(TRO) WORKSEET FOR LAW ENFORCEMENT USE ONLY ****(THIS FORM IS TO BE GIVEN TO THE SHERIFF FOR SERVICE)**** INSTRUCTIONS (FOR PETITIONER): THE DANE CO SHERIFF’S OFFICE WILL SERVE YOUR PAPERS TO THE RESPONDENT AS SOON AS POSSIBLE. THE RESTRAINING ORDER WILL NOT BE IN EFFECT UNTIL THE RESPONDENT IS SERVED SO IT IS IMPORTANT TO HAVE ACCURATE AND RELIABLE INFORMATION TO HELP LOCATE THE RESPONDENT. (FILL OUT WHAT YOU CAN) NOTE: THIS FORM WILL NOT BE SERVED UPON THE REPONDENT OR RETAINED AS ANY FILE. *****HAVE YOU PREVIOUSLY FILED AGAINST THIS PERSON BEFORE? YES _____ NO_____ PETITIONER INFORMATION : YOUR FULL NAME: CURRENT ADDRESS: SEX: RACE : D.O.B.:_______ _____ IF YOU WANT YOUR INFO. KEPT CONFIDENTIAL CHECK HERE CONTACT PHONE:___________________ RESPONDENT INFORMATION: NAME OF PERSON TO SERVE: ALIAS /NICKNAME(S): CURRENT ADDRESS: ARE YOU REQUESTING THE RESPONDENT TO VACATE THE PREMISES? YES NO (DO NOT LEAVE BLANK) WHERE ELSE MIGHT RESPONDENT BE LOCATED?: _____________________________________________________________________________________________________ HOME PHONE: CELL PHONE: EMPLOYER: WORK PHONE: TYPE OF JOB: WORK ADDRESS: WORK HOURS: D.O.B. (IF UNKNOWN APPROX. AGE):__________ SEX:_____RACE:_____HGT: WGT:_____EYES:_ ___HAIR:___ FACIAL HAIR:_________________ GLASSES:______ IDENTIFYING CHARACTERISTICS (SCARS, MARKS, TATTOOS): DOES RESPONDENT POSSESS ANY FIREARMS/WEAPONS? YES ______ NO APPROX. HOW MANY? _____ TYPE OF FIREARMS/WEAPONS AND WHERE ARE THEY STORED? _______________________________________ IS RESPONDENT A HEAVY DRINKER? YES______ NO______ IS RESPONDENT A DRUG USER? YES______ NO______ DESCRIBE ANY HISTORY OF VIOLENCE (OTHER THAN IN PETITION): VEHICLE DESCRIPTION: LIC. PLATE_____________ American LegalNet, Inc. www.USCourtForms.com