Louisiana > Statewide > General Court > Protection From Abuse
Temporary Restraining Order (LPOR 1} - Louisiana
| Temporary Restraining Order (LPOR 1} Form. This is a Louisiana form and can be used in Protection From Abuse General Court Statewide . |
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COURT PETITIONER V. PARISH/CITY OF STATE OF LOUISIANA DIVISION: DEFENDANT FILED: NUMBER: CLERK: PETITION FOR PROTECTION FROM ABUSE Pursuant to La. R.S. 46:2131, et seq. or La. R.S. 46:2151 The petition of your name , born month, day, year a resident of the State of Louisiana, respectfully represents: Paragraph 1 Petitioner files this petition on behalf of: a. b. ____ Petitioner, and/or ____ Minor child(ren) as follows: Name Name Name Name DOB DOB DOB DOB Relationship to petitioner Relationship to petitioner Relationship to petitioner Relationship to petitioner c. ____ Alleged incompetent: Name Name DOB DOB Relationship to petitioner Relationship to petitioner Paragraph 2 a. ____ Petitioner requests that his/her address, or that of the minor child(ren) or alleged incompetent, remain confidential to the court and files the address pursuant to La. R.S. 46:2134(B). (Ask clerk of court for the Confidential Address Form.) OR ____ Petitioner's current address: No. & Street City State Apt. No. Zip Code b. c. ____ The minor child's or alleged incompetent's current address: No. & Street City State Apt. No. Zip Code Paragraph 3 , defendant, resides in Abuser's Name Parish at No. & Street Apt. No. City State Zip Code LPOR B Page 1 of 7 v.5.1 Paragraph 4 This Court is the proper venue for this action because: The marital domicile is located in The household is located in The defendant resides or is domiciled in The abuse occurred in The petitioner resides or is domiciled in fill this out if address is to remain confidential.) Parish. Parish. (Do not Parish. Parish. Parish. Paragraph 5 The protected person(s) is related to the defendant as: (check all that apply) ___ ___ ___ ___ Current or former spouse Current or former unmarried intimate cohabitant Child, stepchild, or foster child Child of defendant's current or former intimate partner ___ ___ ___ ___ Current or former dating partner Parent, stepparent, or foster parent Grandparent or grandchild Other: Paragraph 6 ____ A suit for divorce between the parties is not pending. ____ A suit for divorce between the parties is pending (fill out page 7 of this form, "Addendum") NOTE: If you were NOT the petitioner in the divorce suit, use form LPOR B-R entitled "Petition for Protection From Abuse, (Filed by the Defendant in the Pending Action as Petitioner-in-reconvention)" instead of this one. ____ There is a suit for custody pending involving children named in this petition (fill out page 7 of this form, "Addendum"). ____ There is a custody order in effect involving children named in this petition (fill out page 7 of this form, "Addendum", or attach a copy of the order if available). Paragraph 7 ____ The protected person(s) and defendant have child(ren) in common. Paragraph 8 a. ___ ___ ___ ___ ___ ___ Defendant abused protected person(s) in the following manner: Slapped protected person(s) Punched protected person(s) Choked protected person(s) Shoved protected person(s) Kicked protected person(s) Stalked protected person(s) ___ ___ ___ ___ ___ Threatened protected person(s) with bodily harm Threatened protected person(s)' life Threatened protected person(s) with a weapon Abused petitioner's child(ren) or alleged incompetent Other: LPOR B Page 2 of 7 v.5.1 b. The facts and circumstances of this abuse are as follows: The most recent incident of abuse which caused petitioner to file this petition happened on or about the day of , , at which time the defendant did b. Past incidents: Paragraph 9 Because of the immediate and present danger of abuse, petitioner requests that an ex parte Temporary Restraining Order be issued immediately without bond: a. ____ prohibiting defendant from abusing, harassing, stalking, following, or threatening the protected person(s) in any manner whatsoever. This prohibition includes the use, attempted use, or threatened use of force or physical violence that would reasonably be expected to cause bodily injury. ____ prohibiting the defendant from contacting the protected person(s) personally, electronically, by phone, in writing, or through a third party, without the express written permission of this court. ____ prohibiting defendant from going within one hundred (100) yards of the residence, apartment complex, or multiple family dwelling of the protected person(s) located at: __________________________________________________________________ No. & Street Apt. No. City State Zip Code LPOR B Page 3 of 7 v.5.1 b. c. d. ____ ordering the defendant to stay away from the protected person(s)' place of employment/school and not to interfere in any manner with such employment/school located at: __________________________________________________________________ Employment/School Address City State Zip Code __________________________________________________________________ Employment/School Address City State Zip Code e. ____ granting the petitioner or protected person(s) the use of the residence located at: __________________________________________________________________ No. & Street Apt. No. City State Zip Code to the exclusion of defendant by evicting defendant and ordering the defendant to surrender any keys to that residence to the petitioner, and ordering (law enforcement agency) to evict the defendant. Said residence is: ____ jointly owned by defendant and petitioner or protected person(s). ____ jointly leased by defendant and petitioner or protected person(s). ____ solely leased by defendant who has a duty to support petitioner or protected person(s). (NOTE: If solely owned by defendant AND petitioner is awarded custody of child(ren) of the parties, check appropriate item in Paragraph 10. ____ solely owned or leased by petitioner or protected person(s). Presently occupied by f. ____ ordering the defendant not to damage any belongings of the protected person(s), not to shut off any utilities, telephone service, or mail delivery to the protected person(s), or in any way interfere with the living conditions of the protected person(s). ____ granting petitioner or protected person(s) the use and possession of the following property jointly or solely owned or leased by petitioner or protected person(s)(state location of each item by street address and who is presently in possession). g. for the following reasons: And ordering ___________________________ (law enforcement agency) to accompany petitioner to where the above listed property is located to allow petitioner to take possession of the property. h. ____ prohibiting ei
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