DV-110, or form DV-110 was not issued. The person in ® must be personally served (given) a copy
ofthis order.
c. E] Proof of service of form FL-300 to modify the orders in form DV-130 was presented to the court.
(1) E] The people in (Dand ® were at the hearing or agreed in writing to this order. N0 other proof of
service is needed.
(2) [j The person Ü in ® Ü in @ was not at the hearing and must be personally served (given) a copy
of this amended (modified) order.
@ No Fee to Serve (Notify) Restrained Person

The sheriff or marshal will serve this order for free.
Take a copy of all the papers that you need to be served to the sheriff or marshal.

1:7:
W11
Revised Ja"uarv1-2°22 Restraining Order After Hearing (CLETS-OAH) DV-130‚ Page 6 of 8
‘i’? (Order of Protection) 9
Case Number:
19STFL13699
E Attached pages
A11 of the attached pages are part of this order.
a. Number of pages attached to this eight-page form: 3
b. Attachments include forms (check all that appbz):
|2} DV-140 D DV-145 D DV-150 D DV-900 D FL-342 D FL—343 E Other: 0N, P‘! 3 j
Judge's Signature ' f / ’

h ‚
Date: j W Ä// {
Judge or Judicial flicer '
’ MNGMMALTHM
Certificate of Compliance With VA v
This restraining (protective) order meets all “full faith and credit” requirements ofthe Violence Against Women Act,
18 U.S.C. 5 2265 (1994) (VAWA) upon notice of the restrained person. This court has jurisdiction over the parties
and the subject matter; the restrained person has been or will be afforded notice and a timely opportunity to be heard
as provided by the laws of thisjurisdiction. This order is valid and entitled to enforcement in each jurisdiction
throughout the 50 states of the United States, the District ofCo1umbia‚ all tribal lands, and all U.S. territories‚
commonwealths, and possessions and shall be enforced as if it were an order of that jurisdiction.
Instructions for Law Enforcement
Start Date and End Date of Orders

The orders starr on the earlier of the following dates:
° The hearing date in item @(a) on page 2; or
- The date next to the judge’s signature on this page.
The orders end on the expiration date in item G) on page 1. If no date is listed, they end three years from the hearing date.
Arrest Required if Order Is Violated

If an officer has probable cause to believe that the restrained person had notice ofthe order and has disobeyed the order,
the officer must arrest the restrained person. (Penal Code, 55 836(c)(1), l3701(b).) A violation of the order may be a
violation of Penal Code 5 166 or 273.6.
Notice/Proof of Service _
Law enforcement must first determine if the restrained person had notice of the orders. lf notice cannot be verified, the
restrained person must be advised of the tenns of the orders. If the restrained person then fails to obey the orders, the
officer must enforce them. (Family Code, 5 6383.)
Consider the restrained person “served” (notified) if:
' The officer sees a copy of the ProofofService or confirms that the ProofofService is on file; or
' The restrained person was at the restraining order hearing or was informed of the order by an officer. (Family
Code, 5 6383; Penal Code, 5 836(c)(2).) An officer can obtain information aboutthe contents of the order in the
California Restraining and Protective Order System (CARPOS). (Family Code, 5 6381(b)-(c).)

'21":
Revised Januarv 1| 2022 Restraining Order After Hearing (CLETS—OAH) DV-130, Page 7 of s
(Order of Protection) ->
Case Number:
19STFL13699
If the Protected Person Contacts the Restrained Person

Even if the protected person invites or consents to contact with the restrained person, the orders remain in effect and must
be enforced. The protected person cannot be arrested for inviting or consenting to contact with the restrained person. The
orders can be changed only by another court order. (Penal Code, 5 l37l0(b).)
Child Custody and Visitation

0 The custody and Visitation orders are on form DV-140. They may be written on additional pages or referenced
in form DV-140 or other orders that are not part ofthis restraining order.
0 At items 9b(l) or l0b(l) of this order, thejudge may allow the person in G’) to have brief and peaceful contact with
the person in CD, as needed to follow court-ordered visits. Conduct ofthe person in ® that is not brief and peaceful is
a violation ofthis order.
Enforcing the Restraining Order in California

