A petition for a stay-away order and an order under the provisions of Article 10, paragraphs (2) through (4) must be made in writing and specify the following matters:
接近禁止命令及び第十条第二項から第四項までの規定による命令の申立ては、次に掲げる事項を記載した書面でしなければならない。
the circumstances in which the victim was subjected to physical violence, etc. by the spouse (including the circumstances in which the victim was subjected to the physical violence, etc. by a former spouse after the victim had obtained a divorce or annulment of marriage subsequent to being subjected to physical violence, etc. by the former spouse);
beyond what is set forth in the preceding item, sufficient circumstances at the time of the petition to find that there is a high likelihood of serious harm to the life, body, or mind of the victim due to further physical violence, etc. by the spouse;
when filing a petition for an order under Article 10, paragraph (3) (hereinafter referred to as a "paragraph (3) order" in this item and in Article 17, paragraphs (3) and (4)), sufficient circumstances at the time of the petition to find it necessary to issue the paragraph (3) order to prevent the victim from being compelled to meet the spouse with regard to the child who lives with the victim;
when filing a petition for an order under Article 10, paragraph (4), sufficient circumstances at the time of the petition to find it necessary to issue the order to prevent the victim from being compelled to meet the spouse with regard to the relative, etc.; and
whether the victim has received counseling or requested assistance or protection from the staff of a spousal violence counseling and support center or police personnel concerning the matters set forth in the preceding items, and, if so, the following matters:
配偶者暴力相談支援センターの職員又は警察職員に対し、前各号に掲げる事項について相談し、又は援助若しくは保護を求めた事実の有無及びその事実があるときは、次に掲げる事項
the name of the spousal violence counseling and support center or the police station to which the police personnel belongs;
当該配偶者暴力相談支援センター又は当該警察職員の所属官署の名称
the date, time and location of the counseling or request for assistance or protection;
相談し、又は援助若しくは保護を求めた日時及び場所
the details of the counseling or the requested assistance or protection; and
相談又は求めた援助若しくは保護の内容
the details of the measures taken in response to the counseling or the petitioner's request.
相談又は申立人の求めに対して執られた措置の内容
A petition for an eviction order must be made in writing and specify the following matters:
退去等命令の申立ては、次に掲げる事項を記載した書面でしなければならない。
the circumstances in which the victim was subjected to physical violence or life-threatening intimidation, etc. by the spouse (including circumstances in which the victim was subjected to physical violence or life-threatening intimidation, etc. by a former spouse after the victim had obtained a divorce or annulment of marriage subsequent to being subjected to physical violence or life-threatening intimidation, etc. by the former spouse);
beyond what is set forth in the preceding item, sufficient circumstances at the time of the petition to find that there is a high likelihood of serious harm to the life or body of the victim as a result of further physical violence by the spouse; and
whether the victim has received counseling or requested assistance or protection from the staff of a spousal violence counseling and support center or police personnel concerning the matters set forth in the preceding two items, and, if so, the following matters:
配偶者暴力相談支援センターの職員又は警察職員に対し、前二号に掲げる事項について相談し、又は援助若しくは保護を求めた事実の有無及びその事実があるときは、次に掲げる事項
the name of the spousal violence counseling and support center or the police station to which the police personnel belongs;
当該配偶者暴力相談支援センター又は当該警察職員の所属官署の名称
the date, time and location of the counseling or request for assistance or protection;
相談し、又は援助若しくは保護を求めた日時及び場所
the details of the counseling or the requested assistance or protection; and
相談又は求めた援助若しくは保護の内容
the details of the measures taken in response to the counseling or the petitioner's request.
相談又は申立人の求めに対して執られた措置の内容
If a written document referred to in the preceding two paragraphs (hereinafter a "written petition") does not contain a matter set forth in paragraph (1), items (v), (a) through (d) or in items (iii), (a) through (d) of the preceding paragraph, the petitioner must attach to the written petition documents or electronic or magnetic records in which statements by the petitioner with regard to the matters set forth in paragraph (1), items (i) through (iv) or items (i) and (ii) of the preceding paragraph are written or recorded, certified pursuant to the provisions of Article 53, paragraph (1) or Article 59, paragraph (3) of the Notary Act (Act No. 53 of 1908).