Fill and Sign the Dv 135 Mrequest to Modify or Dissolve Protective Order Multiple Petitioners 8 14 Domestic Violence Forms

IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) Case No. CI PETITIONER (protected person), M F ) Birthdate: ) Petitioner is a child. W ho is signing for the child? ) Name: Birthd ate: ) Relationship to child: ) ) ) Case No. CI PETITIONER (protected person), M F ) Birthdate: ) Petitioner is a child. W ho is signing for the child? ) Name: Birthdate: ) Relationship to c hild: ) ) ) Case No. CI PETITIONER (protected person), M F ) Birthdate: ) Petitioner is a child. W ho is signing for the child? ) Name: Birthdate: ) Relationship to child: ) ) ) Case No. CI PETITIONER (protected person), M F ) Birthdate: ) Petitioner is a child. W ho is signing for the child? ) Name: Birthdate: ) Relationship to child: ) ) ) Case No. CI PETITIONER (protected person), M F ) Birthdate: ) Petitioner is a child. W ho is signing for the child? ) Name: Birthdate: ) Relationship to child: ) ) v. ) ) ) RESPONDENT (restrained person) , M F ) Birthdate ) Respondent is a child. Who is signing for the child? ) Name: Birthdate: ) REQUEST TO MODIFY OR Relationship to child: ) DISSOLVE PROTECTIVE ORDER ) (MULTIPLE PETITIONER S) Page 1 of 2 DV -135- M (8 /1 4)(cs ) Civ. R . 65.1, AS 18.66.100 - .990; 18.65.850- .870 REQUEST TO MODIFY OR DISSOLVE PROTECTIVE ORDER (MULTIPLE PETITIONERS) Note: This request does not , by itself, change the terms of the protective order. All parties must continue to obey the existing order until a judge modifies or dissolves the order in writing . If you fail to appear for a hearing about this request, your request may be denied. I am the petitioner respondent in this case. I ask the court to: dissolve t he short-term protective order and withdraw any long -term petition in this case. dissolve t he long-term pro tective order issued in this case. modify the short -term long- term protective order issued in this case as follows: The reason(s) for this request are: Other Party's Telephone Numbers (if known): Home Work Dat e Signature A mailing address and message phone number are necessary for contacting you about the hearing. Victims are not required to disclose their personal addresses or phone numbers. A safe alternative way to contact you on short notice must be given to the court. Safe M ailing Address City State ZIP Work Phone: Home Phone: I certify that on a copy of this request was given mailed to: Petitioners Person signing for minor petitioner s Respondent Person signing for minor respondent Clerk: Clerk: For requests to modify or dissolve ST, add petition MDMPOE. For requests to modify or dissolve LT, add petition MDMPOL. Page 2 of 2 DV -135- M (8/14)(cs ) Civ. R. 65.1, AS 18.66.100 - .990; 18.65.850- .870 REQUEST TO MODIFY OR DISSOLVE PROTECTIVE ORDER (MULTIPLE PETITIONERS)