Any law enforcement officer in California who receives, sees, or verifies the orders on a paper copy, in the California
Law Enforcement Telecommunications System (CLETS), or in an NCIC Protection Order File must enforce the orders.
Conflicting Orders—Priorities for Enforcement

lf more than one restraining order has been issued protecting the protected person from the restrained person, the orders
must be enforced in the following priority (see Penal Code, 5 136.2 and Family Code, 55 6383(h)(2), 6405(b)):
1. EPO: lf one of the orders is an Emergency Protective Order (form EPO-OOI) and it is more restrictive than other
restraining or protective orders, it has precedence in enforcement over all other orders.
2. No-Contact Order: lf there is no EPO‚ a no-contact order that is included in a restraining or protective order has
precedence in enforcement over any other restraining or protective order.
3. Criminal Order: If none ofthe orders includes a no-contact order, a domestic Violence protective order issued in a
criminal case takes precedence in enforcement over any conflicting civil court order. Any nonconflicting terms of the
civil restraining order remain in effect and enforceable.
4. Family, Juvenile, or Civil Order: lf more than one family, juvenile, or other civil restraining or protective order has
been issued, the one that was issued last must be enforced.
(The clerk willfill out this part.)
Chr/VS Cemfiave —Clerk's Certificate-

[seal]
I certify that this Restraining Order After Hearing (Order ofProtection) is a true and
correct copy of the original on file in the court.
Date: Clerk, by , Deputy
i539 This is a Court Order.

k‘
“"58” J"”“"’ " 2°” Restraining Order After Hearing (CLETS—OAH) °V43°r P393 8 °f 8
(Order of Protection)
H35 (Domestic Violence Prevention)
r’ . o - -
. . . . Gase Number:
DV-140 Chl|d Custody and V|s|tat|on Order lgsTFLnögg
This form is attached to (Check one): III DV-110 B] DV-130

CD Name of Protected Person: BRODY DALLE-HOMME E Mom ü Dad E] othewk
® Other Parent's Name: JOSHUA HOMME I] Mom E] Dad [j otherk

* IfOthen specifiz relationship to chi/d:
The Court Orders:

® E Child Custody i5 ordered a5 follows; Legal Custody to: (Person Physical Custody to:
who makes decisions about (Person the chi/d Iives with.
health, education. Check at Check at least one.)
least one.)
Child’s Name Date of Birth Mom Dad Other* Mom Dad Other*
a. Camille Harley Joan Homme 01/17/2006 E E E E E E
b. Orrin Ryder Homme 08/12/2011 E E E E E E
c. Wolf Dillon Reece Homme 02/13/2016 E E E E E E
E Ifmore children, Check here. Attach a sheet ofpaper and write “D V—140‚ Child Custody”for a title.
* IfOthen specifi/ relationship t0 chi/d and name ofperson:
® E Child Visitation is ordered as follows:

a. E N0 Visitation to E Mom E Dad E Other (name):
b. E See the attachedl - page document, dated: 02/07/2022
C- E The parties must go to mediation at:
d- E Until the next court order, Visitation for E Mom E Dad E Other (name): will be:
(I) E Weekends (Starting): (The Ist weekend ofthe month is the Ist weekend with a Saturday.)
E 1st E 2nd E 3rd E 4th E 5th weekend of month
from at E a.m. E p.m. to at E a.m. E p.m.
(day ofweek) (lime) (day ofweek) (time)
(2) E Weekdays (Starting):

from at E a.m. E p.m. to at E a.m. E p.m.
(day ofweek) (lime) (day ofweek) (time)
(3) E Other Visitation

Check here and attach a sheet ofpaper ifthere are other Visitation days and times, like holidays, birthdays,
sports events. List dates and times. Write “DV-140, Other Visitation "for a title.
G) 1:1 Supervised Visitation or Exchange _

Visits and/or exchanges of children are supervised as specified on Form DV-150, Supervised Visitation and
Exchange Order.
„h This is a Court Order.

‘i?’
ÄÜTÄÄZÜT,3B?3fi333aä3“?;‚°‚?#’““g” Child Custody and Visitation Order DV-140‚Pa9e1of2

iiä Famnly Code. 55 3020‚3022. 3040-3043, 3100. 6340, 7604 ‘Domestic Violence Prevention) 9
I10
Case Number:
l9STFLl3699
® EI Responsibility for Transportation for Visitation

“Responsibility for transportation” means the parent will take or pick up the child or make arrangements for
someone else to do so.
a. Ü Mom |:| Dad Ü Other (name): take children to the visits.

b. Ü Mom Ü Dad Ü Other (name): pick up children from the visits.
c. [j Drop-off/ pick-up of children will be at (address):
® Ü Travel with Children

