Form 4-961A. Service of process information for petition for order of protection from domestic abuse and petition for emergency order protection.

[For use with Rules 4-961 and 4-972 NMRA] STATE OF NEW MEXICO COUNTY OF __________________ __________________ JUDICIAL DISTRICT COURT ______________________________, Petitioner v. No. ____________ ______________________________, Respondent SERVICE OF PROCESS INFORMATION FOR PETITION FOR ORDER OF PROTECTION FROM DOMESTIC ABUSE AND PETITION FOR EMERGENCY ORDER OF PROTECTION INFORMATION ABOUT THE RESPONDENT __________________________________________________ Respondent's name __________________________________________________ Respondent's date of birth Is respondent in jail? [ ] yes [ ] no If yes, where? ________________________________________________ Respondent's physical address is: ______________________________ (street) ______________________________ (city) ______________________________ (county) ______________________________ (state and zip code) [ ] Tribe [ ] Pueblo of ______________________________ Respondent's workplace: ______________________________ (employer's name) ______________________________ (street) ______________________________ (city) ______________________________ (county) ______________________________ (state and zip code) [ ] Tribe [ ] Pueblo of ______________________________ Respondent works the following hours: ____________ (a.m.) (p.m.) to ____________ (a.m.) (p.m.) Respondent’s telephone numbers are: Home ____________________ Work ____________________ Message ____________________ What does respondent look like? Hair ____________ (color) Eyes ____________ (color) Height ____________ Weight ____________ Race - ethnicity: ______________________________ Other physical characteristics or marks: ______________________________________ _____________________________________________________________________. Do you consider the respondent to be dangerous? [ ] yes [ ] no. If yes, why? _________________________________________________ _____________________________________________________________________. Does respondent have any weapons? [ ] yes [ ] no. If yes, please describe: __________________________________________________. Places where respondent can be found apart from physical address and workplace: _____________________________________________________________________. ________________________ Date ________________________________________ Signature of Petitioner ________________________________________ (Petitioner's street address unless petitioner files Form 4-961B) ________________________________________ (City, state and zip code unless petitioner files Form 4-961B)