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INTIMATE PARTNER VIOLENCE×SEXUAL ASSAULT TEMPORARY RESTRAINING ORDER QUESTIONNAIRE Please THOROUGHLY fill out All that Applies to You PERSON REQUESTING RESTRAINING ORDER (PETITIONER) Your Name Today's
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How to fill out intimate partner violence/sexual assault:

01
Start by providing your personal information, such as your name, address, and contact details. It is important to include accurate information to ensure effective communication and follow-up.
02
Next, describe the incident(s) of intimate partner violence/sexual assault in detail. Be specific about dates, times, and locations. Explain what happened, including any physical, emotional, or sexual abuse that took place. It is essential to provide as much information as possible to aid in the investigation.
03
If there were any witnesses to the incidents, provide their names and contact information. Witnesses can play a crucial role in supporting your claims and providing additional evidence.
04
Include any evidence you may have, such as photographs, videos, text messages, emails, or medical reports. These can greatly strengthen your case and provide a clearer picture of the abuse you have experienced.
05
Describe any previous incidents or patterns of abuse. This helps establish a history of violence and highlights the seriousness of the situation.
06
If you have sought any medical attention following the incidents, include details of healthcare providers, dates of visits, and any related medical reports. This information can further corroborate your claims and provide medical evidence of the harm you have suffered.
07
If you have already reported the incidents to the authorities or sought help from support organizations, provide details of those interactions. This includes the names of the agencies or individuals you contacted, dates of communication, and any case or reference numbers you may have received.
08
Finally, be sure to sign and date the form to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs intimate partner violence/sexual assault?

01
Victims/survivors of intimate partner violence and sexual assault are the primary individuals who need this information. They may be experiencing or have previously experienced such abuse and are seeking assistance or justice.
02
Other parties, such as law enforcement agencies, healthcare professionals, legal advocates, and support organizations, also need information about intimate partner violence/sexual assault. This helps them provide appropriate support, conduct investigations, and prosecute offenders.
03
Members of the general public who are interested in raising awareness, supporting victims, or advocating for policy changes related to intimate partner violence/sexual assault may also seek this information. They can educate themselves about the issue to better support affected individuals and promote prevention efforts.
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Intimate partner violence/sexual assault is a pattern of abusive behaviors used by one partner to maintain power and control over another partner in an intimate relationship.
Victims of intimate partner violence/sexual assault are encouraged to report the incidents to law enforcement and seek support from local resources.
To file a report of intimate partner violence/sexual assault, contact local law enforcement or a domestic violence hotline for assistance with the process.
The purpose of reporting intimate partner violence/sexual assault is to ensure the safety of the victim, hold the perpetrator accountable, and prevent future incidents.
Information such as the details of the incident, any injuries sustained, any witnesses present, and the identity of the perpetrator should be reported in cases of intimate partner violence/sexual assault.
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