[Fill in the spaces next to the instructions. Attach copies of the indicated
documents and mark them as exhibits. Sign your name in the presence of a
notary public]
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
[1. Index No. & Year]
,
Index No.
[2. Fill in name(s)]
Plaintiff(s)/Petitioner(s)
/
AFFIDAVIT IN SUPPORT
-against-
OF TEMPORARY
RESTRAINING ORDER
,
AGAINST A PUBLIC
[3. Fill in name(s)]
Defendant(s)/Respondent(s)
OFFICER, BOARD, OR
MUNICIPAL
CORPORATION
-----------------------------------------------------------------------------x
STATE OF NEW YORK,
COUNTY OF
ss:
[4. Your name]
, being duly sworn,
deposes and says:
I am the [5. Circle one] plaintiff/defendant/petitioner/respondent, in this [6. Circle
one] action/special proceeding. I make this affidavit in support of my motion for a
temporary restraining order against
[7. Insert the name of the public entity against
whom you want the temporary restraining order]
On [8. Insert date and time of conversation]
at
.
I spoke to [9. Insert name of the person you spoke to]
who is the [10. Insert person’s official title]
of the [11. Insert Name of the public entity]
and advised [12. Circle one] him/her that I would be making an application (a motion)
for injunctive relief and a TRO regarding the public entity [13. Circle one] he/she is