Free State of Minnesota - Minnesota

State of Minnesota
County

District Court
Judicial District: Court File Number: Case Type: Harassment

Select County

Petitioner(s) vs.

Motion & Notice of Motion to Change Harassment Restraining Order

Respondent(s)
I am the original Petitioner Respondent in this matter.

I understand that I am under oath/affirmation and that I must tell the truth. I request that the court change the Harassment Restraining Order issued on:
Date

.

A.

The specific change I request is:

B.

I want this change because:

Notice of Motion
Upon the above Motion to Change Harassment Restraining Order, a hearing will be held before the Court at on
Place/Address

at
Date Time

.m. to decide whether the request should be granted.

Notice
If the moving party does not appear at the hearing, this motion may be dismissed. If the other party does not appear at the hearing, the change to the Harassment Protection Order may be granted. Failure to appear WILL NOT be a defense to criminal charges for violation of any part of this Order. Dated:
Signature (Sign only in front of notary public or court administrator.)

Name: Sworn/affirmed before me Date:
Notary Public \ Deputy Court Administrator

Address: City/State/Zip: Telephone:

HAR601

State

ENG

Rev 2/01

www.courts.state.mn.us/forms

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