Oakland County, MI · Oakland County

No notary required

Verified Statement Re: PPO Action

This form records petitioner and respondent details and related information for a Personal Protection Order action in Oakland County Circuit Court.

At a glance

Issued by
City of Oakland County · Oakland County, Oakland County, Michigan
Notarization
Not required: file this form without a notary.
Official source
cdn.oaklandcountymi.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The Verified Statement Re: PPO Action records information about the petitioner, respondent, their relationship, children, and related court or firearm details. The petitioner completes it for a PPO action and declares that the statements are true to the best of their information, knowledge, and belief. It also asks about other children in the household and existing custody or parenting time orders.

Who needs it

A petitioner completing a PPO action who must provide information about the respondent, their relationship, children, and related court history uses this form.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details. The form lists Oakland County Circuit Court at 1200 N. Telegraph Rd., Pontiac, MI 48341.

About notarization

This statement is signed without a notary; the petitioner declares the information true to the best of their knowledge and signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Verified Statement Re: PPO Action PDF.

  2. 2

    Complete the Statement

    Fill in the petitioner and respondent information and answer the questions about children, court history, and other requested details.

  3. 3

    Attach a Separate Child List if Needed

    If you have additional children to list, attach a separate list to the document.

  4. 4

    Sign and Submit

    Date and sign the verification, then submit the form to the county department named on it.

Frequently asked questions

What information does the Verified Statement Re: PPO Action ask for?
It asks for petitioner and respondent details, relationship and household information, children and custody details, prior court or PPO history, and certain firearm-related information.
Who completes this verified statement?
The petitioner completes the form with information about themselves, the respondent, any children they share, and other details requested about the PPO action.
Do I need a notary for the Verified Statement Re: PPO Action?
No. The petitioner declares the statements true to the best of their information, knowledge, and belief, then signs and dates the form; no notary block is provided.
How do I submit the Verified Statement Re: PPO Action?
The form lists Oakland County Circuit Court at 1200 N. Telegraph Rd., Pontiac, MI 48341. Check the county website for current contact details.

Need something notarized?

This Verified Statement Re: PPO Action doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.