Petition for Restraining Order Petitioner, * v. Case No. Respondent. * PETITION FOR RESTRAINING ORDER I allege that this Court has personal and subject matter jurisdiction over this matter and state the following facts as the basis for this Petition against the Respondent contrary to this Pueblo of Sandia's Tribal Customs, Common Laws or Tribal Ordinances: 1. RESPONDENT INFORMATION (the person I am filing against): a) The Respondent is a: * Member of the Pueblo of Sandia Non-member Indian of another tribe Non-Indian b) Who is: * my spouse my former spouse a family member (relationship): a person with whom I have had a continuing personal relationship a parent of my child(ren) Other (describe the relationship): a family member (relationship) : Other (describe relationship): Respondent's Full Name: * Date of Birth: * Mailing Address: * Physical Address: Phone Number: * E-Mail: * 2. REASON FOR RESPONDENT TO BE RESTRAINED: * 0 of 1000 max characters 3. REQUESTS TO THE COURT: I request the Court to order that (check all that you want): * The Respondent shall have no personal contact with me and shall not directly or indirectly abuse, harass, or intimidate me. The Respondent shall stay at least 100 yards away from wherever I am including, but not limited to, my residence, place of employment and school. If the Respondent lives with the Petitioner, the Respondent shall immediately leave the residence and not return until directed by the Court to do so. Law enforcement officers assist me in retrieving clothing and personal belongings and those of the child(ren) from the residence. Other: Other: Signature * signature keyboard Clear Name * Name First First Last Last Date Tribal Judge Date CONFIDENTIAL – DO NOT COPY THIS PAGE – FOR COURT RECORDS ONLY 4. INFORMATION ABOUT THE PETITIONER (ME) (The information on this page will not be given to Respondent and is for Court use only). Physical Address: * City/State/Zip: * County: * Reservation: * Cell Phone: * Work Phone: Mailing Address: * City/State/Zip: * E-Mail * 5. NOTICE TO THE RESPONDENT: * I have NOT told the Respondent that I am filing a petition to ask the court for a Restraining Order. I believe irreparable harm would result if I told respondent before coming to court. I have told Respondent that I am filing this petition. VERIFICATION: I, the Petitioner, being duly sworn upon my oath, depose and state that I am the Petitioner in the above-entitled cause and I have read the Petition for Order of Protection from domestic abuse. I state that the contents thereof are true and correct to the best of my information and belief. Name * Name First First Last Last Signature * signature keyboard Clear Date Submit If you are human, leave this field blank.
