100-00247 - Complaint for Order Against Stalking (11/2018) Page 1 of 1 S TATE OF V ERMONT SUPERIOR COURT CIVIL DIVISION Unit Docket No. Plaintiff Defendant vs. COMPLAINT FOR ORDER AGAINST STALKING Plaintiff222s Information: Name: Date of Birth: Name(s) of minor child(ren): Defendant222s Information: Name: Date of Birth: Address: Relationship of the Parties: Married to each otherLive in same residence (current or past)Divorced from each otherSexual relationship (current or past)Dating each other (current or past)Other (describe relationship) Family members (describe relationship) Other Civil/Probate/Juvenile/Criminal Court Proceedings or Orders Involving These Parties: Proceeding: Pending Order Existing Order Name of Court: County: State: Attorney: I.STALKINGOn more than one occasion, on or about and , theDefendant purposefully did one or more of the following to: Plaintiff Plaintiff222s child(ren):followed, monitored, or surveilled threatened or made threats interfered with property II.REQUEST FOR RELIEFThe Plaintiff requests the Court:Order the Defendant to stay away from Other: I am asking for an emergency order before the Defendant is notified and a hearing is held because: The facts to support this request for protection order can be found on Plaintiff222s accompanying affidavit. Dated Signature of Plaintiff/Attorney American LegalNet, Inc. www.FormsWorkFlow.com