Statutes | 4 HCC § 12 Chapter VII § 28 | 2020

a. A Petition for an Adult-at-Risk Protective Restraining Order shall include: 
 
(1) The name of the Adult-at-Risk 
 
(2) An allegation that:
 
(a) The respondent has abused, neglected, or exploited an Adult-at-Risk or
 
(b) The respondent has threatened to engage in abuse, neglect, or exploitation of an Adult-at-Risk or
 
(c) The respondent has interfered with an Adult-at-Risk protection investigation or the delivery of Adult-at-Risk protective services and, if continued, will make it difficult to determine whether abuse, neglect, or exploitation occurred or is likely to reoccur or
 
(d) The respondent, based upon prior conduct, may interfere with an Adult-at-Risk protection investigation or the delivery of Adult-at-Risk protective services and if interference were to occur it would be difficult to determine whether abuse, neglect, or exploitation occurred or is likely to reoccur  
 
(3) The name, mailing address, physical address, age of the respondent, and his or her relationship to the Adult-at-Risk.
b. A supplemental document shall be filed with the Court containing the address of where the petitioner would like to receive notices from the court, the petitioner&rsquos telephone number(s), and e-mail address if available. This information shall be kept confidential.  
 
c. A signed statement, or separate affidavit filed with the Petition, stating:
 
(1) In the petitioner&rsquos own words, the specific facts and circumstances of the alleged abuse, neglect, or exploitation of the Adult-at-Risk, including whether the Adult-at-Risk believes himself or herself to be in immediate danger of further abuse, neglect, or exploitation or 
 
(2) The specific facts and circumstances that led the petitioner to believe the respondent has, or will likely, interfere with either an Adult-at-Risk protection investigation or the delivery of Adult-at-Risk protective services.

d. A list of prior civil or criminal temporary restraining orders, injunctions, or no contact orders in other jurisdictions involving both the Adult-at-Risk and the respondent.