Idaho > Statewide > District Court > Domestic Violence
Sworn Petition For Protection Order DV1-1 - Idaho
| Sworn Petition For Protection Order Form. This is a Idaho form and can be used in Domestic Violence District Court Statewide . |
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Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF MAGISTRATE DIVISION , Petitioner (Person Seeking Protection Order), Case No. SWORN PETITION FOR PROTECTION ORDER vs. , Respondent (Person You Want Restrained) THE LAW REQUIRES THAT THE RESPONDENT BE GIVEN A COPY OF THIS COMPLETED FORM AND ALL ATTACHMENTS. 1. Protected Person(s). I am seeking a protection order for: F Myself. F The following minor child/ren (first and last names): My relationship to the child/ren is: F Custodial Parent F Non-Custodial parent F Guardian F The following family or household member (first and last names): SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 Page 1 American LegalNet, Inc. www.FormsWorkFlow.com F The following adult who has or is dating Respondent (first and last names): 2. Relationships. Please check all that apply to the relationship between the Respondent (person you want restrained) and you or the person(s) for whom you are seeking protection. F spouse F former spouse, state and county where divorced is F living together F previously lived together, we last lived together on (date) F child in common F parent F related by blood, adoption or marriage, Relationship: F are dating, or previously dated and our last date was (date) If a dating relationship please describe: (complete for adult or minor in a dating relationship): Nature of relationship Length of time of the dating relationship How often saw each other Time since the relationship ended 3. Residence. F I live or am staying in County, State of F The Respondent does not live with me F I live with the Respondent at Our home is rented or owned F by both of us F by me F by the Respondent F I have left a residence where I lived with the Respondent. I want to return F yes F no If yes, F to live F to get personal belongings F Other F A business is run from the home. Type of business: The business is run F by me F by the Respondent F by both of us. 4. Child/ren affected by the protection order. I am the natural/adoptive parent or legal guardian of the following child/ren: SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 American LegalNet, Inc. www.FormsWorkFlow.com County, Idaho. Respondent lives in Page 2 Name (First, Middle Initial, Last) Birth Date Sex How Child is Related to Petitioner Respondent State(s) where child lived last 6 months During the last six (6) months the child/ren have lived with 5. Other court cases. List any other court cases relating to the minor child/ren who will be affected by this protection order (divorce, child protection, guardianship, adoption, other protection order, etc.) F I have applied for a protection order(s) before in the county of on (date) , against (name) F The Respondent has applied for a protection order(s) before in the county of on (date) , against (name) F The Respondent has been involved in crimes involving violence, child abuse, weapons, drugs or alcohol. (If checked, please describe what the charges were, when and where they were filed and convictions) F I have been involved in crimes involving violence, child abuse, weapons, drugs or alcohol. (If checked, please describe what the charges were, when and where they were filed and convictions) SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 Page 3 American LegalNet, Inc. www.FormsWorkFlow.com 6. Information about the violence. Domestic violence means physical injury, sexual abuse or forced imprisonment or threat thereof. a. Please describe the most recent acts or threats of domestic violence committed by the Respondent against you or the minor child/ren. When? (date and time) Where? (address or general location) Who was present? (minor children, friends, family, etc.) What happened? SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 Page 4 American LegalNet, Inc. www.FormsWorkFlow.com Do not write on the back of this page. Include a separate sheet if you need more room. Was a weapon involved? F No F Yes How? Describe any injuries. Is there anything else you want the judge to know about what happened? b. Please describe past acts or threats of domestic violence, including dates: Do not write on the back of this page. Include a separate sheet if you need more room. 7. I ask the Court to order the following: a. Personal Conduct Order. The Respondent shall not harass, annoy, disturb the peace of, telephone, contact, or otherwise communicate with (either directly or indirectly, in person or through any other person) the F Petitioner F minor on whose behalf the petition is brought minor child/ren residing in the Petitioner's household. b. Stay Away Order. The Respondent shall at all times stay away from: F My residence at F No address is given because I do not want my address on this petition. F Protected Minor's residence at: F My workplace and/or school at: F Protected Minor's workplace and/or school at: F My child/ren's school and/or childcare at: F Other: SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 American LegalNet, Inc. www.FormsWorkFlow.com Page 5 c. F Move-out Order. The Respondent shall move from the residence at and take from the dwelling only items needed for employment and necessary personal effects (at peace officer's discretion). d. F Child Custody. Temporary custody of the minor child/ren named in Section 4 above, be awarded to: F me F Respondent. The other parent should have: F Visitation as follows (list specific days and times) F Neutral drop off and pick up location at F Transportation provided by F Supervised visitation, why and supervised by whom F No visitation. e. F Treatment/Counseling. The Respondent be ordered to participate in treatment or counseling services for (purpose) F Other relief requested: f. I SWEAR UNDER OATH OR AFFIRM I HAVE READ THIS APPLICATION, OR HAVE HAD IT READ TO ME, AND THE FACTS STATED IN THIS APPLICATION ARE TRUE. INTENTIONALLY PROVIDING FALSE INFORMATION IS A CRIME. Date: Typed/printed Signature SUBSCRIBED AND SWORN before me on this _____ day of SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 American LegalNet, Inc. www.FormsWorkFlow.com Page 6 Clerk of the District Court By Deputy Clerk SWORN PETITION FOR PROTECTION ORDER CAO DV 1-1 2/12/2008 Page 7 American LegalNet, Inc. www.FormsWorkFlow.com
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