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Below is a cache of http://www.ptla.org/forms/PA-005.pdf. It's a snapshot of the page taken as our search engine crawled the Web.
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. PROTECTION ORDER SERVICE INFORMATION DEFENDANT PROTECTION ORDER SERVICE INFORMATION DEFENDANT Defendant's Name: Home Address: Apartment No. and / or floor: Color of house or other description: If living with another person, other person's name: Day / Work Telephone: Evening / Home Telephone: Hours defendant will most likely be at home: Name of Employer: Work Address: Work Schedule: S M T W Th F S Hours Worked: AM/PM to AM/PM (Circle Work Days) PHYSICAL DESCRIPTION (If known) VEHICLE (If known) Birth Date: Make and Year: Height: Type/Model: Weight: Color: Hair Color: Registration No. and State: Eye Color: Gender: Race: White Black Asian or Pacific Islander Amer. Indian/Alaskan Native Unknown If you are unable to provide the above information, please list below the name, address and
telephone number of anyone who can help the serving officer locate the defendant:
ADDITIONAL INFORMATION Does the defendant own a firearm or other weapon? If so, where is the weapon usually kept? Does the defendant have a history of violence? Is there anything else the serving officer should know about the defendant? PLAINTIFF Plaintiff's Name: Address (unless confidential): Day / Work Telephone: Evening / Home Telephone: PA-005, Rev. 01/01
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. PROTECTION ORDER SERVICE INFORMATION DEFENDANT PROTECTION ORDER SERVICE INFORMATION DEFENDANT Defendant's Name: Home Address: Apartment No. and / or floor: Color of house or other description: If living with another person, other person's name: Day / Work Telephone: Evening / Home Telephone: Hours defendant will most likely be at home: Name of Employer: Work Address: Work Schedule: S M T W Th F S Hours Worked: AM/PM to AM/PM (Circle Work Days) PHYSICAL DESCRIPTION (If known) VEHICLE (If known) Birth Date: Make and Year: Height: Type/Model: Weight: Color: Hair Color: Registration No. and State: Eye Color: Gender: Race: White Black Asian or Pacific Islander Amer. Indian/Alaskan Native Unknown If you are unable to provide the above information, please list below the name, address and
telephone number of anyone who can help the serving officer locate the defendant:
ADDITIONAL INFORMATION Does the defendant own a firearm or other weapon? If so, where is the weapon usually kept? Does the defendant have a history of violence? Is there anything else the serving officer should know about the defendant? PLAINTIFF Plaintiff's Name: Address (unless confidential): Day / Work Telephone: Evening / Home Telephone: PA-005, Rev. 01/01
