Instructions
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name: Case Name: Case Number:
(if known)
EX PARTE (EMERGENCY) MOTION
Your Name: Other Party's Name: A. What ex parte Orders do you want the court to make?
B.
Describe the reasons that you feel are important supporting your request for ex parte orders and describe the immediate and irreparable injury, loss or damage that will happen to you, your child(ren) or your property if the ex parte orders are not granted before the other party has an opportunity to be heard on this matter. List each separately.
C.
Notification: 1. What efforts have you made to notify the other parties of your appearance at court today and your request for ex parte orders?
NHJB-2076-FS (05/02/2006)
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Case Name: Case Number: EX PARTE (EMERGENCY) MOTION
2. What were the Results of those Efforts?
I certify that a copy of this motion has been mailed/given to:
(name of other party or attorney for other party)
Attorney for Party (if any)
Signature of Party
Date
Printed Name, Address, E-mail, and Phone Number of Attorney
Subscribed and sworn to before me, at County My Commission Expires
, State of
on Date
Signature of Notarial Officer
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NHJB-2076-FS (05/02/2006)
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