Alabama > Statewide > C-Series (Civil)
Petition For Protection From Abuse C-2 - Alabama
| Petition For Protection From Abuse Form. This is a Alabama form and can be used in C-Series (Civil) Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
State of Alabama Unified Judicial System Form C-2 (Page 1 of 5) Rev. 12/10 Case Number PETITION FOR PROTECTION FROM ABUSE IN THE CIRCUIT COURT OF_______________________________COUNTY, ALABAMA (Name of County) ___________________________________________________V. ______________________________________________________________ Plaintiff (person to be protected) Defendant (person to be restrained) ____________________________________________________ ______________________________________________________ Plaintiff's Date of Birth Defendant's Address (Business or Home) Ala. Code 1975, Section 30-5-5(e)(1) provides " [t] he following information shall not be contained on any court document made available to the public and the defendant by the circuit clerk's office: The plaintiff's home address and, if applicable, business address; a plaintiff's home telephone number and, if applicable, business telephone number; the home or business address or telephone number of any member of the plaintiff's family or household; or an address that would reveal the confidential location of a shelter for victims of domestic violence as defined in Section 30-6-1." ______________________________________________________ City State Zip Code ______________________________________________________ Defendant's Date of Birth _____________________________________________________ Defendant's Social Security Number YOU MUST PROVIDE COMPLETE AND TRUTHFUL INFORMATION. IF YOU DO NOT, THE COURT MAY DISMISS THIS CASE, AND YOU MAY BE SUBJECT TO BEING CHARGED WITH PERJURY FOR KNOWINGLY PROVIDING FALSE INFORMATION. I. ELIGIBLE PLAINTIFFS: CHECK ALL THAT APPLY (Note: The word, "Plaintiff," is used throughout to describe you and/or the person(s) for whom you are applying): I am 18 years of age or older seeking protection from domestic violence for myself; I am a parent; a legal guardian; a legal custodian; or the State Department of Human Resources seeking this petition for protection from domestic violence on behalf of the Plaintiff who is: a minor, or any person prevented by physical or mental incapacity from seeking a protection order. . I am under 18 years of age and am married; or emancipated, and seeking protection from domestic violence for myself. CHECK AND FILL OUT ONLY ONE SECTION (1,2,3,4 OR 5): 1. The Defendant is the Plaintiff's spouse; or former spouse; common-law marriage Date of Marriage: ________________________________: Date of Divorce (if applicable):_____________________________. 2. The Defendant is related to the Plaintiff by marriage. 3. The Defendant and the Plaintiff have a dating relationship* (A relationship means a recent frequent, intimate association, primarily characterized by the expectation of affectionate or sexual involvement within the last six months. A dating relationship does not include a casual or business relationship). 4. The Defendant is a current or former household member* (A household member is a person maintaining or having maintained a living arrangement with the Defendant where he/she is in or was engaged in, a romantic or sexual relationship). 5. The Defendant and the Plaintiff are unmarried parents of a child. *If you select 3 or 4 you must briefly explain the relationship: ______________________________________________________ I state that the following is true and correct: The Plaintiff is a resident of ______________________________in_______________________. The Plaintiff's age is: __________ years old. (Name of County) (Name of State) Is the Plaintiff involved in any other civil, domestic relations, child support, or juvenile case (for example, divorce, paternity or custody) with the Defendant? YES NO If YES, please state the County and State in which the case was brought: _______________________________ County, ____________________________(State). Are there any criminal charges against the Defendant because of abuse to the Plaintiff? YES NO If YES, the charges were brought in __________________________________County, _________________________(State). (Note: If there are more civil or other cases with the Defendant or more criminal charges against the Defendant, please attach additional 8" x11" sheets of paper, if necessary, stating the case number(s), County(ies), and States(s) in which these cases are being handled). Original-Court Record Copy-Law Enforcement Copy-Plaintiff Copy-Defendant American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Form C-2 (2 of 5) Rev. 12/10 PETITION FOR PROTECTION FROM ABUSE Case Number (Check the box if the following statement applies to the Plaintiff): The Plaintiff left his or her home because of abuse or threat of abuse, and the Plaintiff is currently residing in __________________________County, Alabama The Defendant lives in ___________________________County, ______________________________________(State). The Defendant is ____________years old. I am requesting (check one of the following boxes): a protection order; OR a change in a current protection order; OR a change in an emergency order. an emergency order; OR II. To Get a Protection Order, the Defendant Must Have Done One or More of the Following: (Check all that apply): Made the Plaintiff afraid that the Plaintiff would be seriously injured Made the Plaintiff have sex by force or threat of force Kidnapped the Plaintiff or his or her child(ren) Trespassed on the Plaintiff's property Abused the Plaintiff's child(ren) Stole from the Plaintiff Injured the Plaintiff Tried to hurt the Plaintiff Threatened to injure/hurt the Plaintiff Stalked the Plaintiff Set fire to the Plaintiff's house Restrained the Plaintiff III. Explain the Abuse That Has Happened (Begin With the Most Recent Act. You May Add Additional 8" x 11" Sheets of Paper, If Necessary): Date and place where the abuse occurred: ____________________________________________________________________________________________________________________________. Describe how the Defendant hurt or threatened the Plaintiff: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ I fear the Defendant will cause further abuse because: ____________________________________________________________________________________________________________________________ _______________________________________________________________________________
|
|||||||
