Application for Order of Protection · Step 2 of 6

Marriage & Relationship Facts

Previously Dated. Check this if you and the other person used to date but are not dating now. Currently married or Check this if you and the other person are married to each other right now. Previously married (divorced) Check this if you were married to the other person before but are now divorced. Currently live together or Check this if you and the other person share a home right now. Previously lived together Check this if you and the other person shared a home in the past but not now. Biological parents of the same child(ren) Check this if you and the other person are the parents of the same child or children. Related by blood, describe: Check this if you are related to the other person by blood, like a sibling or parent. Related by blood, describe: Explain how you are related, such as brother, sister, mother, or father. Other - Describe: Check this if your relationship does not fit any of the boxes above. Other - Describe: Describe the type of relationship you have with the other person. How long have you known the Respondent?: Write how long you have known the other person, like 5 years or 6 months. How long did you and the Respondent date?: Write how long you and the other person dated. Leave blank if you never dated. From Enter the date you started living together with the other person. To Enter the date you stopped living together with the other person. Married?: Write how long you have been or were married, like 3 years. When did you LAST separate / break-up with the Respondent?: Write the date of the most recent time you broke up or separated. Is there a divorce currently pending?: Yes Check Yes if a divorce case between you two is going on right now. Is there a divorce currently pending?: No Check No if there is no divorce case happening right now. If you are divorced from the Respondent, when was your divorce final?: If you are divorced, write the date the divorce became final.

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