SERVICE INFORMATION FOR INJUNCTIONS FOR PROTECTION
AGAINST VIOLENCE OR STALKING
REF:_________________________ UCN:___________________________
The following information is REQUIRED to help the Sheriff's Office in serving the RESPONDENT as
soon as possible. It also may alert the deputy to any potential DANGER that might be encountered
while attempting to serve this injunction. THIS INFORMATION WILL NOT BE PROVIDED TO
THE RESPONDENT.
Respondent's Name _________________________________________________________________
Alias _____________________________________________________________________________
Address___________________________________________________________________________
Home Phone _______________________________________________________________________
Date of Birth _____________________________Height ________________Weight _____________
Hair Color __________________ Eye Color ____________Sex _____Race ____________________
Scars/Marks/Tattoos or other distinguishing characteristics __________________________________
__________________________________________________________________________________
Place of Employment ________________________________________________________________
Address of Employment ______________________________________________________________
Work Phone_________________________Work Days/Hours ________________________________
Description of Respondent's vehicle:___________________________________________________
Year ___________Make ____________________Model ____________________________________
Color _________________________________Tag# _______________________________________
Is the Respondent known to possess any weapons?_________________________________________
If yes, what type? ___________________________________________________________________
Is Respondent known to be violent to any other than you? ___________________________________
__________________________________________________________________________________
Is Respondent currently in jail? ________________________________________________________
Information where Sheriff's Office can reach you:
Petitioner's Name _______________________________________ Date of Birth: ________________
Address ___________________________________________________________________________
Phone number (days) _____________________Phone number (nights) _________________________
If we cannot locate the Respondent at his/her home or place of employment, can you suggest other
locations where we might locate the Respondent? (Relatives, friends, addresses, hangouts)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Any additional comments by Petitioner __________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________.
Attachment C
