Fill and Sign the Service of Process Information for Petition for Order of Protection from

4-961A. Service of process information for petition for order of protection from domestic abuse and petition for emergency order protection. [For use with 4-961 and 4-972 NMRA.] STATE OF NEW MEXICOCOUNTY OF __________________ __________________ JUDICIAL DISTRICT COURT______________________________, Petitioner v. No. _________ ______________________________, Respondent SERVICE OF PROCESS INFORMATION FOR PETITION FOR ORDER OF PROTECTION FROM DOMESTIC ABUSE AND PETITION FOR EMERGENCY ORDER OF PROTECTION 1 INFORMATION ABOUT THE RESPONDENT __________________________________________________ Respondent's name __________________________________________________ Respondent's date of birth Is respondent in jail? [ ] yes [ ] no If yes, where? ________________________________________________ Respondent's physical address is: ______________________________ ( street) ______________________________ ( city) ______________________________ ( county) ______________________________ ( state and zip code) [ ] Tribe [ ] Pueblo of ______________________________ Respondent's workplace: ______________________________ ( employer's name) ______________________________ ( street) ______________________________ ( city) ______________________________ ( county) ______________________________ ( state and zip code) [ ] Tribe [ ] Pueblo of ______________________________ Respondent works the following hours: ____________ (a.m.) (p.m.) to ____________ (a.m.) (p.m.) Respondent’s telephone numbers are: 2 Home Work Message _________________ _________________ __________________ What does respondent look like? Hair ____________ ( color) Eyes ____________ ( color) Height ____________ Weight ____________ Race - ethnicity: ______________________________ Other physical characteristics or marks: _______________________________________________________________________________________________________. Do you consider the respondent to be dangerous? [ ] yes [ ] no. If yes, why? ____________________________________________________________________________________________________________________. Does respondent have any weapons? [ ] yes [ ] no. If yes, please describe: ________________________________________________. Places where respondent can be found apart from physical address and workplace:______________________________________________________________________. ________________________ ____________________________________ Date Signature of Petitioner _____________________________________ (Petitioner's street address unless petitioner files Form 4-961B ) _____________________________________(City, state and zip code unless petitioner files Form 4-961B ) USE NOTE 1. This form should be used with Form 4-961 NMRA (Petition for Order of Protection from Domestic Abuse) and Form 4-972 NMRA (Petition for Emergency Order of Protection from Domestic Abuse). It s hould be distributed to pro se petitioners pursuant to Section 40-13-3 NMSA 1978. Th is use note need not be printed on pre-printed pro se forms. [Approved, effective November 1, 1999 until July 1, 2001; approved, effective May 1, 2001; as amended by Supreme Court Order No. 08-8300-40, effective December 15, 2008.]