Protection Order Service Information
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Protection Order Service Information Form. This is a Maine form and can be use in District Court Statewide.
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Tags: Protection Order Service Information, PA-005, Maine Statewide, District Court
PROTECTION ORDER SERVICE INFORMATION
DEFENDANT
Defendant's Name:
Home Address:
Apartment No. and / or floor:
Color of house or other description:
If living with another person, other person's name:
Day / Work Telephone:
Evening / Home Telephone:
Hours defendant will most likely be at home:
Name of Employer:
Work Address:
Work Schedule: S M T W Th F S Hours Worked:
AM/PM to
(Circle Work Days)
PHYSICAL DESCRIPTION (If known)
VEHICLE (If known)
Birth Date:
Make and Year:
Height:
Type/Model:
Weight:
Color:
Hair Color:
Registration No. and State:
Eye Color:
Gender:
Race: White Black Asian or Pacific Islander Amer. Indian/Alaskan Native
AM/PM
Unknown
If you are unable to provide the above information, please list below the name, address and
telephone number of anyone who can help the serving officer locate the defendant:
ADDITIONAL INFORMATION
Does the defendant own a firearm or other weapon?
If so, where is the weapon usually kept?
Does the defendant have a history of violence?
Is there anything else the serving officer should know about the defendant?
PLAINTIFF
Plaintiff's Name:
Address (unless confidential):
Day / Work Telephone:
Evening / Home Telephone:
PA-005, Rev. 01/01
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