Michigan > Statewide > Personal Protection
Petition For Personal Protection Order (Domestic Relationship) CC 375 - Michigan
| Petition For Personal Protection Order (Domestic Relationship) Form. This is a Michigan form and can be used in Personal Protection Statewide . |
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Petition for Personal Protection Order (Domestic Relationship) Use this formd angeof a ars ye18is d ineraest rntwaou yson per the if : 1) if you are married to the person you want restrained; or 2) if you are not married to the person you want restrained but you live wi th or have lived with him or her; or 3) if you and the person you want restrained have a child in common even if you were never married to one another or never lived together; or 4) if you and the person you want restrained have or had a dating relations hip. (Form CC 375)<<<<<<<<<********>>>>>>>>>>>>> 2 INSTRUCTIONS FOR COMPLETING "PETITION FOR PERSONAL PROTECTION ORDER"Please print neatly. Press firmly since you are printing on 5 copies.By filling in this form, you are asking for a personal protection order which tells the respondent not to do certain thingsyou dont want him or her to do. If you are in immediate danger, you should ask the judge for an "ex parte" orderwhich can be issued without waiting for a hearing.Items A through I must be completed before your petition can be filed with the court. Please read the instruction foreach item. Then fill in the correct information for that item on the form.A Write your name, address, and telephone number in the "Petitioner" box. If you are under 18 years of age, write in your age. Write the name, address, and telephone number of the person you want restrained in the "Respondent" box; if he or she is under 18 years of age, write in his/her age. If you want your address and telephone number to be kept from the other party, do not write your address here. Put in the address of a relative or friend or a post office box where the court can contact you.B Check the boxes that best describe your relationship with the respondent.C Check the box if the respondent is required to carry a firearm while at work. If you arent sure, check the box "unknown".D Check whether there is a pending case between you and the respondent. Examples of a case are: divorce, separate maintenance, support, paternity, child support, other personal protection actions, etc. If there is a pending case, fill in the case number, the name of the court and county where the action was filed, and the name of the judge. Check whether there are any court orders or judgments between you and the respondent. Examples of orders are divorce judgments, parenting time (visitation) orders, custody orders, other personal protection orders, etc. If there are other court orders or judgments, fill in the case number, the name of the court and county where the order or judgment was entered, and the name of the judge that signed the order.E Explain in as much detail as possible why you are asking for a personal protection order. Describe what has happened or what has been threatened so the judge has enough facts to decide if a personal protection order should be signed. Include dates and places. Write on a separate sheet of paper and attach it to this form.F Check only those boxes you need since you must be able to convince the judge you need all the protection you are requesting. On the lines after each item you check, fill in the requested information such as names, addresses, or specific types of activity you do not want allowed. Check item (b.) only if you want to keep the other party from entering onto property other than your home (for example, school, work, etc.). Check item e. only if there have been 2 or more acts of harassment. If you want the court to order that any records that exist which contain information about yourself or your minor children be kept confidential, state that in box j. Examples of such records are school reports which the respondent would normally have access to.G An "ex parte order" means you do not have to let the respondent know in advance that you are asking the court for an order and you do not have to wait for a court hearing to get the order. Check the box for an "ex parte order" if you believe the other party might hurt you or threaten you if he or she found out you were getting a personal protection order. If you do not need to check the "ex parte" box, you must have a court hearing. Fill out form CC 381.H If you are under 18 years old, you may need an adult (called a "next friend") to petition for you. Check this box if you have a next friend helping you file this form. I Write in todays date and sign the form. Hand the form to the county clerk. The clerk will fill in the rest of the information and will give you your copies.You must read the booklet "Instructions for Personal Protection Orders" for directions on the legal process.<<<<<<<<<********>>>>>>>>>>>>> 3 Original - Court 3rd copy - Petitioner (pink) 1st copy - Judge/Assignment clerk (green) 4th copy - Return (yellow) Approved, SCAO 2nd copy - Respondent (blue) STATE OF MICHIGAN PETITION FOR CASE NO. JUDICIAL CIRCUIT PERSONAL PROTECTION ORDER COUNTY (DOMESTIC RELATIONSHIP) Court address Court telephone no.AAAAAPetitioners name Age Respondents name, address, and telephone no. Age Address and telephone no. where court can reach petitioner v BBBBB1.The petitioner and respondent: are husband and wife. were husband and wife. have a child in common. have or had a dating relationship. reside or resided in the same household. CCCCC2. The respondent is required to carry a firearm in the course of his/her employment.Unknown. 3. a. There are are not other pending actions in this or any other court regarding the parties. DDDDD Case number Name of court and county Name of judge b. There are are not orders/judgments entered by this or any other court, regarding the parties. Case number Name of court and county Name of judge EEEEE4.I need a personal protection order because: Explain what has happened (attach additional sheets) FFFFF5.I ask the court to grant a personal protection order prohibiting the respondent from: a. entering onto the property where I live. I state that either I have a property interest in the premises, I am married to the respondent, or the respondent has no property interest in the premises. b. entering onto the property at . address c. assaulting, attacking, beating, molesting, or wounding . name(s) d. removing the minor children from the petitioner who has legal custody, except as allowed by a custody or parenting time order as long as removal of the children does not violate other conditions of the personal protection order. e. stalking as defined under MCL 750.411h and MCL 750.411i which includes but is not
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