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. Employer's name
The name of the county in which you are filing your case. Full name of the person you want the order(s) against
Application Instructions for Extended Order for Protection Against Harassment in the Workplace
June 2006
This is the most important part of your Application. This information will explain to the judge why this extended order is needed. Give details of the most recent incidents, if any.
If you need more space, use a Continuation Page.
Application Instructions for Extended Order for Protection Against Harassment in the Workplace
June 2006
If you need relief not listed above, please list it here.
Date the Application
Sign the Application
Application Instructions for Extended Order for Protection Against Harassment in the Workplace
June 2006