OFP701 State ENG Rev 8/16www.mncourts.gov/formsPage 1 of 1State Of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Domestic Abuse Petitioner (first, middle, last) Respondent (first, middle, last)vs.In the Matter of:Application for Extension of or Subsequent Order for Protection (Minn. Stat. 247518B.01, subd. 6a)I am the petitioner in the above named matter. I state the following:1.An Order for Protection was issued on .2.The Order for Protection will expire expired on .3.I am requesting an extension of the Order for Protection a new Order for Protectionbecause: The respondent violated the Order for Protection. I am reasonably in fear of physical harm from the respondent. The respondent engaged in acts of harassment or stalking. The respondent is/was incarcerated and has been or is about to be released.4.Describe in detail the acts of the respondent that explain why you are asking for theextension. Give approximate dates and list the most recent incidents first. 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 signed American LegalNet, Inc. www.FormsWorkFlow.com