Petition For Personal Protection Order (Non Domestic) {CC 377}

Approved, SCAO Original - Court 1st copy - Judge/Assignment clerk (green) 2nd copy - Respondent (blue) 3rd copy - Petitioner (pink) 4th copy - Return (yellow) STATE OF MICHIGAN 6th JUDICIAL CIRCUIT OAKLAND COUNTY PETITION FOR PERSONAL PROTECTION ORDER (NONDOMESTIC) CASE NO. Court address 1200 North Telegraph Rd., Pontiac, MI 48341-1043 Petitioner's name Address and telephone no. where court can reach petitioner Age Respondent's name, address, and telephone no. Court telephone no. (248) 975-9511 Age v 1. The petitioner and respondent have never been husband and wife, resided in the same household together, had a child in common, or had a dating relationship with one another. 2. The respondent is required to carry a firearm in the course of his/her employment. Unknown. 3. a. There are are not other pending actions in this or any other court regarding the parties. Name of court, county, and state or province Name of judge Case number b. There are are not orders/judgments entered by this or any other court regarding the parties. Name of court, county, and state or province Name of judge Case number 4. I need a personal protection order because: Explain what has happened (attach additional sheets). 5. I make this petition under the authority of MCL 600.2950a(1) and ask the court to grant a personal protection order prohibiting the respondent from a. stalking me as defined by MCL 750.411h and MCL 750.411i, which includes but is not limited to following me or appearing within my sight. appearing at my workplace or residence. approaching or confronting me in a public place or on private property. entering onto or remaining on property owned, leased, or occupied by me. sending mail or other communications to me. contacting me by telephone. placing an object on or delivering an object to property owned, leased, or occupied by me. threatening to kill or physically injure me. purchasing or possessing a firearm. other: b. posting a message through the use of any medium of communication, including the Internet or a computer or any electronic medium, pursuant to MCL 750.411s. 6. I request an ex parte order because immediate and irreparable injury, loss, or damage will occur between now and a hearing or because notice itself will cause irreparable injury, loss, or damage before the order can be entered. 7. I have a next friend petitioning for me. I certify that the next friend is not disqualified by statute and is an adult. Date Petitioner's/Next friend's signature American LegalNet, Inc. www.FormsWorkFlow.com CC 377 (4/14) PETITION FOR PERSONAL PROTECTION ORDER (NONDOMESTIC) MCL 600.2950a, MCR 3.703