HAR301 State ENG Rev 7/17www.mncourts.gov/formsPage 1 of 1State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: HarassmentIn the Matter of: Petitioner (first, middle, last)vs. Respondent (first, middle, last)Request for Hearing (Minn. Stat. 247609.748)I am the Petitioner Respondentin this action. My current address is: Street Apt. # City State Zip Code My telephone number is: For Respondent only: I, the Respondent in this matter, was personally served by the police/sheriff on (or received a copy of the papers by United States mail on).I respectfully request the Court to hold a hearing in the above-entitled action. I understand that any harassment restraining order issued by the Court shall remain in full force and effect until the date of the hearing. Dated: Signature NOTE A hearing will not be held unless you request one within 20 days of service of the Petition. If a Temporary Restraining Order has been issued, then you have 20 days from the date the petition was served to request a hearing. To request a hearing, complete this form and return it to the court administrator along with the civil filing fee. If you can not afford the filing fee, contact the court for instructions. If the petition alleges stalking or criminal sexual conduct, then you are not required to pay the civil filing fee when requesting a hearing. American LegalNet, Inc. www.FormsWorkFlow.com