Fillable Unit Name of Child (under 16 years of (Vermont Judiciary)

Fill Online, Printable, Fillable, Blank Unit Name of Child (under 16 years of (Vermont Judiciary) Form

Use Fill to complete blank online VERMONT JUDICIARY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Unit Name of Child (under 16 years of (Vermont Judiciary)

On average this form takes 8 minutes to complete

The Unit Name of Child (under 16 years of (Vermont Judiciary) form is 1 page long and contains:

  • 0 signatures
  • 16 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Vermont Judiciary forms online.

BROWSE VERMONT JUDICIARY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
100-00247SAM – Complaint for Order Against Sexual Assault OBO a Minor (11/2019) Page 1 of 1
STATE
OF
VERMONT
SUPERIOR COURT
CIVIL DIVISION
Docket No.
Unit
Name of Child (under 16 years of age) Date of Birth Defendant Date of Birth
V.
Petitioner’s (filing on behalf of child) Information:
Name: __________________________________________
Date of Birth: ____________________________________
Relationship to Child: ______________________________
Defendant’s Information:
Name: __________________________________________
Street Address: _________________________________________________________________________
Town: __________________________________ State: ____________ Zip: _____________
Relationship of the Defendant to the Child
☐ Parent/Guardian
☐ Family Member (describe relationship) ______________________________________________________
☐ Person who lives or has lived in the household with the child
☐ Child and defendant have or have had a dating relationship
☐ Other (describe relationship) _______________________________________________________________
There is another court case involving the Defendant and Petitioner or the child in the following court:
Name of Court:_____________________ County: _______________ State: ______
COMPLAINT FOR ORDER AGAINST SEXUAL ASSAULT
I. SEXUAL ASSAULT
☐ 1. On or about ______________________, the Defendant sexually assaulted the minor child named
above:
☐ lewd and lascivious conduct ☐ lewd and lascivious conduct with a child
☐ sexual assault ☐ aggravated sexual assault
☐ use of a child in a sexual performance
☐ consenting to a sexual performance and the minor child named above was the victim of the
offense
☐ 2. On ________________________, the Defendant was convicted of sexually assaulting the minor child
named above.
II. REQUEST FOR RELIEF
The Petitioner requests the Court:
☐ Order the Defendant to stay away from ________________________________________________
☐ Other: ___________________________________________________________________________
☐ I am asking for an emergency order before the Defendant is notified and a hearing is held because:
_________________________________________________________________________________
The facts to support this request for protection order can be found on Petitioner’s accompanying affidavit.
Dated
_____________________________ ___________________________________
Signature of Petitioner/Attorney
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Unit Name of Child (under 16 years of (Vermont Judiciary)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 30 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document