HAR103 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 3State Of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: HarassmentIn the Matter of: Petitioner (first, middle, last)On behalf of: Respondent (first, middle, last) vs. and for her/himselfLaw Enforcement Information FormINSTRUCTIONS TO PETITIONER IMPORTANT! PLEASE READ CAREFULLY! The Sheriff will personally serve the Harassment Restraining Order (HRO) on the Respondent. It is important that the Sheriff have accurate and detailed information to help locate the Respondent and avoid delay. While you are not required to give all the information requested on this information form, please provide any information you do have. If you do not provide this information, it may be more difficult to locate the Respondent and it could make service more dangerous for the Sheriff and others. Please do not let the Respondent know that the HRO is going to be served on him/her. This advance notice could make service more dangerous for the Sheriff and others. INFORMATION ABOUT PERSON BEING SERVED: Name (First, middle, and last) Nickname or Alias (AKA) Address Currently Living Apt. # City State Zip Phone Cell Phone Pager Does person own a vicious animal? Yes No Unknown American LegalNet, Inc. www.FormsWorkFlow.com HAR103 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 3 Does person carry a gun? Yes No UnknownIs this person in custody? Yes No Unknown Where?Is this person a Law Enforcement Officer? Yes NoIs this person being served currently home? Yes No UnknownIf no, do you expect the person to return to the residence? Yes No If Yes, what day and time?Are there any young children at home? Yes No Name Gender Race Age Name Gender Race AgeIs the person being served an Alcoholic? Yes No UnknownIs the person being served a Drug Abuser? Yes No UnknownHave access to weapons? Yes No Type?Affiliated to gang? Yes No What gang?Warrants? Yes NoThis person does/does not expect the order? Does Does NotHostile to law enforcement? Yes NoDESCRIPTION OF PERSON BEING SERVED: Birthdate Race Gender(Or if unknown, approximate age) Primary language Weight Height Eye color Hair colorBeard? Yes NoMustache/Goatee? Yes NoGlasses? Yes NoScars? Yes No Where/What?Tattoo(s)? Yes No Where/What?LOCATIONS WHERE PERSON BEING SERVED MAY BE FOUND: Employer's name: Address Apt. # City State Zip Phone Days Hours This person may also be found at the home of: Address Apt. # City State Zip Phone Other info:Person being served may also be found at: School Daycare Church Other American LegalNet, Inc. www.FormsWorkFlow.com HAR103 State ENG Rev 7/15www.mncourts.gov/formsPage 3 of 3 Name of Facility Address Apt. # City State Zip Phone Days HoursDESCRIPTION OF PERSON BEING SERVED VEHICLE(S): Make & Model Year License Number State on license plateNumber of Doors 2 door 4 door ColorOTHER LAW ENFORCEMENT AGENCIES TO CONTACT: Agency Name Reason to Contact Agency Name Reason to Contact Agency Name Reason to Contact Probation/Parole Officer NameTHE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. Signature Dated: YOUR INFORMATION: DO NOT PUT PHONE NUMBERS HERE IF CONFIDENTIAL. Name: Cell Phone: Home Phone: Work Phone: American LegalNet, Inc. www.FormsWorkFlow.com