Form CIV-750 "Stalking or Sexual Assault Protective Order Packet" - Alaska

What Is Form CIV-750?

This is a legal form that was released by the Alaska Superior Court - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2016;
  • The latest edition provided by the Alaska Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form CIV-750 by clicking the link below or browse more documents and templates provided by the Alaska Superior Court.

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Download Form CIV-750 "Stalking or Sexual Assault Protective Order Packet" - Alaska

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STALKING OR SEXUAL ASSAULT
PROTECTIVE ORDER PACKET
civil
crim inal
A request for a protective order is a
matter, not a
matter. You need to
report the incident to the police to have it prosecuted criminally.
Form No.
Form Nam e
WHERE CAN I FIND INSTRUCTIONS?
Instructions are available online at:
CIV-751
https://public.courts.alaska.gov/web/forms/docs/civ-751.pdf
Printed copies are available for customers with limited or no internet access.
WHAT IS INCLUDED IN THIS PACKET?
CIV-752
Petition
DV-125
Request for Service
DV-127
Law Enforcement Information Sheet
WHERE CAN I FIND MORE INFORMATION?
Online
Court forms online:
www.courts.alaska.gov/forms/index.htm
Family Law Self-Help Center:
Online
www.courts.alaska.gov/shc/family/selfhelp.htm
Person A commits the crime of stalking when Person A contacts Person B without
What is
Person B’s permission MORE THAN ONE TIME, and this creates a reasonable fear of
stalking?
physical injury or death to Person B or Person B’s family member. For a more
complete definition, see
Alaska Statute 11.41.270
on page 5 of the instructions.
Sexual assault is a crime of “sexual contact” or “sexual penetration” done without
What is
the adult victim’s knowledge or consent, or done by an older person to a minor.
sexual
For a more complete definition of these crimes, see
Alaska Statute 11.41.410
assault?
through 11.41.450, or look on page 6 of the instructions.
• Use this packet if the person you need protection from is a friend, student at your
school, neighbor, co-worker, landlord, tenant, or someone you do not know.
Is this the
• Use the
domestic violence petition
instead if the person who stalked or sexually
right packet
assaulted you is someone you have a household relationship with. See
Alaska
for you?
Statute 18.66.990
for a list of qualifying domestic violence household
relationships.
March 2016 - Alaska Court System
The statutes, court rules and most of the forms referred to in this packet are available
on the court’s website: www.courts.alaska.gov.
CIV-750 (3/16)(cs)
STALKING OR SEXUAL ASSAULT
PROTECTIVE ORDER PACKET
civil
crim inal
A request for a protective order is a
matter, not a
matter. You need to
report the incident to the police to have it prosecuted criminally.
Form No.
Form Nam e
WHERE CAN I FIND INSTRUCTIONS?
Instructions are available online at:
CIV-751
https://public.courts.alaska.gov/web/forms/docs/civ-751.pdf
Printed copies are available for customers with limited or no internet access.
WHAT IS INCLUDED IN THIS PACKET?
CIV-752
Petition
DV-125
Request for Service
DV-127
Law Enforcement Information Sheet
WHERE CAN I FIND MORE INFORMATION?
Online
Court forms online:
www.courts.alaska.gov/forms/index.htm
Family Law Self-Help Center:
Online
www.courts.alaska.gov/shc/family/selfhelp.htm
Person A commits the crime of stalking when Person A contacts Person B without
What is
Person B’s permission MORE THAN ONE TIME, and this creates a reasonable fear of
stalking?
physical injury or death to Person B or Person B’s family member. For a more
complete definition, see
Alaska Statute 11.41.270
on page 5 of the instructions.
Sexual assault is a crime of “sexual contact” or “sexual penetration” done without
What is
the adult victim’s knowledge or consent, or done by an older person to a minor.
sexual
For a more complete definition of these crimes, see
Alaska Statute 11.41.410
assault?
through 11.41.450, or look on page 6 of the instructions.
• Use this packet if the person you need protection from is a friend, student at your
school, neighbor, co-worker, landlord, tenant, or someone you do not know.
Is this the
• Use the
domestic violence petition
instead if the person who stalked or sexually
right packet
assaulted you is someone you have a household relationship with. See
Alaska
for you?
Statute 18.66.990
for a list of qualifying domestic violence household
relationships.
March 2016 - Alaska Court System
The statutes, court rules and most of the forms referred to in this packet are available
on the court’s website: www.courts.alaska.gov.
CIV-750 (3/16)(cs)
IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
)
)
Petitioner
Date of Birth
)
Male
Female
)
v.
)
CASE NO.
)
)
PETITION FOR
Respondent
Date of Birth
)
PROTECTIVE ORDER
Male
Female
)
Stalking
Sexual Assault
)
I swear or affirm under penalty of perjury that all the information I provide in this petition
is true to the best of my knowledge and belief.
I am requesting the following protective order(s). NOTE: If there is any chance you
might need protection for more than 20 days, you should request both a long-
term order (6 months) and an ex parte order (20-day). To do this, check both
boxes.
1.
an ex parte protective order (20 day order).
(This order can take effect
immediately based on only the petition and the petitioner’s testimony, without
the respondent knowing about the ex parte petition. The police will serve the ex
parte order if granted.) I certify that I
have not tried to notify the respondent that I am filing this petition.
notified or tried to notify the respondent as follows:
a long-term protective order (6 month order). (This order can only be issued
after notice to the respondent and a court hearing. This order will last for 6
months, unless the court ends it sooner. The police will notify the respondent
of the hearing.)
2. The respondent is a (check all that apply):
(former) friend
neighbor
classmate
co-worker
client or former client
correctional facility employee
legal guardian of petitioner
other (describe):
I do not know and have never been acquainted with the respondent
3. I (petitioner) am
a minor: Age ________
an adult
This is Not a Court Order
Page 1 of 5
CIV-752 (10/13)(cs)
AS 18.65.850-.870
PETITION FOR STALKING OR SEXUAL ASSAULT PROTECTIVE ORDER
Civil Rule 65.1
v.
Case No.
4. The respondent is (or appears to be)
a minor: Age
an adult
5. a. Respondent has stalked or sexually assaulted me as described below and this
conduct has placed me in fear of:
death or physical injury to me
further sexual assault
the death or physical injury of the following family member of mine:
Name of family member:
Relationship to me:
b. I am afraid of physical injury or death, or further sexual assault, because
6. Description of respondent’s conduct. (Explain what respondent is doing or did,
including when, where and how often the stalking or sexual assault occurred. Be
specific. Include dates and places.)
This is Not a Court Order
Page 2 of 5
CIV-752 (10/13)(cs)
AS 18.65.850-.870
PETITION FOR STALKING OR SEXUAL ASSAULT PROTECTIVE ORDER
Civil Rule 65.1
v.
Case No.
7. I request an order from the court directing (check all that apply)
a. respondent not to follow, approach, confront, watch or stalk me in any other
way or threaten to do so.
b. respondent not to contact me by telephone, e-mail or U.S. mail or otherwise
communicate directly or indirectly by any means with me or the following
members of my household:
c. respondent to stay away from my residence.
Is this also respondent's current residence?
yes
no
Respondent’s residence is
unknown to me
within my apartment complex
approximately
feet/miles from my residence
Describe:
d. respondent to stay away from my school.
Name and location of school: 
Is this also respondent’s school?
yes
no
e. respondent to stay away from my place of employment. Name and location
of place of employment:
Is this also respondent’s place of employment?
yes
no
If yes, list the hours respondent works (if known)
f. respondent to stay away from the following places I go to:
g. respondent not to have sexual contact with me.
You do not have to provide this information if you do not want the respondent to know the
location of your school or place of employment.
This is Not a Court Order
Page 3 of 5
CIV-752 (10/13)(cs)
AS 18.65.850-.870
PETITION FOR STALKING OR SEXUAL ASSAULT PROTECTIVE ORDER
Civil Rule 65.1
v.
Case No.
8. Other cases. The following are all the pending civil cases or criminal cases, in this
or another state, involving either me or respondent (that I know of):
Type of Case
Court Location
Petitioner or Respondent
The following are other court cases (civil or criminal) involving the respondent that I
want the court to know about:
Type of Case
Court Location
Both petitioner and respondent have the responsibility to tell the court of any
criminal or civil lawsuits involving either of you that arise while a petition for
protective order is pending. AS 18.65.865(d)
9. Information about respondent (if known).
Respondent’s full legal name and any nicknames or other names used:
Respondent's mailing address:
Respondent's home phone:
Work phone:
This is Not a Court Order
Page 4 of 5
CIV-752 (10/13)(cs)
AS 18.65.850-.870
PETITION FOR STALKING OR SEXUAL ASSAULT PROTECTIVE ORDER
Civil Rule 65.1