1 Case No. _____________________ Dept. No._____________________ 2 3 IN THE JUSTICE COURT OF ____________ TOWNSHIP 4 COUNTY OF __________________, STATE OF NEVADA 5 6 7 8 9 10 11 __________________________________, Employer,) ) ) ) ) vs. ) _________________________________, ) Adverse Party. NOTICE FOR HEARING REGARDING ORDER FOR PROTECTION AGAINST HARASSMENT IN THE WORKPLACE (NRS 33.270) 12 13 14 15 16 UPON REQUEST OF Employer Adverse Party to: MODIFY the Order For Protection Against Harassment in the Workplace DISSOLVE the Order For Protection Against Harassment in the Workplace EXTEND the Order For Protection Against Harassment in the Workplace ISSUE an Order For Protection Against Harassment in the Workplace OTHER _______________________________________________________ 17 18 YOU ARE HEREBY NOTIFIED that a hearing will be held in Department _________ 19 of ___________________________ Justice Court located at _____________________ 20 ____________________, on _______________ at ______________ (date) to determine whether the motion should be granted. 21 A.M. P.M. 22 23 A copy of the Motion for Hearing and a copy of this Notice shall be personally served on 24 the other party as required by Justice Court Rules of Civil Procedure 4. 25 26 27 28 Dated: ______________________ ___________________________________ Clerk of the Court Form B-9 Notice for Hearing Regarding Order for Protection Against Harassment in the Workplace ©2007 Nevada Supreme Court June 30, 2007