Form 4-1014. Request and approval to omit the reporting party's contact information on documents filed in an extreme risk firearm protection order case.

[Extreme Risk Firearm Protection Order Act, NMSA 1978, Sections 40-17-1 to -13] STATE OF NEW MEXICO COUNTY OF __________________ __________________ JUDICIAL DISTRICT IN THE MATTER OF AN EXTREME RISK FIREARM PROTECTION ORDER FOR _______________________________ _____________________ (Respondent’s full date of birth) No. _________________________ REQUEST AND APPROVAL TO OMIT THE REPORTING PARTY’S CONTACT INFORMATION ON DOCUMENTS FILED IN AN EXTREME RISK FIREARM PROTECTION ORDER CASE 1. My full name: _____________________________________________________ 2. I am the Reporting Party and have completed an affidavit for law enforcement to file with the petition for an Extreme Risk Firearm Protection Order against the above- named individual (Respondent). □ The respondent does not know my address and I do not want the respondent to see my address and contact information. If you do not want Respondent to know your contact information, you must let the court know how you would like to be contacted. DO NOT include your contact information on any other court form, except for this one. 3. My address: __________________________________________________________________ street address ____________________________________, city ________________ state ____________ zip 4. My other contact information. Primary Phone Number: (______) __________-___________  cell  work  message Secondary Phone Number: (______) __________-__________  cell  work  message Email address: ______________________________________________________ 5. I would like the court to contact me (including receiving notice of court hearings and orders) at:  the address I listed in paragraph 3 OR  the following address: ___________________________________________________________________ street address or P.O. Box ____________________________________, city ________________ state ____________ zip  I am the Reporting Party and submitted an affidavit to law enforcement for an Extreme Risk Firearm Protection Order petition.  The respondent does not know my address or contact information and I do not want the respondent to get this information.  I ask that if my request is granted, all process and papers be served on me by delivering them to the clerk of the court who shall serve me at my current address.  I understand that if my contact information changes in the next year, I will file another form like this one giving the court my new contact information. VERIFICATION I, the Reporting Party, affirm under penalty of perjury under the laws of the State of New Mexico that I have a legitimate reason to omit my contact information from documents filed in the Extreme Risk Firearm Protection Order case against _____________________________________________ (Respondent’s name). _______________________________________ Signature of Reporting Party _______________________________________ Name of Reporting Party (please print) APPROVAL  The request of the Reporting Party is granted. The respondent shall serve all pleadings and other papers required to be served by filing them with the clerk who will note on the pleading or papers the date and manner of service. The clerk shall promptly serve such pleadings and papers on the Reporting Party, noting in the court file the date and manner of service on Reporting Party.  The request of the Reporting Party is denied. The Reporting Party shall provide their address on all documents where required. _____________________________________________ District Judge _____________________________________________ Date