Fill and Sign the Justia Request for Service and Peace Officers Return of Form

DV-125 (4/12)(cs ) REQUES T FOR SERVIC E AND PEAC E OFFICER’ S RETURN O F SERVI CE (ONE PETITIONER) IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) PETITIONER (protected person ), M F ) Birthdate : ) P etitioner is a child . Who is signing for the child ? ) Name: Birthdate: ) Relationship to child: ) v. ) ) Case No. CI ) RESPONDENT (restrained person), M F ) REQUEST FOR SERVICE AND Birthdate : ) PEACE OFFICER’S RETURN OF Respondent is a child . Who is signing for the child ? ) SERVICE (ONE PETITIONER) Name: Birthdate: ) Relationship to child : ) ) Please immediately serve the following documents on respondent and The next court hearing is scheduled for Petition for Protective Order(s) Emergency Protective Order (72 hours) 20-Day Ex Parte Protective Order Long-Term Domestic Violence Protective Order Stalking or SA Order (20 days) Reassignme nt Order Order Extending Ex Parte Protective Order Order on Petition for Protective Order(s) Notice of Hearing Stalking or SA Order (6 months) A return of service must be filed with or faxed to the court at the number shown above before the hearing. RETURN OF SERVICE I certify that I: S erved the document(s) listed above on respondent and , by handing to, and leaving a true and correct copy with him her them , personally, at (address) in , Alaska, on (date) at .m. T urned custody of the minor child(ren) over to R emoved respondent from petitioner’s residence located at Explained direct / indirect contact and communication to the person(s) served. Explained effective dates of the protective order (section B) to the person(s) served. Entered into DV Registry by DSN D id not serve the above -listed documents on the respondent named above because Return Date Signature Time Spent Print Name and Title Distribution: 1. Original to law enforcement agency with jurisdiction where respondent is located. 2. Copy to court file. Court Date: Court Fax