Instructions on Completing Application for Protection Against Sexual Assaults
The court clerk will give you these numbers. Use them on all forms you file later. The name of the township in which you are filing your case If you are applying on behalf of a minor, you are the Applicant The name of the county in which you are filing your case. Full name of the person you want the order(s) against
Check one box z
Instructions for Application for Protection Against Sexual Assault
June 2009
This is the most important part of your Application. The information will explain to the judge why an order is needed. Give details of the most recent incidents.
If you need more space, use the attached Continuation Page.
If you check yes, fill in the information as requested. Leave the lines blank if you check no.
Instructions for Application for Protection Against Sexual Assault
June 2009
A report to law enforcement may be useful to the judge. However, filing a criminal report is not required. Complete either Section, not both
Instructions for Application for Protection Against Sexual Assault
June 2009
Instructions for Application for Protection Against Sexual Assault
June 2009
If you check yes, fill in the information as requested. Leave the lines blank if you check no. List residence (unless confidential)
Note: If you check Confidential it might limit law enforcement's ability to enforce the order.
List any schools you are applying for (unless confidential)
Instructions for Application for Protection Against Sexual Assault
June 2009
These are places you go to often or regularly, like church or a relative's house (unless confidential)
List any safety concerns that relate to the Adverse Party and this case.
Instructions for Application for Protection Against Sexual Assault
June 2009
If you need relief not listed above, please list it here.
Date the Application.
Sign the Application.
Instructions for Application for Protection Against Sexual Assault
June 2009