© 2020 Nevada Supreme Court Protection OrderMotion
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COURT CODE: ______________________
Your Name:
Self-Represented
DISTRICT COURT
JUSTICE COURT IN THE TOWNSHIP OF ___________________________
_______________ COUNTY, NEVADA
________________________________
Applicant
vs.
________________________________
Adverse Party.
CASE NO.: ______________________
DEPT. __________________________
.
MOTION TO MODIFY / DISSOLVE / EXTEND / ENFORCE PROTECTION ORDER
1. This motion is filed by: ( check one) Applicant / Adverse Party.
2. This motion concerns a current protection order regarding: ( check one)
Domestic Violence (NRS 33.030 et. seq.)
Stalking / Harassment (NRS 200.575 / 200.571)
Sexual Assault (NRS 200.366)
Protection of Minor Child(ren) (NRS 33.400 et. seq.)
High Risk Protection Order (NRS 33.500 et. seq.)
3. I would like the court to do the following: ( check one)
Cancel the protection order.
Change the protection order.
Extend the protection order.
Enforce the protection order.
Issue an order to show cause regarding contempt for violation of the order.
4. Explain in detail what you are asking for and why:
© 2020 Nevada Supreme Court Protection OrderMotion
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(attach more pages if you need more room)
5. I respectfully ask the Court to modify, dissolve, or extend the protection order as the Court
finds appropriate.
6. This document does not contain the personal information of any person as defined by NRS
603A.040.
I declare under penalty of perjury under the law of the State of Nevada that the foregoing
is true and correct.
DATED _____________________________, 20____.
Submitted By: (your signature) ________________________________
(print your name) _________________________________
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