American LegalNet, Inc. www.FormsWorkFlow.com Age:Address if different: Age:Address if different: Age:Address if different: Full name of the respondent (other party): The respondent's address: What is the age of the respondent?:What language does the respondent speak : Full name of any additional petitioner(s) / Minor Child(ren), Full name of any additional petitioner(s) / Minor Child(ren), Full name of any additional petitioner(s) / Minor Child(ren), Page of American LegalNet, Inc. www.FormsWorkFlow.com Sex:Race::Height:Weight:Eye Color:Hair Color:Driver's License #:State:Exp. Date:Place of birth:Other distinguishing features:Name of court, case number and determination of any other proceeding (domestic violence, protection orders, termination or parental rights, adoption205) that could affect this action. Nameyear of birth and residence for each child you AND the respondent are the biological parents of: Name year of birth and residence for each child you are the biological parent of but the respondent is NOT: Identifying characteristics of the respondent: Scars/Marks/Tattoos: Page of American LegalNet, Inc. www.FormsWorkFlow.com Where the respondent works: What hours/days the respondent works: The respondent's WORK address: Page of American LegalNet, Inc. www.FormsWorkFlow.com Page of Protection Order Praecipe DC 19:1 Rev. Additional Petitioner/Minor Child(ren), Additional Petitioner/Minor Child(ren), vs. Please have the Sheriff of County serve a certified copy of the protection order and/or order to show cause, petition, and request for hearing (if applicable) upon the respondent by personal service at any one of the following addresses: Home: Work: Other locations where respondent can be found: Directions for service: Date Signature Name Street Address/P.O. Box Bar Number and Firm Name City/State/ZIP Code Phone E-mail Address PROTECTION ORDER PRAECIPE Nebraska State Court Form DC 19:1 Rev. 0/17Neb. Rev. Stat. 247247 42-924 , 28-311.09, and 28-311.11 American LegalNet, Inc. www.FormsWorkFlow.com Page of Protection Order Praecipe DC 19:1 Rev. Alias: Sex: Age: Height: Weight: Eye Color: Hair Color: Race: Skin Tone: Place of Birth: Scars, Marks, and Tattoos: Other Distinguishing Features: Employer: Work Days and Hours: Drivers Lic. No.: Issuing State: Expiration: Vehicle Lic. No.: Vehicle Year: Issuing State: Type: Make: Model: Color(s): VIN: Carry a weapon or keep a weapon nearby? Where and what kind? Have a history of mental illness? Use or abuse alcohol or drugs? What kind? Have a history of violence toward others?ake threats against law enforcement? Other Comments: American LegalNet, Inc. www.FormsWorkFlow.com IN THE DISTRICT COURT OF COUNTY, NEBRASKA Case No. CI SOCIAL SECURITY NUMBERS, GENDER, AND BIRTH DATE(S) SOCIAL SECURITY NUMBERS,GENDER, AND BIRTH DATE(S) Additional Petitioner/Minor Child(ren), Additional Petitioner/Minor Child(ren), , Plaintiff/Petitioner, vs., Defendant/Respondent. Social Security Number Gender Date of Birth Names American LegalNet, Inc. www.FormsWorkFlow.com PETITION AND AFFIDAVIT TO OBTAIN DOMESTIC ABUSEPROTECTION ORDER IN THE DISTRICT COURT OFCOUNTY, NEBRASKA PETITION AND AFFIDAVIT TO OBTAIN DOMESTIC ABUSE PROTECTION ORDER please check one American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com District Court Judge, County Court Judge granting me temporary custody of the following minor children for days (not to exceed 90 days):prohibiting the respondent from possessing or purchasing a firearm as defined in Neb. Rev. Stat. 247 28-1201. American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com Petitioner 2 Petitioner 3 Petitioner 4 Petitioner 5 Petitioner 6 American LegalNet, Inc. www.FormsWorkFlow.com IF (do NOT sign UNTIL THE CLERK OF THE DISTRICT COURT OR A NOTARY IS PRESENT AND WITNESSES YOU SIGNING) My Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com