ALL COURTS IN ARIZONA ADDRESS CITY, AZ ZIP CODE TELEPHONE NUMBER Plaintiff’s Guide Sheet for Protective Orders - Please Read Carefully The following information is provided to further explain the protective order process. It is recommended, but not required, that the Plaintiff carry a copy of the protective order at all times. 1. You can request one of the following types of protective orders: ORDER OF PROTECTION: An Order of Protection is used for a “family” relationship between you and the Defendant. This can include any of the following: 1) married now or in the past, 2) live together now or lived together in the past, 3) parent of a child in common, 4) one of you is pregnant by the other, 5) you are a relative (parent, in-law, brother, sister, or grandparent), or 6) current or previous romantic or sexual relationship. Also, you must state how an act of domestic violence was threatened or committed against you within the last year. INJUNCTION AGAINST HARASSMENT: The Defendant has committed a series of acts (more than one) of harassment against you in the last year. There is no fee for service of process if the petition arises out of a dating relationship. INJUNCTION AGAINST WORKPLACE HARASSMENT: This Injunction may be filed by an employer or owner of a business or operation for the benefit of an employee or the business against a single act or series of acts of harassment. 2. OTHER PROTECTED PERSONS: It is possible that you will be referred to Superior Court if your children are listed as protected persons in this order. Only a Superior Court Judge can decide child custody or parenting time in a separate action. 3. ONE DEFENDANT: You must list only one defendant per petition. A separate petition must be filed for each defendant. A copy of your petition and the order will be given to the Defendant and may be used in future judicial proceedings. 4. SERVICE AND EFFECT: This protective order is valid for one year from the date it is served on the Defendant and is enforceable by law enforcement in any state or tribal nation in the United States. There is no fee for law enforcement service of an Order of Protection or Injunction Against Harassment involving a dating relationship. There is a fee to serve an Injunction Against Harassment not involving a dating relationship or an Injunction Against Workplace Harassment. The court will instruct you on how service can be made. The cost to serve injunctions varies depending on mileage and number of attempts. If you cannot afford to hire a process server, you can ask the judge to defer or waive the fee. 5. PROTECTIVE ORDER HEARING: If the Defendant disagrees with this protective order, he/she has the right to request a hearing, which will be held within 5 to 10 business days after a written request has been filed in the court that issued this order. If you do not appear at the hearing, your Order may be quashed (dismissed); therefore, you must notify the court of any change in your contact information to assure you are notified of any hearing dates and times. 6. MODIFYING OR QUASHING (DISMISSING) THIS PROTECTIVE ORDER: Only a judge can modify or quash (dismiss) this protective order. If you file an action for maternity, paternity, annulment, legal separation, or dissolution against the Defendant, advise this court at once. Nothing you do can stop, change, or undo this protective order without the Court's written approval. 7. PLAINTIFF CONTACT: Even if you initiate contact, the Defendant could be arrested for violating this protective order. If the Defendant does not want you to contact him/her, the Defendant has the right to request a protective order against you. 8. LAW ENFORCEMENT STANDBY: If you or the Defendant needs to get personal belongings from the other, you may request standby from the judge. Standby allows you or the Defendant to return once with a law enforcement officer to obtain necessary personal belongings from the residence. Neither law enforcement nor this protective order can resolve conflicts over property, title, furniture, finances, real estate, or other ownership issues. 9. FIREARMS: You may request that the judge order the Defendant not to possess, receive, or purchase firearms or ammunition. 10. COUNSELING: If requested, counseling for the Defendant can only be ordered at a hearing at which you and the Defendant must appear. 11. PUBLIC ACCESS: Only the information contained in the served protective order, not the petition, will be entered into the state computer system and will be made public on the internet. See next page to keep your address(es) private. Effective: July 29, 2010 Page 1 of 2 Adopted by Administrative Directive No. 2010-25 American LegalNet, Inc. www.FormsWorkFlow.com ALL COURTS IN ARIZONA ADDRESS CITY, AZ ZIP CODE TELEPHONE NUMBER Case No. ________________________ Plaintiff’s Guide Sheet for Protective Orders - Please Read Carefully PRINT ALL INFORMATION ON THIS FORM AND ON THE PETITION. _______________________________________ Your Name _________________________________________________ Your Address (_____)_________________________________ Your Daytime Telephone Number _________________________________________________ City, State, ZIP You may request that the Court keep your address confidential if the Defendant does not know where you live or work. If checked, the following addresses will be restricted and will not appear on the petition served on the Defendant: [ ] Restrict home address [ ] Restrict school address [ ] Restrict work address [ ] Restrict other address Your relationship to the defendant is: (Choose only the FIRST category that applies to your relationship to the defendant.) [ ] married now or in the past [ ] live together now or lived together in the past [ ] parent of a child in common [ ] one party is pregnant by the other [ ] relative (parent, in-law, brother, sister, or grandparent) [ ] romantic or sexual relationship (current or previous) [ ] dating but not a romantic or sexual relationship [ ] other ________________________________________ Defendant’s Name _________________________________________________ Defendant’s Address (_____)_________________________________ Defendant’s Daytime Telephone Number _________________________________________________ City, State, ZIP DEFENDANT IDENTIFIERS Please provide all information below to the best of your knowledge. If you do not know the Defendant’s date of birth, an estimated date of birth is acceptable. Please indicate the date of birth is an estimate by checking the “Est.” box below. SEX RACE DOB Est. HT WT [ ] EYES HAIR DRIVER’S LICENSE # SOC SEC NUMBER STATE Effective: July 29, 2010 ANIMALS and ORDERS OF PROTECTION – If you are requesting an Order of Protection to protect yourself, you may also ask the court to grant you the custody, care, and control of any animal owned by you, the defendant, or a minor child living in your household if you believe that the defendant is a danger to the animals. (A.R.S. § 13-3602(G)(7)) If you are asking the court to include animals on an Order of Protection, please write your request on Line 9 of the Petition. EXP DATE Page 2 of 2 Adopted by Administrative Directive No. 2010-25 American LegalNet, Inc. www.FormsWorkFlow.com