OFP202 State ENG Rev 7/15www.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:Request for Hearing (Minn. Stat 247 518B.01, subd. 5,7)I am the Respondent in this action. My current address is: Street Apt. # City State Zip My telephone number is:I respectfully request the court to hold a hearing in the above-named action. Dated: Signature of Respondent NOTE A hearing will not be held unless you request one within five days of receiving these materials. American LegalNet, Inc. www.FormsWorkFlow.com