Georgia > Local County > Gwinnett > Superior Court > Domestic Violence
Respondents Identifying Fact Sheet And Petitioners Identifying Information MAG 60-10 - Georgia
| Respondents Identifying Fact Sheet And Petitioners Identifying Information Form. This is a Georgia form and can be used in Domestic Violence Superior Court Gwinnett Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Civil Action File No: ________________________ _ RESPONDENT S IDENTIFYING FACT SHEET Comple te the Following Information Regardi ng the Respo ndent. In order to have this orderplaced in the National Crime Information Center R egistry a nd the Protective Order Registry ofthis state, in add ition to the Respondents name, at least one of these three items MUST belisted. 1. Social Security Number; or 2. Date of Birth; or 3. Drivers License Number.Respo ndents Name 1. Social Securi ty Number 3. Drivers License # & State: Gender Eye Color: Race: 2. Date of Birth [ ] Male [ ] Blue [ ] Caucasian [ ] Female [ ] Brown [ ] African American [ ] Green [ ] Hispanic [ ] Gray [ ] American Indian/Alaskan [ ] Hazel [ ] Multi Racial [ ] Asian/Pacific IslanderColor Hair Height Weight License Tag of Vehicle Usually DrivenMake & Model of Vehicle(s) Usually Driven Color VehicleHome Address: City, State & ZipHome Phone Work Phone Name of Employer Address of EmployerCell Phone Normal Work Hrs. Normal Work Days Best Time & Location to ServeWeapons Possessed & Usual Locations Distinguishing scars, tattoos, etc. MAG 60 -10 Res pondents & Petitioners Identifying Info<<<<<<<<<********>>>>>>>>>>>>> 2 Civil Action File No: ________________________ _ PETITIONERS IDENTIFYING INFORMATION List the Names of All Protected Parties, Petitioner, Petitioners Children & Others NAME OF PROTECTED PA RTY DOB SEX Race (See below)Race: For data ent ry, please C, Caucasian; AA, African American; H, Hispanic A, Asian use one of these rac ial catego ries: AI, American Indian; MR, Multi Racial ; PI, Paci fic Islander MAG 60 -10 Res pondents & Petitioners Identifying Info
|
|||||||
