Original - Court 1st copy - Petitioner 2nd copy - Respondent (if applicable) Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY CASE NO. ORDER DENYING OR DISMISSING PETITION FOR PERSONAL PROTECTION ORDER Court address Court telephone no. Petitioner's name v Respondent's name, address, and telephone no. Address and telephone no. where court can reach petitioner Date: Judge: Bar no. 1. This order is entered without a hearing. after hearing. THE COURT FINDS: 2. a. A petition was filed for a personal protection order in a domestic relationship. There is not reasonable cause to believe the respondent may commit one or more of the acts listed in MCL 600.2950(1). b. A petition was filed for a personal protection order in a nondomestic relationship. Respondent has not committed two or more acts of willful, unconsented contact. c. A petition was filed for a nondomestic sexual assault personal protection order. d. Other: 3. The petitioner requested an ex parte order. a. The petitioner has been interviewed, the petitioner's claims are sufficiently without merit, and the action should be dismissed without a hearing. b. An ex parte order should not be issued, but the petitioner has been advised of the right to request a hearing on the petition. c. Other: IT IS ORDERED: 4. a. The petition for a personal protection order is denied for the following reasons: (Specified below.) b. The petition for an ex parte personal protection order is denied with notice of the right to request a hearing for the following reasons: (Specified below.) c. The petition for an ex parte personal protection order is dismissed without notice of the right to request a hearing because the petitioner's claims are sufficiently without merit for the following reasons: (Specified below.) Judge Date CERTIFICATE OF SERVICE I certify that on this date I personally served a copy of this order on the petitioner at Location at . Time I certify that on this date I mailed a copy of this order to the petitioner by first-class mail addressed to his/her last-known address. I certify that I personally served a copy of this order on the respondent at at Location Time served a copy of this order on the respondent by first-class mail addressed to his/her last-known address because the respondent was served with a copy of the petition for a personal protection order. Date CC 383 (3/11) Court clerk ORDER DENYING OR DISMISSING PETITION FOR PERSONAL PROTECTION ORDER MCR 3.705(A)(5), MCR 3.705 (B)(1), (6) American LegalNet, Inc. www.FormsWorkFlow.com