Fill and Sign the Sheet Restraining Order Form

Case Name _____________________ v. ______________________ Case Number: _____________________ Information Sheet for Registering a Protection Order Complete this form and attach it to the Verified Complaint for Protection Order Form JDF 402. Complete and accurate information is critical for the enforcement of a Protection Order. If this form is incomplete, information may not be posted at Colorado Bureau of Investigation (CBI) for Law Enforcement officials to access and your protection order may not be properly enforced. Information about You (The Protected Party) Full Name: ______________________________________________ Date of Birth: _____________________ Physical description: Gender:  Male  Female Race: ____________________ Height: __________Weight: _____________Hair Color: _______________ Eye Color: _____________ Complete Home Address: _________________________________________________ Apt. #: ____________ City: ______________________________________ State: __________________ Zip Code: ______________ Telephone #’s: Home: ____________________ Work: ____________________ Cell: ____________________ Identify relationship between you and the Restrained Party:  Spouse  Former Spouse  Both parties are parents of the child(ren).  Current co-habitants  Former co-habitants  Restrained Party is a parent of the child(ren).  Partner in a Civil Union  Former Partner in a Civil Union  Parties have been or are involved in an intimate relationship for __________ months. Other persons to be protected: (i.e. children) Full Name of Protected Party Sex Race Date of Birth Information about Party to be Restrained Full Name: ______________________________________________ Date of Birth: _____________________ If you do not know the date of birth, enter approximate age: _______ Physical description: Gender:  Male  Female Race: __________________ Height: __________ Weight: _____________ Hair Color: _______________ Eye Color: ___________ Complete Home Address: _________________________________________________ Apt. #: ____________ City: ______________________________________ State: __________________ Zip Code: ______________ Telephone #’s: Home: ____________________ Work: ____________________ Cell: ____________________  Check only if applicable. The restrained party goes by another name, please list all aliases below. Name: __________________________________ Name: _____________________________________ Date: __________________________ Signature: ___________________________________ JDF 442 R8/13 INFORMATION SHEET FOR REGISTERING A PROTECTION ORDER © 2013 Colorado Judicial Department for use in the Courts of Colorado