Page 1 of 1 PETITIONER V. DEFENDANT Parent/Guardian name if defendant is a minor COURT PARISH/CITY OF STATE OF LOUISIANA DIVISION: NUMBER: FILED: CLERK: your name month, day, year State of , respectfully represents: Paragraph 1 Petitioner files this petition on behalf of: a. Petitioner, and/orb. Minor child(ren) as follows:Name DOB Relationship to petitioner Name DOB Relationship to petitioner Name DOB Relationship to petitioner Name DOB Relationship to petitioner c. Alleged incompetent:Name DOB Relationship to petitioner Name DOB Relationship to petitioner Paragraph 2 Petitioners current address: No. & Street Apt. No. City State Zip Code The minor child(ren)s or alleged incompetents current address: No. & Street Apt. No. City State Zip Code THIS COVER SHEET IS TO BE FILED UNDER SEAL AND ITS CONTENTS TO REMAIN CONFIDENTIAL TO THE COURT PURSUANT TO LA. R.S. 46:2134(B), R.S. 13:4248(A), or Ch. C. Art. 1568(B). American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL ADDRESS FORM TO BE USED WHEN PETITIONER DOES NOT WANT DEFENDANT TO LEARN ADDRESS PETITION FOR PROTECTION FROM ABUSE, Pursuant to: La. R.S. 46:2131 et seq., La. R.S. 46:2151, La. R.S. 13:4248, La. Ch. C. Art 1564 et seq., La. R.S. 46:2171 et seq., or La. R.S. 46:2181 et seq.The petition of , born , a resident of the LPOR v.