Attachment To Petition For Injunction Prohibiting Harassment Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Attachment To Petition For Injunction Prohibiting Harassment Form. This is a California form and can be use in Los Angeles Local County.
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Tags: Attachment To Petition For Injunction Prohibiting Harassment, 169A, California Local County, Los Angeles
CASE NUMBER:
PLAINTIFF (Name):
DEFENDANT (Name):
Attach after Page 3 of the Petition only if required to list additional defendants and their descriptions, and/or further description of
conduct justifying the orders you are seeking.
Attachment 2. (Item 2 of the Petition, continued)
d. Defendant 2 (name):
Sex:
M
F Ht.:____ Wt.:____ Hair color:_____ Eye color:_____ Race:________ Age:____ Date of birth:________
e. Defendant’s residence address (if known):
f. Defendant’s work address and name of business (if known):
g. Defendant 3 (name):
Sex:
M
F Ht.:____ Wt.:____ Hair color:_____ Eye color:_____ Race:________ Age:____ Date of birth:________
h. Defendant’s residence address (if known):
i. Defendant’s work address and name of business (if known):
j. Defendant 4 (name):
Sex:
M
F Ht.:____ Wt.:____ Hair color:_____ Eye color:_____ Race:________ Age:____ Date of birth: _______
(Note: If there are more than 4 respondents, complete and attach an additional page in this same format with the same
identifying information for each additional respondent.)
k. Defendant’s residence address (if known):
l. Defendant’s work address and name of business (if known):
Attachment 19. (Item 19 of the Petition, continued)
DESCRIPTION OF CONDUCT (Continued)
Continue in detail your description of the most recent incidents of abuse. State what happened, the dates, and who did
what to whom. Describe any injuries.
[Rev. January 1, 1998]
169A
ATTACHMENT TO PETITION FOR INJUNCTION PROHIBITING HARASSMENT
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