OFP501 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 3State Of Minnesota District Court County of: Select County Judicial District: Case Type: Domestic Abuse Court File Number: Respondent (first, middle, last)vs. Petitioner (first, middle, last)In the Matter of:Affidavit and Order for Alternate Service or Publication (Minn. Stat. 247518B.01, subd. 5(f) and 8)AffidavitPetitioner requests that the court authorize service of the petition for an order for protection, any order that has issued under Chapter 518B, and any notice, states the following in support of the request for service by: first class mail at Respondent's last known address publicationOR An attempt at personal service made by the sheriff or other law enforcement or corrections An attempt at personal service made by the sheriff or other law enforcement or correctionsOR1.officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and a copy of the Petition and either the Order for Hearing or Request for Hearing form has been mailed to Respondent.officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and I do not know Respondent's current address.2. Personal service was attempted on the following date(s): 3. The last known location of Respondent is: 4. My most recent contact with Respondent was: 5. The last known location of Respondent's employment was: 6. The names and locations of Respondent's parents, siblings, children and other close relatives are: American LegalNet, Inc. www.FormsWorkFlow.com OFP501 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 37. a. The names and locations of persons likely to know Respondent's whereabouts are: b.I have made the following efforts to locate these persons: 8.The following circumstances indicate Respondent is avoiding service: Signature I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116.Dated: Name: Address: City/State/Zip: Telephone: E-mail address: County and State where signedOrderBased on the above Affidavit, IT IS HEREBY ORDERED:1a. Service shall be by first class mail, forwarding address requested, to the following address: 1b. Service shall be publication one time in a 7 day period as provided in Minn. Stat 247 645.11 andMinn. Stat. 247518B.01, subd. 5(f).2a. A hearing will be held on at .m. at theCounty Courthouse, The Respondent shall personally appear at the hearing on the Order for Protection.2b. A hearing will not be held unless requested by Respondent pursuant to statute.3. The Ex Parte Order for Protection in the above-captioned case shall remain in full force andeffect for the time period set forth in the order. If service by publication is not completed within 28 days of issuance of the Ex Parte Order for Protection, the order expires.4. Other: Dated: Judge of District Court American LegalNet, Inc. www.FormsWorkFlow.com OFP501 State ENG Rev 7/15www.mncourts.gov/formsPage 3 of 3 Distribution Certified copy or original-Return to Court Administrator with Affidavit of Personal Service attached Copy for Petitioner(s) Copy for Respondent(s) Copy for file until original returned Copy for local police department Copy for Sheriff Other: Dissolution File American LegalNet, Inc. www.FormsWorkFlow.com