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Josh Potter

Restraining Order Application Template

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Name:

Drivers ID:

Name of Person(s) wanting a restraining order on:

Why do you need a Restraining Order(150 words):

Has this person threatened you? :

If so when and were the police called? :

Please List at least 3 people who can validate and or vow to these claims that you have listed above?

1.

2.

3.

Do you agree to talk to a DOJ official if necessary about these claims? :

Do you understand if caught lying you will be prosecuted to the fullest extent of the law? :

Do you understand that the DOJ reserves the right to revoke this at anytime? :

 

 

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