[Name of Person Sending Letter]

[Address of Person Sending Letter]

[Date]

[Name of Spouse]
[Address of Spouse]

Dear [Name of Spouse]:

I am writing you this letter to document a period of verbal harassment I received from you
during [Specify Time Frame (ie. the last six weeks)].

Such conduct has caused me to suffer severe humiliation and embarrassment, emotional distress,
and physical discomfort. I have had to receive treatment from a physician for my injuries.

Please treat this as my final demand for you to cease and desist perpetrating any conduct of a
threatening nature upon me. This includes verbal threats, abusive language, and physical contact.
In the event this request is ignored, be assured I will call the police and seek a temporary order of
protection in the family court. This order may, among other things, prohibit you from remaining
in our marital residence. I have consulted an attorney who will file criminal charges as well as a
civil lawsuit grounded in assault and battery, not to mention a request for the police to arrest you.

Hopefully, all of this will not be necessary. I suggest you hire an attorney to contact my lawyer
within the next several days in the amicable attempt to resolve our marital difficulties and avoid
expensive and protracted legal intervention.

Yours truly,

[Name]

cc: [Name of Person's Attorney]

Send certified mail, return receipt requested.