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To fill out this form, start by reading the instructions carefully. Provide accurate information in each required field. Make sure to sign and date the form where indicated.

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How to fill out the Protective Order Application Form?

  1. 1

    Read all instructions carefully.

  2. 2

    Fill out each required field with accurate information.

  3. 3

    Provide descriptions of incidents where necessary.

  4. 4

    Sign and date the form as indicated.

  5. 5

    Submit the completed form to the appropriate court.

Who needs the Protective Order Application Form?

  1. 1

    Individuals seeking legal protection from abuse.

  2. 2

    Parents or guardians applying for protection on behalf of a minor.

  3. 3

    Legal representatives assisting clients with protective orders.

  4. 4

    Victims of stalking or sexual assault needing court intervention.

  5. 5

    Residents of Louisiana seeking to understand their legal options for protection.

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What are the instructions for submitting this form?

Submit the completed form to the 26th Judicial District Court in Bossier Parish, Louisiana. You may submit the form in person to the clerk's office, via mail to 204 Burt Blvd, Benton, LA 71006, or email to the clerk's office at clerk@bossierparishla.gov. Ensure all fields are filled out accurately and completely before submission.

What are the important dates for this form in 2024 and 2025?

Check with the local court for specific filing deadlines and hearing dates relevant to your case.

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What is the purpose of this form?

The purpose of this form is to provide a legal mechanism for individuals to seek protection from abuse, stalking, or sexual assault. By completing and submitting this form, a petitioner can request the court to issue a protective order against an abuser or stalker. This process aims to enhance the safety and well-being of the petitioner and any other protected persons listed in the form.

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Tell me about this form and its components and fields line-by-line.

This form includes various sections that collect personal details, information about the defendant, and descriptions of abusive or stalking behaviors.
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  • 1. Protective Order Costs Notice: Information about potential court costs associated with filing a protective order.
  • 2. Signature and Date: Fields for the applicant to sign and date, confirming they have read and understood their responsibilities.
  • 3. Protective Order Request History: Questions about any previous protective order requests involving any party listed.
  • 4. Petition Details: Statements the applicant must read and initial before applying for a protective order.
  • 5. Petitioner Information: Personal details of the petitioner, including name, date of birth, and relationship to any minors or incompetents listed.
  • 6. Confidential Address Request: Option to keep the address of the petitioner or protected person confidential.
  • 7. Special Requests: Requests for interpreter services or criminal history records of the defendant.
  • 8. Defendant Information: Personal details of the defendant, including name and current address.
  • 9. Venue: Information to determine the proper court venue for the protective order.
  • 10. Relationship: Description of the relationship between the defendant and the protected person(s).
  • 11. Description of Stalking or Sexual Assault: Detailed descriptions of the behavior constituting stalking or sexual assault by the defendant.

What happens if I fail to submit this form?

Failing to submit this form may result in not obtaining the protective order, leaving the petitioner without legal protection against abuse, stalking, or sexual assault.

  • Unprotected Status: The petitioner will not have the legal protection intended to prevent further abuse.
  • Liability for Court Costs: The petitioner may still incur court costs even if the request for a protective order is dismissed.
  • Missed Hearing: The petitioner may miss the opportunity to present their case and evidence in court if the form is not submitted.

How do I know when to use this form?

Use this form when you need to request a protective order from the court to protect against abuse, stalking, or sexual assault.
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  • 1. Seeking Protection: When an individual is experiencing abuse or threats and needs legal protection.
  • 2. Protecting a Minor: When a parent or guardian needs to obtain a protective order on behalf of a minor child.
  • 3. Legal Representation: When an attorney is assisting a client in filing for a protective order.
  • 4. Stalking Incident: When an individual has been a victim of stalking and requires court intervention.
  • 5. Sexual Assault: When an individual has been a victim of sexual assault and seeks legal protection.

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Can I share the completed form?

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What if I need legal advice before filling out this form?

It is advisable to consult an attorney before completing this legal document.

Is there a cost associated with filing this form?

Court costs associated with filing a protective order may range between $300.00 and $800.00.

What information is required to complete this form?

You need to provide personal details, descriptions of incidents, and any special requests or additional information required by the court.

How do I submit the completed form?

Submit the completed form to the appropriate court either in person, via email, or by mail.

Can I keep my address confidential?

Yes, you can request that your address or that of a minor or alleged incompetent remain confidential.

What happens if my protective order request is dismissed?

If your protective order request is dismissed, you may still be liable for court costs.

Do I need an attorney to represent me?

It is strongly advised to have an attorney represent you in court, although it is not mandatory.

Protective Order Application Form

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