Ü Mom Ü Dad Ü Other (name)? must have written permission from the
other parent, or a court order, to take the children outside of:
a. Ü The State of Califomia
b. Ü The United States ofAmerica
c. Ü Other place(s) (list):
E} Child Abduction
There is a risk that one of the parents will take the children out of Califomia without the other parent's
permission. Ü The orders in Form DV—145, Order: No Travel with Children, are attached and must be
obeyed. (Fill out and attach Form DV—145 t0 thisform.)
@ E Other Orders
Check here and attach any other orders to thisform. Wrile ”D V-140‚ Other Orders" as a title.
Jurisdiction
This court hasjurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction
and Enforcement Act (part 3 of the Califomia Family Code Starting with 5 3400).
® Notice and Opportunity to Be Heard

The responding party was given reasonable notice and an Opportunity to be heard as provided by the laws ofthe
State of Califomia.
® Country of Habitual Residence

The country of habitual residence of the child or children in this case is Ü The United States of America
0T Ü Other (speczfiz): .
® Penalties for Violating This Order

Ifyou violate this order, you may be subject to civil or criminal penalties, or both.
Duration of Child Custody, Visitation, and Support Orders

Ifthis form is attached to Form DV-l3O (Restraining Order After Hearing)‚ the custody and Visitation orders in this
form remain in effect after the restraining orders on Form DV-130 end.
F? This is a Court Order.
R“ ‘amam-m” Child Custody and Visitation Order DV-14°- P896 2 0‘?


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Request for Domestic Clerk stamps date here when form is filed.

© Name of Person Asking for Protection:

© Name of Person You Want Protection From:

Other Restraining Orders and Court Cases

^ Divorce, Nullity, Legal Separation

Check the orders you want. 0

I have the right to live at the above address because (explain):

T his is not a C ourt O rd er.

© IGuns or Other Firearms and Ammunition

I ask for the animals to be with me because:

© S) Child Custody and Visitation

I Rights to Mobile Device and Wireless Phone Account

P ay to: F or: Amount: $

B atterer Intervention Program

24 Time for S ervice (Notice)

25 No F e e to S erve (Notify) R estrained P erson

2. Describe how the person in (0 abused you or your child(ren):

4. D escribe any injuries:

5. Did the polie e eome? No Yes

T his is not a C ourt O rd er.

Describe Abuse (continued)

4. D escribe any injuries:

5. Did the police come? Q N o Q Y es

O th er P ersons to B e Prote cte d

Number of pages attached to this form, if any:

SAMANTHA KLEIN, E S Q. (S E N 222414)

This form is attached to DV-lOO, Requestfor Domestic Violence Restraining Order.

Q) Your name: BRODY DALLE-HQMME Mom D ad O ther*

Other parent’s name:JQSHUA HOMME I I Mom Q O D ad Other*

C hild's N a m e D ate of Birth Mom D ad O th er Mom D ad O th er

a. C amille Harley Joan Homme 01/17/2Q Q6 SI [11 [a

@a C hange C urrent C ourt Order

C onfidential Los Angeles, C A SI From 11/28/2019 to present

T his is not a C ourt O rd er.

@ Other Children’s Addresses

@ O ther C ustody C ase

b. Type of case: P arentage (Paternity) Divorce C hild Support G uardianship

e. D ate of court order:

f. C ase number ('//'yow/7ave zY);

I I Has custody Claims custody rights Claims visitation rights

(day of week) (time) (day of we ek) (time)

a. Mom D ad Other (name): ta k e childre n to the visits,

b. Mom D ad Other (name): pick up children from the visits.

[51 Travel With C hildren

Mom [51 Dad Other (name): must have written permission

C hild Abduction Risk

T his is not a C ourt O rd er.

2 I, BRODY DALLE-HOMME,hereby deelare as follows:

REPOnTOf; I investDIV, INC* DRf

CASE SCREENING FACTOR(S) f'ftk'TuFa giiTfd II k WT AGE DC®

Sj ONLY ONE VICTIM INVOLVED E-MAIL ADDR E SS

L‘y k F " vtt> E M C t

i [J REAR METHOD D A T E S TIM E O F O C C U R R E N C E D A T E S TIM E R E P C R T E O T O P D

2. (/ ..»> > AiO .wA)

IF SH O RT F O RM AND VIC TtM,'PR AR E N O T TH E SAME, E NT E R PR IN F O RMATIO N

T HIS R E P O R T D O E S N O T C O N S TIT U T E V A LID ID E N TI F I C A TI O N

EM^Ifl^E^pY PROXECJIVE ORDER (S0e /©verse for Important notices.)

1. PROTECTED PERSONS ('/nsert names of all persons protected by this Order):

2. RESTRAINED PERSON (name): y - * ! ' ^