Free Microsoft Word - OFP501 - Minnesota

State of Minnesota
County

District Court
Judicial District: Court File Number: Case Type: Domestic Abuse

Select County
In the Matter of: Petitioner vs.

Affidavit and Order for Alternate Service or Publication
(Minn. Stat. § 518B.01, subds. 5(f) and 8)

Respondent STATE OF MINNESOTA ) ) COUNTY OF _________________)
(County where Affidavit signed)

ss.

Affidavit
Petitioner requests that the court authorize service of the petition for an order for protection, any order that has issued under Chapter 518B, and any notice, and being sworn/affirmed under oath, states the following in support of the request for service by: first class mail at Respondent's last known address OR publication 1. An attempt at personal service made by the sheriff or other law enforcement or corrections officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and a copy of the Petition and either the Order for Hearing or Request for Hearing form has been mailed to Respondent. OR An attempt at personal service made by the sheriff or other law enforcement or corrections officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and I do not know the Respondent's current address. 2. Personal service was attempted on the following date(s):

OFP501

State

ENG

Rev 8/08

www.mncourts.gov/forms

Page 1 of 3

3. The last known location of Respondent is:

4. My most recent contact with Respondent was:

5. The last known location of Respondent's employment was:

6. The names and locations of Respondent's parents, siblings, children, and other close relatives are:

7. a. The names and locations of other persons likely to know Respondent's whereabouts are:

b. I have made the following efforts to locate these persons:

8. The following circumstances indicate Respondent is avoiding service:

OFP501

State

ENG

Rev 8/08

www.mncourts.gov/forms

Page 2 of 3

Dated:
Signature (Sign only in front of notary public or court administrator.)

Name: Subscribed and sworn to before me this day of , . Address: City/State/Zip: Telephone:
Notary Public \ Deputy Court Administrator

Order
Based on the above affidavit, IT IS HEREBY ORDERED: 1a. Service shall be by first class mail, forwarding address requested, to the following address:

1b.

Service shall be by publication for one week for (7 days) as provided in Minn. Stat. § 645.11 and Minn. Stat. §518B.01, subd. 5(f). A hearing will be held on at .m. at the County Courthouse, The Respondent shall personally appear at the hearing on the Order for Protection. A hearing will not be held unless requested by Respondent pursuant to statute. The Ex Parte Order for Protection in the above-captioned case shall remain in full force and effect for the time period set forth in the order. If service by publication is not completed within 28 days of issuance of the Ex Parte Order for Protection, the order expires. Other:

2a.

2b. 3.

4.

Dated: Judge of District Court Distribution
______ Certified copy or original - Return to Court Administrator with Affidavit of Personal Service attached Copy for Petitioner(s) Copy for Respondent(s) Copy for file until original returned Copy for local police department Copy for Sheriff Other: ______ Dissolution File

OFP501

State

ENG

Rev 8/08

www.mncourts.gov/forms

Page 3 of 3