New Mexico > Local District Court > 1st Judicial District > Domestic Restraining Order
Petition For Order Of Protection From Domestic Abuse - New Mexico
| Petition For Order Of Protection From Domestic Abuse Form. This is a New Mexico form and can be used in Domestic Restraining Order 1st Judicial District Local District Court . |
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DISTRICT COURT CIVIL 4-961 STATE OF NEW MEXICO FIRST JUDICIAL DISTRICT COURT COUNTY OF __________________ Supreme Court Approved October 29, 2008 ______________________________, Petitioner v. ______________________________, Respondent PETITION FOR ORDER OF PROTECTION FROM DOMESTIC ABUSE1 1. COURT ASSISTANCE REQUEST [] We will need an interpreter in __________________ to translate at hearings for [ ] me [ ] the respondent. We will need __________________ (describe other request for special No.____ __________ [] help). 2. INFORMATION ABOUT THE RESPONDENT (the person I am filing against) A. The respondent is: [] my husband or [ ] my wife [] my ex-husband or [ ] my ex-wife [] the parent of my [child] [children] [] a family member__________________________________ (describe the family relationship) [] a person with whom I have had a continuing personal relationship ________________________________________ (describe the relationship) [] [] B. a person who has sexually assaulted me a person who has stalked me The respondent has the following weapons: _________________________ 3. [CHILD] [CHILDREN]2 American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT CIVIL 4-961 Supreme Court Approved October 29, 2008 A. List minor [child] [children] of either party. Name Date of Relationship of [Child] [Children] Birth ______________ _______________ _______________ _______________ _______________ B. _____________ ______________ ______________ ______________ ______________ To You _____________ ______________ ______________ ______________ ______________ To Respondent _____________ ______________ ______________ ______________ ______________ List address and with whom the [child] [children] are currently living. (List each child separately if [child] [children] do not reside with same person.) _____________________________________________________________ ____________________________________________________________ List each address where [child] [children] have lived during the last five (5) years. (List each child separately if [child] [children] did not reside with same person.) ____________________________________________________________ ____________________________________________________________ Does anyone else have physical custody of the [child] [children] or claim to have custody or visitation rights? [ ] yes [ ] no If yes, complete the following for the [child] [children]: Child's name Person claiming rights ________________________ ______________________ ________________________ _______________________ C. D. 4. OTHER CASES The following divorce, separation, order of protection, child support, paternity, abuse or neglect cases have been previously filed by me, the respondent or the state: Type of Case Year Filed Case Number Where Filed (if known) (if known) (city and state) ______________ ______________ ______________ ______________ [] American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT CIVIL 4-961 ______________ 5. ______________ Supreme Court Approved October 29, 2008 ______________ ______________ DOMESTIC ABUSE 1. The respondent committed the following act(s) of domestic abuse against me or a member of my household: (describe in detail what happened to you or to a member of your household and when and where.) Physical abuse: _________________________________________________ ___________________________________________________ __________. Threats which caused fear that you or any household member would be injured:___________________________________________ ___________________________________________________ ___________________. Other abuse: __________________________________________________ ___________________________________________________ __________. Date of abuse:________________________________________________. Place of abuse:_______________________________________________. B. Others present during the abuse: ___________________________________. C. Did drugs or alcohol play a role in the domestic abuse? [ ] yes [ ] no D. E. 6. Were weapons used during the abuse? [ ] yes [ ] no If yes, what weapons? ____________________________. Has there been prior domestic abuse? [ ] yes [ ] no REQUESTS TO THE COURT I REQUEST THAT THE COURT ORDER (check all that you want): [] A. that the respondent not contact me, not abuse me and that the respondent stay away from my residence [and] [place of employment] [and] [school]. (1) that the respondent shall immediately leave [ ] my [ ] our residence at____________________________________________. 3 [] B. American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT CIVIL 4-961 [] Supreme Court Approved October 29, 2008 (2) that the respondent provide me with temporary suitable alternative housing. C. that the respondent shall not sell, remove, pawn, hide, destroy or damage any property owned by me or the two of us jointly. that law enforcement officers assist me in retrieving my clothing and personal belongings from the residence at __________________ ______________________________________________. that I be given temporary custody of the [child] [children] listed in this petition. that until the court hearing: [] respondent shall have the following contact with the [child] [children]: ________________________________________. respondent shall have no contact with the [child] [children]. [] [] D. [] E. [] F. [] [] G. that the respondent shall pay: [] [] support for the [child] [children] support for me. [] H. that the respondent shall pay me for the damage and medical bills resulting from the abuse. other relief that is necessary to resolve this domestic abuse problem (list or describe what relief is necessary): ______________________________________________________ ___________________________________________________. [] I. INFORMATION ABOUT THE PETITIONER (ME) (If you do not want the respondent to know your address and phone number, do not include it on this form. Tell the court clerk that you need to complete two other forms (Forms 4-961A and 4-961B) for your name and address and request that the clerk place your address under seal.) 7. [] A. I DO NOT WANT RESPONDENT TO KNOW MY ADDRESS NOW OR AFTER THE HEARING FOR THE FINAL ORDER 4 American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT CIVIL 4-961 Supreme Court Approved October 29, 2008 OF PROTECTION. I HAVE COMPLETED FORM 4-961B AND GIVEN IT TO THE COURT CLERK. OR [] B. My physical address is:____________________________________ _________________________________ in the [ ] County [
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