SERVICE INFORMATION FOR CIVIL RESTRAINING ORDERS CASE # _____DRH_____ Dependant Name _________________________________ Date of Birth____________ Address ________________________________________ SS# __________________ City _____________________________State__________ Phone_________________ Employer _______________________________________ Phone_________________ Address __________________________ City __________ State__________________ Work Hours _______________________ Days ________________________________ Other Places ____________________________________ Phone_________________ Address __________________________ City _________ State __________________ Hours there ________________________ Days _______________________________ DESCRIPTION: Race________ Height ________ Weight _________ Hair ___________ Eyes _______ Car Type ___________________ Color __________Year ________ License ________ Prior Record ___________________________________________________________ Carries Gun _________ Carries Knife __________ Alcohol/Drug User______________ Other information: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Form DR-102 American LegalNet, Inc. www.USCourtForms.com American LegalNet, Inc. www.USCourtForms.com