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Civil Protection Information Sheet - District Of Columbia
| Civil Protection Information Sheet Form. This is a District Of Columbia form and can be used in Domestic Violence Unit Superior Court Statewide . |
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SUPERIOR COURT OF THE DISTRICT OF COLUMBIA DOMESTIC VIOLENCE UNIT CIVIL PROTECTION INFORMATION SHEET PLEASE PRINT CASE # IF OTHER CASE # CIVIL DATE CRIMINAL PETITIONER'S INFORMATION IF YOUR ADDRESS IS CONFIDENTIAL FROM THE RESPONDENT, PLEASE GIVE A SAFE ADDRESS WHERE THE COURT CAN REACH YOU. 1. 2. NAME ADDRESS 3. HOME TELPHONE NO. 4. DATE OF BIRTH PLEASE CHECK ONE WORK TELEPHONE NO. RACE SEX YES HGT. NO ARE YOU COMING FROM ROOM 4235 THE DOMESTIC VIOLENCE INTAKE OFFICE? HAVE YOU BEEN TO THE DOMESTIC VIOLENCE INTAKE OFFICE IN THE LAST MONTH? WERE THE POLICE CALLED TO THE SCENE OF THE INCIDENT? DID THE POLICE ARREST THE RESPONDENT IN THIS CASE? DID YOU MEET WITH A REPRESENTATIVE FROM THE UNITES STATES ATTORNEY'S OFFICE TODAY? IS THE RESPONDENT IN LOCK UP TODAY? RESPONDENT'S INFORMATION 1. NAME 2. ADDRESS 3. HOME TELEPHONE NO. 4. DATE OF BIRTH WEIGHT EYECOLOR RACE WORK TELEPHONE NO. SEX HGT. HAIRCOLOR 5. PLACE OF EMPLOYMENT & ADDRESS American LegalNet, Inc. www.USCourtForms.com
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