Form 4-961A NMRA. — Service of process information for petition for order of protection from domestic abuse and petition for emergency order protection.

[For use with Rules 4-961 and 4-972 NMRA]

STATE OF NEW MEXICO COUNTY 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 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:

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 NOTES

This form should be used with Form 4-961 NMRA (Petition for Order of Protection from Domestic Abuse) and Form 4-972 (Petition for Emergency Order of Protection from Domestic Abuse). It should be distributed to pro se petitioners pursuant to Section 40-13-3 NMSA 1978. This 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. 08-8300-040, effective December 15, 2008.]