Petition For Protective Order
ADVERTISEMENT
1
2
3
4
5IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
)
)
Petitioner
Date of Birth
)
Male
Female
)
v.
)
CASE NO.
)
)
PETITION FOR
Respondent
Date of Birth
)
PROTECTIVE ORDER
Male
Female
)
Stalking
Sexual Assault
)
I swear or affirm under penalty of perjury that all the information I provide in this petition
is true to the best of my knowledge and belief.
I am requesting the following protective order(s). NOTE: If there is any chance you
might need protection for more than 20 days, you should request both a long-
term order (6 months) and an ex parte order (20-day). To do this, check both
boxes.
1.
an ex parte protective order (20 day order).
(This order can take effect
immediately based on only the petition and the petitioner’s testimony, without
the respondent knowing about the ex parte petition. The police will serve the ex
parte order if granted.) I certify that I
have not tried to notify the respondent that I am filing this petition.
notified or tried to notify the respondent as follows:
a long-term protective order (6 month order). (This order can only be issued
after notice to the respondent and a court hearing. This order will last for 6
months, unless the court ends it sooner. The police will notify the respondent
of the hearing.)
2. The respondent is a (check all that apply):
(former) friend
neighbor
classmate
co-worker
client or former client
correctional facility employee
legal guardian of petitioner
other (describe):
I do not know and have never been acquainted with the respondent
3. I (petitioner) am
a minor: Age ________
an adult
This is Not a Court Order
Page 1 of 5
CIV-752 (10/13)(cs)
AS 18.65.850-.870
PETITION FOR STALKING OR SEXUAL ASSAULT PROTECTIVE ORDER
Civil Rule 65.1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal