BOONE COUNTY CIRCUIT CLERK Christy Blakemore 705 East Walnut Columbia, Mo. 65201 (573) 886-4000 Fax No. (573) 886-4044 Case No. ______________ Sheriff's Service Instructions Please complete the following information to assist the Sheriff's Department in serving a copy of the completed petition and the ex parte order of protection on the respondent. Please provide as much information as possible. Your Name Hours you can be reached at home Work Telephone Respondent's Name: Respondent's place of residence and directions to residence if outside of city limits: . Hours you can be reached at work Home Telephone Respondent's place of employment and directions if employed outside of city limits: Hours respondent can be served at work List any other place respondent may be found (friend's house, parent's house, etc.): BEFORE THIS ORDER BECOMES EFFECTIVE, IT MUST BE APPROVED BY THE JUDGE. DESCRIPTION OF RESPONDENT Height Weight Hair Color Hair Length __ _ Other Descriptions: Make, model, color and license number of vehicle respondent drives: ATTACH PHOTO IF AVAILABLE Family Clerks/Word/AA-CPSHERSER Rev 3/10 American LegalNet, Inc. www.FormsWorkFlow.com