Fill and Sign the Of or Subsequent Order for Protection Form

OFP701 State ENG Rev 8/16 www.mncourts.gov/forms Page 1 of 2 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Domestic Abuse In the Matter of: Petitioner Application for Extension vs. of or Subsequent Order for Protection (Minn. Stat. § 518B.01, subd. 6a) Respondent STATE OF MINNESOTA ) ) SS COUNTY OF ) I am the petitioner in the above named matter. I state the following: 1. An Order for Protection was issued on . (Date) 2. The Order for Protection  will expire  expired on . (Date) 3. I am requesting  an extension of the Order for Protection  a new Order for Protection because:  The respondent violated the Order for Protection.  I am reasonably in fear of physical harm from the respondent.  The respondent engaged in acts of harassment or stalking.  The respondent is/was incarcerated and has been or is about to be released. 4. Describe in detail the acts of the respondent that explain why you are asking for the extension. Give approximate dates and list the mos t recent incidents first. OFP701 State ENG Rev 8/16 www.mncourts.gov/forms Page 2 of 2 I declare under penalty of perjury that everything I have state d in this document is true and correct. Minn. Stat. § 358.116. Dated: Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: