( , room ) county of ) case no - State of Indiana - in 2026

1. Click ‘Get Form’ to open it in our editor.
2. Begin by filling in the county and court details at the top of the form. Ensure you specify the correct division and room number.
3. Enter the case number, followed by the names of the plaintiff (employer) and defendant. This information is crucial for identifying your case.
4. In section 1, indicate the date when the original injunction was issued. This provides context for your request.
5. For section 3, describe any substantial changes in circumstances that justify modifying the existing order. Be clear and concise.
6. In section 4, check all applicable modifications you are requesting regarding defendant's behavior towards the employee and their family.
7. Complete sections detailing stay-away orders, costs, additional orders, and law enforcement notifications as necessary.
8. Finally, ensure all signatures are completed at the bottom before submitting your form for processing.

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