STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff: individually and on behalf of: on behalf of: v. Defendant: on behalf of: MOTION TO EXTEND ORDER FOR PROTECTION (19-A M.R.S.A. §§ 4006(6)) (5 M.R.S.A. 4655(2)) (and incorporated Affidavit) The plaintiff obtained an Order for Protection against the defendant from this court. That Order will expire on . The plaintiff believes that an extension of the Order for Protection is necessary to protect the plaintiff and/or the minor child(ren) of the plaintiff. Therefore, the plaintiff requests that the Order be extended for (length of extension requested). If a hearing on this motion cannot be held before the Order for Protection expires, the plaintiff requests the court to issue an ex parte order extending the Order for Protection pending the hearing on this motion. If an ex-parte order is requested, I state that the extension is necessary for the following reasons: __________________________________________________________________________ . Date: Plaintiff Personally appeared the above named Plaintiff and signed and made oath to the truth of the statements in the above Motion and Affidavit and any attachments, before me, Date: (Deputy)Clerk ****************************************************************************** NOTICE OF HEARING The parties are notified that the hearing in this matter is set for at (am) (pm) at the court located at: (Deputy) Clerk ****************************************************************************** EX PARTE ORDER EXTENDING ORDER FOR PROTECTION The court extends the Order for Protection issued on pending a hearing on the Plaintiff's Motion to Extend. The Order for Protection will remain in effect until the date of the hearing. Copies of this Order shall be furnished by the clerk to the law enforcement agency with jurisdiction in the location of the plaintiff's residence. It is ORDERED that a copy of this Order be served on the defendant by: (law enforcement agency) Date: Judge, District Court PA-013, Rev. 11/08 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com RETURN OF SERVICE , ss. On , at (am) (pm), I made service of the Motion to Extend Order for Protection / Order of Extension by delivering a copy in hand to the defendant at Authorized Officer PA-013, Rev. 11/08 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com