Nebraska State Court Form PROTECTION ORDER PRAECIPE DC 19:1 Rev. 0/17Neb. Rev. Stat. 247247 42-924 , 28-311.09, and 28-311.11 Page 1 of 2 Protection Order Praecipe DC 19:1 Rev. IN THE DISTRICT COURT OF COUNTY, NEBRASKA Additional Petitioner/Minor Child(ren), PROTECTION ORDER PRAECIPE Additional Petitioner/Minor Child(ren), vs. TO THE CLERK OF COURT: 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 (attorneys only) City/State/ZIP Code Phone E-mail Address (If you are concealing your address or phone, do not provide them. Make separate arrangements with the clerk.) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Protection Order Praecipe DC 19:1 Rev. Fill in any of the following information if known. Description of Respondent: 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: Description of Respondent222s Vehicle: Drivers Lic. No.: Issuing State: Expiration: Year: Vehicle Lic. No.: Vehicle Year: Issuing State: Type: Make: Model: Color(s): VIN: Does the Respondent: 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? Make threats against law enforcement? Other Comments: American LegalNet, Inc. www.FormsWorkFlow.com