Domestic Violence Complaint

In The Superior Court of the Virgin Islands Division of -0·. Plaintiff Defendant DOMESTIC VIOLENCE COMPLAINT 1. I, residing at (Plaintiff) St. Thomas/St. John, and (Home address) working at (Work address) (Defendant) St. Thomas/St. John and works at 2. who resides at (Home address) (Work address) . complain against e * * e FAMILY COURT NO 16 V. 1. C. Section 92 ·: . Pursuant to 16 V.I.C. section 97 (Act No. 5013), I request the following temporary relief: (Check one or more) An Order restraining defendant from abusing me An Order directing defendant to leave my household An Order prohibiting defendant from having contact with me and restraining defendant from entering my residence, place of employment, business or school An Order awarding me custody of minor child or children whose name(s) is/are and age (s) is/are subject to reasonable rights of visitation for the non-custodial parent on conditions set by the court. * You do not have to place your address on this complaint if you do not want to. You may give your address to the Clerk of the Court at the time you file this Complaint. American LegalNet, Inc. www.FormsWorkflow.com -2- An Order directing defendant to pay me for losses suffered as a result of abuse, including medical, dental and moving expenses, loss of earnings of support, attorney's fees and other out-of-pocket losses for injuries sustained. My total estimated loss is $ , which is comprised of (List the type of loss and amount) An order requiring defendant to receive professional counseling or other appropriate treatment 3. Defendant and I are both emancipated minors or persons 18 years of age or older of the opposite sex who: [ ] have resided together, as [ ] are currently residing in the same living quarters, as [ ] together are the parents of one or more children, [ ] are, or have been, in a sexual or otherwise intimate relationship. 4. 1 am the victim of domestic violence as defined in 16 VIC. section 91, including one or more of the following acts by defendant: [ ] assault and battery [ ] burglary [ ] harassment [ ] kidnapping [ ] threats [ ] rape [ ] unlawful sexual contact [ ] false imprisonment [ ] unlawful entry [ ] destruction of property [ ] coercion [ ] violating a restraining order [ ] stalking NOTE: This application will be considered incomplete unless all questions are checked off. 5. My reason(s) for filing this Complaint is/are: (State all reasons and specify the actions of defendant which cause you to file this Complaint.) 9 American LegalNet, Inc. www.FormsWorkflow.com -3- American LegalNet, Inc. www.FormsWorkflow.com -4- 6. (Check one of the following): In paragraph (2) of this Complaint I am not seeking custody of any minor children. The issues of child support, child custody or visitation rights concerning the child/ children of whom I am seeking custody in paragraph (2) of this Complaint have been decided before and are not being litigated between myself and defendant. The issues of child support, child custody, and visitation rights concerning one or more of the children of whom I am seeking custody in paragraph (2) of this Complaint either have been decided before or are currently being litigated between myself and defendant. 7. I understand that at a hearing I must prove what I have said in this Complaint by a preponderance of the evidence in order to receive the relief I request. WHEREFORE, plaintiff prays that the court: (a) set this matter for hearing within the time fixed by law. (b) serve a summons together with a copy of this Complaint on the defendant and any other person the court believes advisable, (c) grant the relief requested above, and (d) grant any additional or alternate relief the court feels appropriate. Respectfully submitted, DATED: (Plaintiff) Subscribed and sworn to before me this day of , Notary Public American LegalNet, Inc. www.FormsWorkflow.com