LDA PRO

Legal Document Assistants

Restraining Order



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LDA PRO Restraining Order Intake - Formstack
* START ONLINE - Please choose one:*
Complete this intake form and pay online to start service. LDA PRO prepares all required court forms to review and sign electronically. LDA PRO prepares, files, and serves on your behalf, within 3 business days.
* PROCESS SERVICE - Please choose one:*
* Our fee includes up to 3 random attempts, at one address.
* COURT FILING SERVICE - Please choose one:*
* Our fee includes filing all e-signed documents at the courthouse, from start to finish.
If you want the address confidential please put a PO BOX.
Race, Sex, Height, Weight, Eye Color, Hair Color, and Date of Birth.
Restrained Person (s) Relationship To You:*
Race, Sex, Height, Weight, Eye Color, Hair Color, and Date of Birth or Approximate Age.
Is The Restrained Person Employed?*
Employer Name, Address, and Phone Number.
List Each Name, Relationship To You, and Date Of Birth.
Please provide a brief description.
WHAT ORDERS DO YOU WANT (Check all that apply)*
If the person listed to be restrained is ordered to stay away from all places listed above, will he or she still be able to get to his or her home, school, job, workplace, school or vehicle? *
GUNS OR OTHER FIREARMS AND AMMUNITION - Do you believe the person you want protection from owns or possesses guns, firearms or ammunition? *
(If the judge approves this order the person you want protection from will be ordered not to own, possess, purchase or receive a firearm or ammunition. They will be ordered to sell to a gun dealer or turn into law enforcement any guns or firearms that he or she owns or possesses.)
OTHER FILED COURT CASES WITH RESTRAINED PERSON:*
List Name (s), Birthdate, Age, Sex, and Presently Living with.
List Dates (s), Lived with, Address, Relationship to Child.
DO YOUR CHILDREN NEED PROTECTION?*
ORDERS YOU ARE REQUESTING FOR CHILDREN:*
CHILD CUSTODY - Legal Custody to:*
CHILD CUSTODY - Physical Custody to:*
CHILD VISITATION: *
Days of the week, including times for pick up and drop off.
Mom receives income from all of the following resources:*
Dad receives income from all of the following resources: *
$_______________
$_______________
Date, who was there, and describe how the person harassed, abused, used, or threated to use a weapon against you or your children.
Did the police come? Most Recent Incident*
Physical, mental, or emotional harm.
Has this person abused you or your children other times? *
Date, who was there, and describe how the person harassed, abused, used, or threated to use a weapon against you or your children.
Did the police come? 2nd Incident
Physical, mental, or emotional harm.
Has this person abused you or your children other times? *
Date, who was there, and describe how the person harassed, abused, used, or threated to use a weapon against you or your children.
Did the police come? 3rd Incident
Physical, mental, or emotional harm.
Please type text above, if applicable.
Please scroll to read.
I HAVE READ AND UNDERSTAND THE ABOVE NOTICE TO CONSUMER:*
Please check yes, if you'd like to proceed.
Payment Options:*
Payment must be made prior to service.
Use your mouse or finger to draw your signature above