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Protection Order Precipe Form 19-1 - Nebraska

Protection Order Precipe Form. This is a Nebraska form and can be used in 3rd District Local County .
 Fillable pdf Last Modified 11/20/2008
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STATE OF NEBRASKA FORM NO. 19-1 Rev. 7/06 Neb. Rev. Stat. ยง 42-924 - 28-311.09 PROTECTION ORDER PRAECIPE CASE NUMBER: DOCUMENT No.: IN THE DISTRICT COURT OF COUNTY, NEBRASKA PRAECIPE Petitioner vs. Respondent TO THE CLERK OF COURT: Please have the Sheriff of County serve a certified copy of the protection order, petition, and request for hearing upon the respondent by personal service at any one of the following addresses: Home: Work: Other locations where respondent can be found: Directions for Service: Petitioner Address Telephone (If you are concealing your address or phone, do not provide them. Make separate arrangements with the clerk.) Fill in any of the following information if known Description of Respondent: DOB: Eye Color: Place of Birth: Describe any Scars, Marks, Beards, Tattoos, etc.: Employer: Description of Respondent's Vehicle: Drivers Lic. No.: Vehicle Lic. No.: Make: Model: Does the Respondent: Carry a weapon or keep a weapon nearby? illness? others? Issuing State: Vehicle Year: Color(s): / / Sex: Age: Height: Alias: Weight: Skin Tone: Hair Color: Race: Work Days and Hours: Expiration Year: Issuing State: VIN: Type: Where and what kind? What kind? Other Comments: Have a history of mental Have a history of violence toward Use or abuse alcohol or drugs? Make threats against law enforcement? American LegalNet, Inc. www.FormsWorkflow.com
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