Fill and Sign the Chapter 7a North Carolina General Assembly Form

File No. Name Of Plaintiff/Victim Name Of Person Filing On Behalf Of Minor Or Incompetent Victim Address Of Plaintiff/Victim (Use Alternative Address If Afraid To Give Physical Address) Name And Address Of Defendant COMPLAINT FOR NO-CONTACT ORDER FOR STALKING OR NONCONSENSUAL SEXUAL CONDUCT G.S. 50C-2 NOTE TO PLAINTIFF: Do not use this form if the relationship between you or the person on whose behalf you are filing this complaint and the defendant is current or former spouse; persons of the opposite sex who l\ ive or have lived together; have a child in common, are related as parent and child or grandparent and grandchild, are curre\ nt or former household members, or are persons of the opposite sex who are in a dating relationship or have been in a dating r\ elationship. In that situation use “Complaint And Motion For Domestic Violence Protective Order,” AOC-CV-303. Check only the boxes below that apply and fill in blanks. Additional sheets may be attached. 1. The plaintiff resides The defendant resides The unlawful conduct occurred in this county. 2. a. I am a victim of unlawful conduct that occurred in North Carolina. b. The plaintiff is a minor or incompetent adult who is a victim of unlawfu\ l conduct that occurred in North Carolina, and I am a competent adult who resides in North Carolina and am filing this complaint on the victim’s behalf. 3. The defendant was 16 years of age or older at the time of the unlawful conduct. 4. The defendant has committed nonconsensual sexual conduct against the plaintiff in that: (Give specific dates and describe in detail what happened.) 5. The defendant has followed on more than one occasion or otherwise tormented, terrorized, or terrified the plaintiff named above with the intent to place the plaintiff in reasonable fear for the plaintiff’s safety or the safety of the plaintiff’s immediate family or close personal associates or with the intent to cause, and which did cau\ se, the plaintiff to suffer substantial emotional distress by placing the plaintiff in fear of death, bodily injury, or continued torment or terror in that: (Give specific dates and describe in detail what happened and how it placed the plaintiff in fear of safety or how it cau\ sed substantial emotional distress.) VERSUS STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division (Over) AOC-CV-520, Rev. 8/14