THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: PNO Number: REQUEST FOR HEARING ON TEMPORARY ORDERS PURSUANT TO RSA 173-B:4 OR 633:3-a PURSUANT TO RSA 173-B:4, the recipient of an ex parte Domestic Violence Temporary Order of Protection has a right to a hearing on the temporary order within five business days, but not earlier than three business days, after filing a written request with the court. PURSUANT TO RSA 633:3-a III-a, upon a showing of stalking by a preponderance of the evidence, the court shall grant such relief as is necessary to bring about a cessation of stalking. The types of relief that may be granted, the procedures and burdens of proof to be applied in such proceedings, the methods of notice, service, and enforcement of such orders, and the penalties for violation thereof shall be the same as those set forth in RSA 173-B. THIS IS A REQUEST FOR A HEARING ON THE DOMESTIC VIOLENCE OR STALKING TEMPORARY ORDER within three (3) to five (5) business days from this REQUEST. Requestor's name: Requestor's address: Requestor's phone number: Date Signature D.O.B. -------------------------------------------------------------------------------------------------------------------------------------- FOR COURT USE ONLY: New Hearing Date: Time: NHJB-2589-DFS (11/25/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com