CIRCUIT COURT Located at Petitioner DISTRICT COURT OF MARYLAND FOR Court Address City/County Case No. Respondent vs. Address City, State, Zip Address City, State, Zip REQUEST TO REGISTER OUT- OF- STATE ORDER FOR PROTECTION (Family Law § 4-508.1) An Order for Protection was issued on Petitioner Name MM/DD/YYYY Respondent Name in the case of , Case No. . A copy of the Order, having an expiration , vs. by the following Court: date of MM/DD/YYYY , is attached to this request. Please register the Order for Protection. I affirmatively assert: 1. The order was issued for the purpose of preventing violent or threatening acts or harassment against, contact or communication with, or physical proximity to , a person. 2. The order was issued by a civil court in response to a complaint, petition, or motion filed by or on behalf of a person seeking protection or by a criminal court; and 3. The order was obtained by filing an independent action or as a pendente lite order in another proceeding. Date Petitioner Printed Name Address City, State, Zip Telephone Number Fax E-mail ORDER The Court having reviewed the Order for Protection registered herein, and having determined that said Order meets the criteria to be afforded full faith and credit in this jurisdiction, it is hereby ORDERED that the Order of Protection registered herein (copy attached) be afforded full faith and credit in this jurisdiction and shall be enforced to the extent that the said Order affords relief that is permitted under Maryland law. Date Judge ID Number American LegalNet, Inc. www.FormsWorkFlow.com CC-DC-DV-016 (Rev. 11/2015)