Get the free USE THIS FORM IF THERE IS NO PROTECTION FROM ABUSE ORDER

I understand that any false statements are made subject to the penalties of 18 Pa.C. S.A. 4904 relating to unsworn falsification to authorities. I understand that false statements herein are made subject to the penalties of 18 Pa.C. S.A. 4904 relating to unsworn falsification to authorities. Suffix DEFENDANT IDENTIFIERS Defendant s Address DOB HEIGHT SEX RACE EYES HAIR CAUTION Weapon Involved Weapon Present on the Property Weapon Ordered Relinquished SSN Driver s License Exp Date The Court...

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