Form CC 375MPETITION FORPERSONAL PROTECTION ORDERAGAINST A MINOR(DOMESTIC RELATIONSHIP)Use this form if the person you want restrained is less than 18 but at least 10 years of age and:1) if you live with or have lived with the person you want restrained and that person is not your unemancipated minor child; or2) if you and the person you want restrained have a child in common even if you were never married to one another or never lived together;or3) if you and the person you want restrained have or had a dating relationship. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETING "PETITION FOR PERSONAL PROTECTION ORDER AGAINST A MINOR"things you don't want him or her to do. If you are in immediate danger, A þ Write your þ þ If you want your address and telephone number to be kept from the þ þ B - D þ E þ þ þ þ þ þ þ F þ as much detail þ þ G þ þ þ þ þ þ þ H þ þ þ þ þ personal protection order. þ I þ þ J þ þ information and will give you your copies. NOTE: American LegalNet, Inc. www.FormsWorkFlow.com A Age þ þ have a child in common. have or had a dating relationship. þ þ reside or resided in the same household. 2. þ þ not the minor child of the petitioner. 3. not the minor child of the respondent. 4. a. þ There þ are þ are not þ other pending actions in this or any other court regarding the parties. þ þ are þ þ þ þ has no property interest in the premises. þ . þ . þ d. removing the minor children from the petitioner who has legal time order as long as removal of the children does not violate other conditions of the personal protection order. þ following me or appearing within my sight. þ sending mail or other communications to me. þ þ þ . þ h. interfering with me at my place of employment or education or engaging in conduct that impairs my employment or educational relationship or environment. þ i. having access to information in records concerning a minor child of mine and the respondent that will reveal my þ ownership interest. þ removing any animal from my possession in which I have an ownership interest. þ þ þ þ þ þ B C D F G H I E J American LegalNet, Inc. www.FormsWorkFlow.com Order Against a MinorCase No.TO PROCESS SERVER: þ OFFICER CERTIFICATE(notarization not required)OR þ AFFIDAVIT OF PROCESS SERVER adult who is not (notarization required) þ þ þ personal service þ þ Name of respondentComplete address of serviceName of parent/guardian/custodianComplete address of serviceName of parent/guardian/custodianComplete address of service þ I have personally attempted to serve a copy of the personal protection order against a minor on the following respondent and þ Name of respondentComplete address of service þ þ Signature þ Name (type or print) þ Title Signature . þ Signature of respondent þ CERTIFICATE/AFFIDAVIT OF SERVICE/NONSERVICE ACKNOWLEDGMENT OF SERVICE PROOF OF SERVICE Service fee$$Incorrect address fee$TOTAL FEE$$ American LegalNet, Inc. www.FormsWorkFlow.com