State of Minnesota
County Judicial District: Court File Number: Case Type:
District Court
Domestic Abuse
In the Matter of:
Petitioner
Request for Hearing (Minn. Stat. ยง 518B.01, subd. 5, 7)
vs. Respondent
I am the Respondent in this action. My current address is:
I respectfully request the court to hold a hearing in the above-named action.
Dated: Respondent
NOTE A hearing will not be held unless you request one within five days of receiving these materials.
OFP202
State
ENG
Rev 8/08
www.mncourts.gov/forms
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