Confidential Stalking And Harrasment Protection Order Information (Adverse Party)
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Confidential Stalking And Harrasment Protection Order Information (Adverse Party) Form. This is a Nevada form and can be use in Stalking And Harassment Statewide.
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Tags: Confidential Stalking And Harrasment Protection Order Information (Adverse Party), A-13, Nevada Statewide, Stalking And Harassment
*CONFIDENTIAL*
STALKING AND HARASSMENT PROTECTION ORDER INFORMATION
(TO BE FILLED OUT BY ADVERSE PARTY)
Instructions: Please provide all information and print legibly. The court requests this information in order to notify you
about upcoming hearings or activity in your case.
ADVERSE PARTY DATA
Other Name Used:
Full Name:
(Last)
(First)
(Middle)
(Last)
(First)
(Middle)
Date of Birth: ____/____/___ and/or Social Security No.: _________________________________________________
(M)
(D)
(Y)
Home Address: _____________________________________________________________________________________
(Street Address)
(Building/Apartment #)
(City)
(State)
(Zip Code)
(Building/Apartment #)
(City)
(State)
(Zip Code)
Mailing Address:
(If different from above)
(Street Address)
Home Phone:
Cell Phone: _____________________________
Occupation:
Employer:
Work Address:
(Street Address)
(City)
Work Days:
(State)
Work Hours:
(Zip Code)
Work Phone:
Additional Contact Person:________________________Phone:_____________Address:__________________________
Does the Adverse Party speak English?
If not, what language? _________________
(Circle one)
(Yes or No)
Are the Adverse Party and the Applicant living together now?
Are the Adverse Party and the Applicant employed by the same employer?
Yes or No
Yes or No
Do not write in this space. For court purposes only.
Issuing Court ORI: NV______________
Court Case Number: _______________
*CONFIDENTIAL*
Form A-13 Confidential Stalking and Harassment Protection Order Information (Adverse Party)
©2007 Nevada Supreme Court
June 30, 2007
