Instructions for Completion of CSPO or CSOOPO Petition (Fillable)

Petitioner name Case number Safe mailing address line 1 Safe mailing address line 2 Judge or Magistrate City State Zip Code Petitioner date of birth month Petitioner date of birth day Petitioner date of birth year Petition for Civil Stalking Protection Order Respondent name Petition for Civil Sexually Oriented Offense Protection Order Respondent address Respondent City State Zip Code Respondent date of birth month Respondent date of birth day Respondent date of birth year Respondent is 18 years old or older Need foreign language or ASL interpreter Foreign language needed

Ex parte emergency protection order request

Want an ex parte emergency protection order Do not want an ex parte emergency protection order

Who needs protection

Who needs protection section Me My minor children A family or household member who is not a minor child Other person needing protection

List of family or household members who need protection Other person needing protection description

Case number Protected person's name row 1 Protected person's date of birth month row 1 Protected person's date of birth day row 1 Protected person's date of birth year row 1 Relationship to petitioner row 1

Lives with petitioner row 1

Lives with petitioner yes row 1 Lives with petitioner no row 1

Protected person's name row 2 Protected person's date of birth month row 2 Protected person's date of birth day row 2 Protected person's date of birth year row 2 Relationship to petitioner row 2

Lives with petitioner row 2

Lives with petitioner yes row 2 Lives with petitioner no row 2

Protected person's name row 3 Protected person's date of birth month row 3 Protected person's date of birth day row 3 Protected person's date of birth year row 3 Relationship to petitioner row 3

Lives with petitioner row 3

Lives with petitioner yes row 3 Lives with petitioner no row 3

Protected person's name row 4 Protected person's date of birth month row 4 Protected person's date of birth day row 4 Protected person's date of birth year row 4 Relationship to petitioner row 4

Lives with petitioner row 4

Lives with petitioner yes row 4 Lives with petitioner no row 4

Protected person's name row 5 Protected person's date of birth month row 5 Protected person's date of birth day row 5 Protected person's date of birth year row 5 Relationship to petitioner row 5

Lives with petitioner row 5

Lives with petitioner yes row 5 Lives with petitioner no row 5

Petitioner requests a Civil Stalking Protection Order Civil Stalking Protection Order description line 1 Civil Stalking Protection Order description line 2 Civil Stalking Protection Order description line 3 Civil Stalking Protection Order description line 4 Civil Stalking Protection Order description line 5 Civil Stalking Protection Order description line 6 Civil Stalking Protection Order description line 7 Civil Stalking Protection Order description line 8 Civil Stalking Protection Order description line 9 Petitioner requests a Civil Sexually Oriented Offense Protection Order Civil Sexually Oriented Offense description line 1 Civil Sexually Oriented Offense description line 2 Civil Sexually Oriented Offense description line 3 Civil Sexually Oriented Offense description line 4 Relief a direct Respondent not to abuse Petitioner and persons named Relief b direct Respondent not to enter residence school business place of employment childcare or day care Relief c direct Respondent not to interfere with Petitioner's right to occupy residence

Case number Relief d direct Respondent not to remove damage hide or dispose of property companion animals or pets Relief e grants Petitioner permission to take companion animals or pets away from Respondent Relief f direct Respondent not to possess use carry or obtain deadly weapons firearms and ammunition Relief g direct Respondent to be electronically monitored Relief g explanation line 1 Relief g explanation line 2 Relief g explanation line 3 Relief g explanation line 4 Relief h includes the following additional provisions Additional provisions line 1 Additional provisions line 2 Additional provisions line 3 Additional provisions line 4 Additional provisions line 5 Additional provisions line 6 Related case name row 1 Related case number row 1 Related court county row 1 Related case result row 1 Related case name row 2 Related case number row 2 Related court county row 2 Related case result row 2 Related case name row 3 Related case number row 3 Related court county row 3 Related case result row 3 Signature of Petitioner Date

Case number Attorney registration number Name of Attorney Attorney telephone Attorney address Attorney fax City State Zip Code Attorney email

Case number Petitioner name Case number request for service Judge Magistrate Respondent name Address for service line 1 Address for service line 2

First method of service

Personal service first Certified Mail Return Receipt Requested first Other specify first

Other specify first text Other address Other address text

Second method of service

Personal service second Certified Mail Return Receipt Requested second Other specify second

Other specify second text Special instructions to sheriff line 1 Special instructions to sheriff line 2 Special instructions to sheriff line 3 Respondent was served on Officer and badge number Law enforcement agency Date Service of process was sent by On date Service of process was sent by this day of Attest Deputy Clerk