Georgia > Statewide > Superior Court > Protective Orders
Family Violence Ex Parte Protective Order - Georgia
| Family Violence Ex Parte Protective Order Form. This is a Georgia form and can be used in Protective Orders Superior Court Statewide . |
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ORI Num ber _________________ THE SUPERIOR COURT FOR THE COUNTY OF_________________ STATE OF GEORGIA _________________________, : Petitioner, : Civil Action File v. : No. _____________________________________________, : Respondent. : FAMILY V IOLENCE EX P ARTE PROTEC TIVE ORDER The Petitioner having prayed pursuant to O.C.G.A. 19-13-1 et seq., that a ProtectiveOrder be issued; and alleged that Respondent has committed acts of Family Violence and thatPetitioner is in reasonable fear of the Petitioners safety and the safety of Petitioners child/ren;and it appearing to the Court that probable cause exists that family violence has occurred in thepast and may occur in the future, IT IS HEREBY ORDERED AND ADJUDGED: 1. That these proceedings be filed in the office of the Clerk of this Court. 2. That this Order applies in every county throughout the state and it shall be the duty of every court and every law enforcement official to enforce and carry out the provisions of this Order pursuant to O.C.G.A. 19-13-4(d). Law Enforcement officers may use their arrest powers pursuant to O.C.G.A. 19-13-6 and 17-4-20 to enforce the terms of this Order. 3. That a copy of this Order be given to law enforcement and the Respondent be served with a copy of this Order and Petition for Temporary Protective Order instanter. 4. That the Respondent appear before this Court, on the ___ day of _________, 20____ at _____ __. m. in room ________ of the ________________ County Courthouse at _______________________________ to show cause why the requests of the Petitioner should not be granted. 1 <<<<<<<<<********>>>>>>>>>>>>> 2 CIVIL ACTION FILE NO. ______________ 5. That Respondent is hereby enjoined and restrained from doing, or attempting [pco01] to do, or threatening to do, any act of injury, maltreating, molesting, following, harassing, harming or abusing the Petitioner and/or the minor child/ren in any manner. Respondent is not to interfere with Petitioners travel, transportation, or communication. Respondent shall not follow, place under surveillance, or contact the Petitioner at any place of the Petitioner for the purpose of harassing and intimidating the Petitioner. 6. That the Respondent is enjoined and restrained from doing or threatening to do [pco02] any act of injury, maltreating, molesting, harassing, harming, or abusing the Petitioners family or household. 7. That this Court determined that it had jurisdiction over the parties and the subject matter under the laws of the State of Georgia and the Court ordered that the Respondent be given reasonable notice and opportunity to be heard sufficient to protect the Respondents due process rights. This Order shall be presumed valid and pursuant to 18 U.S.C. 2265(a) shall be accorded full faith and credit by any other state or local jurisdiction and shall be enforced as if an Order of the enforcing state or jurisdiction. ONLY THE FOLLOWING THAT ARE INITIALED BY THE JUDGE SHALL APPLY. _____ 8. That until further Order by this Court, Petitioner is awarded sole and exclusive use [pco03] of the family residence at ____________________________________________._____ 9. Respondent is ordered to leave the family residence immediately and law enforcement ________________ (sheriff or police department) is ordered to assist Petitioner in returning to the family residence and the removal of the Respondent. Respondent is to immediately surrender to law enforcement _________________ (sheriff or police department) all and any keys, garage door openers and other security devices to the family residence and law enforcement is to insure that these are given to the Petitioner. _____ 10. Respondent is ordered to provide suitable alternate housing for Petitioner and/or Petitioners children by _____________________, 20_____. 2 <<<<<<<<<********>>>>>>>>>>>>> 3 CIVIL ACTION FILE NO. ___________________ 11. Petitioners address is ordered to be kept confidential. _____ 12. Respondent is ordered to stay away from Petitioners and Petitioners minor [pco04] child/rens residence at ______________________________________________ and workplace at ________________________ or school and any subsequent residence or workplace or school of Petitioner and/or Petitioners minor child/ren._____ 13. That until further Order of this Court, Respondent is restrained and enjoined from [pco01,04]approaching within _______ yards of Petitioner and/or Petitioners minor child/ren._____ 14. Respondent is ordered not to have any contact, direct, indirect or through another [pco05] person with Petitioner, by telephone, pager, fax, e-mail or any other means of communication except as specified in this Order. _____ 15. That Petitioner is awarded temporary custody of the minor child/ren, namely: _______________________________ DOB ____ sex ____ _______________________________ DOB ____ sex ____ _______________________________ DOB ____ sex ____ _______________________________ DOB ____ sex ____ Respondent is ordered not to interfere with the physical custody of the child/ren._____ [pco06] Check here only if Respondent is awarded temporary custody of child/ren. _____ 16. That Respondent is ordered to pay temporary child support for the minor child/ren to Petitioner in the amount of $________ every ________beginning __________, All payments shall be made by or to: ____ income deduction order ____ child support receiver ____ by mail directly to the Petitioner or ____ _____________________________ _____ 17. That Respondent is ordered to pay temporary support for the Petitioner in the amount of $___________ every _____________beginning _________________ All payments shall be made by or to: ____ income deduction order ____ child support receiver ____ by mail directly to the Petitioner or ____ _____________________________ 3 <<<<<<<<<********>>>>>>>>>>>>> 4 CIVIL ACTION FILE NO. ___________________ 18. That Respondent, only when accompanied by local law enforcement, shall be able to remove his/her clothing and personal items from the residence as follows: ___________________________________________________________________ ___________________________________________________________________ On _________________, 20_____ at _________ am / pm._____ 19. That (Respondent)(Petitioner)(both Respondent and Petitioner) [strike through appropriate] is/are ordered not to sell, encumber, trade, damage, contract to sell, or otherwise dispose of or remove from the jurisdiction of this Court any of the property or pets of the Petitioner
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