Petition For Protection From Stalking Order Form. This is a Kansas form and can be use in District Court Statewide.
Tags: Petition For Protection From Stalking Order, Kansas Statewide, District Court
IN THE DISTRICT COURT OF ______________ COUNTY, KANSAS ______________________________, Plaintiff vs. Case No. _______________ ______________________________, Defendant PETITION FOR PROTECTION FROM STALKING ORDER (K.S.A. 60-31a01 et seq.) 1. Plaintiff seeks an order for protection from stalking for: myself; or my minor child (under age 18); or a minor child who lives with me. 2. The minor child for whom Plaintiff seeks protection is: (give full name and year of birth) NAME 3. YOB Defendant, ______________________________ (name), can be served at: (please provide all available addresses) HOME: street city state zip code phone number times when defendant is usually there WORK: street city state zip code phone number times when defendant is usually there OTHER: street city state zip code phone number times when defendant is usually there 4. 12/3/10 Describe the incidents of stalking. Include specific facts, dates and locations: Incident #1: Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Incident #2: Additional Incident(s), if any: (Attach additional pages as needed.) 5. Plaintiff needs a protection from stalking order because: 6. The stalking occurred in this county. 7. Plaintiff requests that the court issue an ex parte Temporary Order of Protection and Final Order of Protection restraining defendant from: following, harassing, telephoning, contacting or otherwise communicating with the protected person abusing, molesting or interfering with the privacy or rights of the protected person entering or coming on or around the premises or the residence of the protected person located at: , and the workplace located at: . (Give address or other description of residence and workplace from which Defendant is to be excluded. DO NOT include the residential address if it is to remain confidential.) 8. 9. 12/3/10 The court shall give copies of orders to the appropriate law enforcement agencies; set a date, time and hearing on this matter; and issue summons to Defendant, notifying Defendant of this action and the relief requested. After a hearing, the court should issue a Final Order of Protection from Stalking prohibiting Defendant from committing any acts of stalking against the protected person; order Defendant to pay court costs and attorney fees if appropriate; and order any other relief necessary for the safety of the protected person including: Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________ Plaintiff's Signature Plaintiff’s Name: (Plaintiff’s address is to remain confidential. DO NOT include the residential address of the Plaintiff in this petition. Plaintiff must complete the Protection from Stalking Confidential Address form and include it with this petition.) Attorney representing Plaintiff (if any) Attorney’s Name: Address 1: Address 2: City, State, Zip: Telephone: VERIFICATION STATE OF ____________________ ) ) ss: COUNTY OF __________________ ) I swear or affirm that the statements made in this petition are true and correct to the best of my knowledge and belief and that I am the person filing this petition. __________________________________________ Plaintiff’s Signature SUBSCRIBED AND SWORN to before me, a Notary Public, this ______ day of _______________________________ 20 . __________________________________________ Notary Public My Appointment Expires: ___________________ 12/3/10 Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com