Fill and Sign the Affidavit and Order for Alternate Service or Publication Ofp Form

OFP501 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 3 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Domestic Abuse In the Matter of: Petitioner Affidavit and Order for vs. Alternate Service or Publication (Minn. Stat. § 518B.01, subds. 5(f) and 8) Respondent STATE OF MINNESOTA ) ) SS COUNTY OF ) Affidavit Petitioner requests that the court authorize service of the petition for an order for protec tion, any order that has issued under Chapter 518B, and any notice, states the following in support of the request for service by:  first class mail at Respondent’s last known address OR  publication 1.  An attempt at personal service made by the sheriff or other law enforcement or corrections officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and a copy of the Petition and either the Order for Hearing or Request for Hearing form has been mailed to Respondent. OR  An attempt at personal service made by the sheriff or other law enforcement or corrections officer was unsuccessful because Respondent is avoiding service by concealment or otherwise, and I do not know the Respondent's current address. 2. Personal service was attempted on the following date(s): OFP501 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 3 3. The last known location of Respondent is: 4. My most recent contact with Respondent was: 5. The last known location of Respondent's employment was: 6. The names and locations of Respondent's parents, siblings, children, and other close relatives are: 7. a. The names and locations of other persons likely to know Respondent's whereabouts are: b. I have made the following efforts to locate these persons: 8. The following circumstances indicate Respondent is avoiding service: I declare under penalty of perjury that everything I have stat ed in this document is true and correct. Minn. Stat. § 358.116. Dated : Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: OFP501 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 3 Order Based on the above affidavit, IT IS HEREBY ORDERED: 1a.  Service shall be by first class mail, forwarding address requested, to the following address: 1b.  Service shall be by publication one time in a 7 day period as provided in Minn. Stat. § 645.11 and Minn. Stat. §518B.01, subd. 5(f). 2a.  A hearing will be held on at .m. at the County Courthouse, The Respondent shall personally appear at the hearing on the Order for Protection. 2b.  A hearing will not be held unless requested by Respondent pursuant to statute. 3.  The Ex Parte Order for Protection in the above-captioned case shall remain in full force and effect for the time period set forth in the order. If service by publication is not completed within 28 days of issuance of the Ex Parte Order for Protection, the order expires. 4.  Other: Dated: Judge of District Court Distribution ______ Certified copy or original - Return to Court Administrator with Affidavit of Per sonal Service attached Copy for Petitioner(s) Copy for Respondent(s) Copy for file until original returned Copy for local police department Copy for Sheriff Other: ______ Dissolution File