CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR Court Address City/County Located at Case No. vs. Petitioner Respondent MOTION FOR SERVICE BY CLERK CONCERNING REQUEST TO SHIELD PEACE ORDER RECORDS I hereby certify I filed a Request To Shield Peace Order Records and I was unable to serve a copy of the Request To Shield Peace Order Records on the original Petitioner because the Petitioner's address is confidential and I hereby request the Court order the clerk of the court to serve the Request To Shield Peace Order Records, and this Motion for Service by Clerk, upon the original Petitioner. Date Respondent Signature Printed Name Address City, State, Zip Telephone Number Fax E-mail ORDER FOR SERVICE BY CLERK TO SHIELD PEACE ORDER RECORDS After consideration of the Motion for Service by Clerk, it is hereby ORDERED: the clerk serve a copy of the Request To Shield Peace Order Records, and a copy of the Motion for Service by Clerk, along with the notice of hearing, on the original Petitioner by mail. . Date Judge ID Number CC-DC-PO-019 (Rev. 11/2015) American LegalNet, Inc. www.FormsWorkFlow.com