Free Defendant Information Form in Restraining order Cases - Massachusetts


File Size: 12.7 kB
Pages: 1
Date: January 26, 2007
File Format: PDF
State: Massachusetts
Category: Court Forms - State
Word Count: 258 Words, 2,581 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.mass.gov/courts/formsandguidelines/domestic/app/fa5page1.pdf

Download Defendant Information Form in Restraining order Cases ( 12.7 kB)


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DEFENDANT INFORMATION FORM IN RESTRAINING ORDER CASES (Provided by Plaintiff)
DEFENDANT'S NAME

DOCKET N0. ­ COURT USE ONLY
5
EM Q V IET
I

ENSE

TRIAL COURT OF MASSACHUSETTS
DEFENDANT'S DOB COURT DIVISION

A

L
M
SVB

ATTENTION: PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE. IF A PROTECTIVE ORDER IS ISSUED, THIS INFORMATION WILL HELP POLICE FIND THE DEFENDANT AND SERVE THE DEFENDANT WITH A COPY OF THE ORDER. OTHER NAMES USED BY THE DEFENDANT:

HOME ADDRESS ______________________________________________________________________________________________
Number Street City State Zip

IMPORTANT: Apartment No. ________Floor No. ________Name on Door/Mailbox _______________________________________ WORK ADDRESS ______________________________________________________________________________________________
Name of Company / Employer ________________________________________________________________________________________________________________________ Number Street City State Zip

Department ___________________________________________ Title ____________________________________________________ Tel. No. (_______)______________________________________ Work Hours ______________________________________________

OTHER PLACES DEFENDANT MAY BE FOUND (Friends, bars, relatives, hangouts)

BEST PLACE TO FIND DEFENDANT DEFENDANT UNDERSTANDS ENGLISH? DESCRIPTION FOR PURPOSES OF SERVICE
Yes No Male

BEST TIMES IF NO, WHAT LANGUAGES?:
Female Race __________________________________________

Eyes ____________________ Hair_____________________Height __________________Weight _________________Build ______________________ Other _______________________________________________________________________________(Beard, glasses, scars, tattoos, acne, hairstyle)

PHOTOGRAPH AVAILABLE?

Yes

No

(Photographs are very helpful to police in identifying Defendants.)

MOTOR VEHICLE: License Plate # __________________Year _________Make ___________________Model _____________Color______________ DOES DEFENDANT HAVE: (describe very briefly) I . A history of violence towards police officers? No Yes

2. A history of using/abusing drugs or alcohol?

No

Yes

What kind?

3. Access to guns, a license to carry, or possess a gun?

No

Yes

What kind?

4. Psychiatric/Emotional Problems? (Treated/Hospitalized?)

No

Yes

What kind?

ANY OTHER INFORMATION WHICH MIGHT BE HELPFUL IN LOCATING THE DEFENDANT

PLAINTIFF'S NAME ____________________________________________________________________________________________
DATE PLAINTIFF'S SIGNATURE

X
FA 5 (9/95)

B

I

ER

T AT

E
PL

PE TI T
A

C

D