In the first block on the first line you should print your full name. On the second line you should print the case number of the Protection Order you received. This is not the Child Custody docket number. This is a separate docket number that will appear in the caption of the Protection Order you received. On the third line you should print the Court or County in which you received the Protection Order.

In the second block you should print your address, your Employer's Name and Address, your Work Schedule, and any Other Contact Information.

There is also an additional Abuse Victim Addendum page, if you have additional information that will not fit on the first Abuse Victim Addendum page.

Once you have completed the Confidential Information Form and the Abuse Victim Addendum, then you should sign and date the second page of the Confidential Information Page. You must also include your printed name, address, telephone, and email address, so the Court can reach you.

This should appear exactly as the caption looks on the original Custody Complaint or the current Custody Order. Remember, if you were the Plaintiff or Defendant when you originally went to Court you still remain the Plaintiff or Defendant.

Print the name of the Plaintiff(s), the Defendant(s), and the case number of the existing Order.

i. Check the box indicating whether you are the Plaintiff or Defendant.

i. Check the box indicating that this is a custody case.

i. Check the box next to “a” to indicate that you are representing yourself in this custody case.

i. State your name, address, and telephone numbers in the spaces provided, or an alternate address and phone number where you may be served by mail and contacted by telephone.

i. Sign and date the ENTRY OF APPEARANCE.