Petitioner Information
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Petitioner Information Form. This is a South Dakota form and can be use in Protection Orders Statewide.
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Tags: Petitioner Information, UJS-91C-1, South Dakota Statewide, Protection Orders
TPO:
Petitioner Information
Date:
Attorney(s):
Required Information
Last Name
First
Birth Date:
Race:
Middle
(MM/DD/YYYY)
Suffix
Sex:
(M=Male, F=Female)
(A=Asian/Pacific Islander, B=Black, I=American Indian/Alaskan Native, W=White, U=Unknown)
Driver’s
License Number:
License State:
SSN:
Present
Address:
City:
State:
Zip:
-
State:
Zip:
-
Mailing
Address:
City:
Eye Color:
Hair Color:
Phone Number
Weight:
Height:
Type
1 (
)
-
H=Home, W=Work, C=Cell, P=Pager
2 (
)
-
H=Home, W=Work, C=Cell, P=Pager
3 (
)
-
H=Home, W=Work, C=Cell, P=Pager
Form UJS-91C-1 Rev. 03/01/2002
