Eaton County, MI · Eaton County
Verified Statement for Personal Protection Order
This verified statement lets a petitioner provide Eaton County Circuit Court with details about their relationship with the respondent and incidents supporting a personal protection order.
At a glance
- Issued by
- City of Eaton County · Eaton County, Eaton County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- eatoncounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Petitioners use this statement to describe their relationship with the respondent and specific incidents that make them feel they need a personal protection order. The form asks for dates, locations, what happened, witnesses, evidence, police involvement, and the effect of the incidents. It also asks questions about ownership or occupancy if the petitioner wants to keep the respondent off their property.
Who needs it
A person seeking a personal protection order who needs to provide Eaton County Circuit Court with details about the respondent and reported incidents may use this statement.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer swears the statements are true to the best of their knowledge and provides a date and signature.
How to submit this form
- 1
Download the Statement
Download the Verified Statement for Personal Protection Order from the Eaton County document link.
- 2
Complete the Questions
Describe your relationship with the respondent and provide details about incidents, including dates, locations, witnesses, evidence, and police involvement.
- 3
Review and Sign
Answer the property questions if you want to keep the respondent off your property, then swear the statements are true and sign and date the form.
- 4
Submit to the County
The form does not give submission instructions; check the Eaton County website for current contact details.
Frequently asked questions
- What information does the verified statement ask for?
- It asks about the petitioner's relationship with the respondent and incident dates, locations, witnesses, evidence, police involvement, and how the incidents made the petitioner feel.
- Do I need a notary for the Verified Statement for Personal Protection Order?
- No. The form has no notary block. The signer swears the statements are true to the best of their knowledge and signs and dates the form.
- How do I submit the Verified Statement for Personal Protection Order?
- The form does not specify a submission method or office. Check the Eaton County website for current contact details and where to submit it.