Form 4-962 NMRA
Form 4-962. Response to petition for order of protection from domestic abuse.
[Standard simplified response to petition form, Family
Violence Protection Act, Sections 40-13-1 to 40-13-8 NMSA 1978]
__________________ JUDICIAL DISTRICT COURT
COUNTY OF _______________
STATE OF NEW MEXICO
_______________________________
Petitioner
v.
No. ____________
_______________________________
Respondent
RESPONSE TO PETITION
FOR ORDER OF PROTECTION
FROM DOMESTIC ABUSE
Respondent in response to the allegations in the petition for order of protection from domestic
abuse states: (Set forth a response to each paragraph of the petition you do not agree with. Please
include the paragraph number of the petition preceding each response.)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________.
(If you need additional space, please attach additional pages.)
Respondent requests that the court:
(check and complete applicable alternatives)
[ ]
modify the temporary order of protection as follows:
________________________________________________________________________________
_______________________________________________________________________________.
[ ]
terminate the temporary order of protection because:
________________________________________________________________________________
_______________________________________________________________________________.
[ ]
hold an earlier hearing on the petition for protection order because:
________________________________________________________________________________
_______________________________________________________________________________.
[ ]
hold a later hearing on the petition for protection order because:
________________________________________________________________________________
_______________________________________________________________________________.
[ ]
dismiss the petition for protection order because:
________________________________________________________________________________
_______________________________________________________________________________.
________________________________
(Signature of respondent)
________________________________
(Respondent’s name printed)
________________________________
(Respondent’s address)
________________________________
(Respondent’s telephone number)
AFFIDAVIT OF SERVICE OF PARTY
I affirm under penalty of perjury under the laws of the State of New Mexico that a
copy of this response was served on the petitioner by:
(check and complete applicable alternative)
[ ]
first class mail, postage prepaid on this ____ day of ______________, ______ at
the following address:
________________________________
(address)
________________________________
OR
[ ]
the following means: _______________________________
OR
[ ]
(check only if the petitioner’s present address is unknown to respondent and not
contained on the petition) service on the clerk of the court by filing two copies of this
response with the clerk on this ____ day of _______________, ______.
________________________________
Signature of respondent
________________________________
Date of signature
SERVICE OF PETITIONER BY CLERK
(to be completed by clerk when
petitioner’s address has been sealed
by order of the court)
I served this response on the petitioner by first class mail, postage prepaid on this
____ day of __________________, ______.
________________________________
Clerk