• JUSTICE COURT IN THE TOWNSHIP OF

    WASHOE COUNTY, NEVADA

  • vs.

  • APPLICATION FOR EXTENDED ORDER FOR PROTECTION AGAINST HARASSMENT IN THE WORKPLACE

  • The Temporary Order should be extended for the following reasons:

  • 2. Subsequent or additional Threat/Harassment.

    Think about the threat or harassment that occurred after you filed your last application. You are explaining to the judge why you think the protection needs to continue.

  • Did the other person use or threaten to use a weapon? (a weapon can be a gun, a knife, or any object that is used to cause or threaten physical harm)?

       
     (describe what kind of weapon was used or threatened)     

  • © 2020 Nevada Supreme Court

    Application for Extended Order for Protection Against Harassment in the Workplace

    Page 1 of 3

  • This document does not contain the personal information of any person as defined by NRS 603A.040.

    I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.

  • Dated:   Pick a Date   
    Submitted By:      
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  • © 2020 Nevada Supreme Court

    Application for Extended Order for Protection Against Harassment in the Workplace

    Page 2 of 3

  • VERIFICATION

  • I declare that I am the applicant in the above-entitled action; that I have read the foregoing application and know the contents thereof; that the pleading is true of my own knowledge, except for those matters therein contained stated upon information and belief, and that as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.

  • Submitted By:      
    Print your name:      

    Attorney/Authorized Agent Information:

    Name:      
    Address:      
    City, State, Zip Code:      
    County:      
    Telephone Number:      
    Email Address:      

  • © 2020 Nevada Supreme Court

    Application for Extended Order for Protection Against Harassment in the Workplace

    Page 3 of 3

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