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For your protection and privacy please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form. Name of person asking for protection Name of person you want protection from Describe abuse to you or your children* a* Date of abuse b. Who was there Describe how the person in 2 abused you or your children d. Describe any use or threatened use of guns or other weapons e. Describe any injuries f* Did the police or other law enforcement come No ...

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