STATE OF INDIANA ) ) SS: COUNTY OF ___________ ) IN THE ________________COURT ____ (_____________ DIVISION, ROOM ____) CASE NO._________________________ _______________________, ) Petitioner (Your Name) ) vs. ) _______________________, ) Respondent ) VERIFIED MOTION TO REINSTATE PETITION FOR AN ORDER FOR PROTECTION Comes now the Petitioner in this case and moves the Court, pursuant to T.R. 41(F), to reinstate his/her Petition for an Order for Protection previously dismissed without prejudice by the Court. In support of this Motion, the Petitioner states that: 1. The Petitioner has previously filed a Petition for an Order for Protection in this case. 2. The Petition was dismissed by the Court, without prejudice, through the excusable neglect or through no fault of the Petitioner. The reason the case was dismissed is because: _______________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________. WHEREFORE, the Petitioner respectfully requests that this case be reinstated pursuant to T.R. 41(F). I affirm, under the penalties for perjury, that the foregoing representations are true. DATE: ________ (Petitioner's Signature) __________________________ (Printed) __________________________ TCM-PO-0111 Approved by State Court Administration 07/02 American LegalNet, Inc. www.FormsWorkFlow.com