Page 63

Paragraph 4 Tiris Courl is tite proper venue for: this action because: The rnaritai domicile is located in

-__

parish"

The household is located in

Parish.

The defendant resides or is dorniciled in

Parish.

The abuse occurred in

X .

Parish.

The petitionel resides or is domiciled

(Do not fill tltis ottt

if

in

Lafayette

Parish.

atldress is to renutirt cortfidential.)

Paragraph 5 Tlre plotected person(s) is related to the defendant

X

-

(checlc

all that apply:)

cun'ent or forrner dating partner'

cuLrent or fonner spouse

current ol fonuer unmaruied

-

as:

intimate

paretrt, steppalent, or fostel parent

cohabitant

cirild, stepchild, or foster child

other':

child of defendant's curreut ol fonner intirnaLe partuer

Paragraph 6

_ A suit for divorce between the parties is not pending. X A suit fol divorce between the parties is pending. (If yort

NOT tlrc petitiorter in tlre divorce suit, useform LPOII Il-R erfiitled "Petitiort Jbr Protectiort I'-rorn Abuse, Petitiorrcr-in-Reconverfiicrt't instead of tlis orte.) Thele is a suit for custody pending involving children named in this petition --._ (fill out pageT of this form "Addendum").

X

rpere

There is a custody ordel in effect involving cirildren named in this petition (fiil out page 7 of this form "Addendurn'!, or attach a copy of the order if available).

X The protected pe'son(s) a'd defenda,',l1"1,t"iii5il, in commo'.

a. -_--_

Defendant abused protected person(s)

tti;fffil*,l',

*unn"r,

Slapped protected person(s)

Tlueatened protected pelson(s) with bodily hann

Punched protected person(s)

TLu'eatened protected person(s)'

life

Threatened protected person(s) r,vitli a weailoll

Cholced plotected pelson(s)

Shoved protected person(s)

_

Abused petitioner's child(ren)or alleged

Ificked plotected pelson(s)

_

Other

irJcompetent

Stalked protected person(s)

LPOI{

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BergeronvsBergeron Court minutes  

Court minutes 2009-2010