INSTRUCTIONS ON COMPLETING APPLICATION 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
Application Instructions
June 2006
This is the most important part of your Application. This 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.
Application Instructions
June 2006
If you check yes, fill in the information as requested. Leave the lines blank if you check no.
A report to law enforcement may be useful to the judge. However, filing a criminal report is not required.
Complete either Section, not both
Application Instructions
June 2006
If you check yes, fill in the information as requested. Leave the lines blank if you check no.
List minor's name here along with any other individuals who should be protected.
Application Instructions
June 2006
List residence (unless confidential)
List any schools attended by minor you are applying for (unless confidential)
Note: If you check Confidential it might limit law enforcement's ability to enforce the order.
Application Instructions
June 2006
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.
Application Instructions
June 2006
If you need relief not listed above, please list it here.
Date the Application.
Sign the Application.
Application Instructions
June 2006