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Click ‘Get Form’ to open the form WV-100 in the editor.
Begin by filling in the Petitioner (Employer) section. Enter your name, type of business (corporation or sole proprietorship), and the court's name and address.
Provide your lawyer's information if applicable, including their name, firm name, and State Bar number.
In the Employee in Need of Protection section, enter the full name, sex, and age of the employee requiring protection.
Complete the Respondent section by providing their full name, age, and address if known.
If applicable, indicate any additional protected persons and explain why they need protection in Attachment 4b.
Describe the relationship between the employee and respondent in Attachment 5a. Include details about any previous court cases involving them.
Detail any incidents of violence or threats from the respondent in Section 8. Be specific about dates and witnesses.
Select desired orders for personal conduct and stay-away orders in Sections 9 and 10 respectively.
Finally, review all sections for accuracy before saving or printing your completed form.
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