In the matter of the application of
[Name of Petitioner]
vs.
[Name of Respondent / Detaining Authority]
Case No.:
TO THE HONORABLE [COURT NAME]:
The undersigned petitioner, [Petitioner's Name], respectfully petitions this Honorable Court as follows:
WHEREFORE, Petitioner respectfully prays that this Honorable Court:
Respectfully submitted,
___________________________
[Petitioner's Name]
Date: