Personal Protection Order Page 2
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4INSTRUCTIONS FOR COMPLETING "PERSONAL PROTECTION ORDER"
Please print neatly. Press firmly because you are printing on six copies.
Items A through D must be completed before you give this form to the court clerk. Please read the instruction for each
item. Then fill in the correct information for that item on the form.
A
If you checked box G on form CC 375, check the box for "Ex Parte."
B
Fill in the "Case No." from form CC 375.
C
Fill in the "petitioner" and "respondent" the same way you did on form CC 375. If you want your address
and telephone number to be kept from the respondent, do not write your address here. Put in the
address of a relative or friend or a post office box where the court can contact you.
D
Write in the respondent's name and as much of the other information as you know. This information will help
the police to identify the respondent if he or she disobeys the restraining order. Be sure to identify the
respondent accurately. The race, sex, and date of birth are required for law enforcement to enter an
order on the Law Enforcement Information Network (LEIN).
The court will complete the rest of this form.
You must read the booklet "Instructions for Personal Protection Orders" for directions on the legal process.
•
If you asked for an ex parte order (order without a hearing), read pages 3 and 4 of the booklet.
•
If you did not ask for an ex parte order or the judge refuses to sign an ex parte order, read pages 5 and 6
of the booklet.
Important:
If the respondent violates this personal protection order and is arrested, the court will set a date, time, and place for a
hearing on the charges against the respondent to be held within 72 hours after arrest. The court or prosecutor is
responsible for giving you notice of this hearing. If you are not notified within 24 hours of the arrest, contact the judge
who signed this order. If a hearing is not held within 72 hours, the respondent may be released from jail after posting
bond pending the hearing.
If the respondent violates this personal protection order and there is no arrest, use form CC 382, Motion and Order to
Show Cause for Violating Personal Protection Order. This form is available from the circuit court clerk.
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