REQUEST FOR SERVICE OF PROTECTIVE ORDER DOCUMENTS Court Case No. Court Location Police Case No. Petitioner's Full Name Respondent's Full Name Please immediately serve the following documents on the respondent. this is scheduled for Petition and Ex Parte Protective Order (20-Day Order) Order Extending Ex Parte Protective Order Petition and Notice of Hearing A return of service must be filed with or faxed to the court listed above before the hearing. RETURN OF SERVICE I hereby certify that I served the above-listed documents on the respondent named above by handing to and leaving a true and correct copy with him her; and turned custody of the minor child(ren) over to evicted respondent from petitioner's residence at personally at in ; ; Fax #
The court hearing on
Notice of Hearing Protective Order (long-term)
(address, street number, rural route, milepost, etc.) , Alaska on , at .m.
did not serve the above-listed documents on the respondent named above because
Signature Print Name and Title
1. Original to law enforcement agency with jurisdiction over place respondent is located. 2. Copy to court file.
DV-125 (9/03)(cs) REQUEST FOR SERVICE AND RETURN OF SERVICE