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Order Of Protection 068 - Tennessee

Order Of Protection Form. This is a Tennessee form and can be used in Protection Order Chancery Court Hamilton Local County .
 Fillable pdf Last Modified 7/6/2012
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Order of Protection Amended Order Petitioner is under 18 In the Court of County, TN Case # (the clerk fills this in): Petitioner (person needing protection) If Petitioner is under 18, insert child's name if filed on behalf of an unemancipated person (someone under 18 years of age) pursuant to legal guardian or a caseworker. TCA §36-3-602. This Request is being made by __________________________ who is child's parent or ______________ ________________________ last first middle Petitioner's Children under 18 Protected by this Order: Name 1. 2. Age Relationship to Respondent Name 3. 4. Age Relationship to Respondent Respondent's Information (person you want to be protected from): first middle last _ date of birth (MM/DD/YYYY) street address city Employer's name state Employer's phone # zip Respondent's Employer: Describe Respondent: Sex Male Female Race White Asian Black Hispanic Other: Hair Black Grey Blond Bald Brown Other: Eyes Brown Hazel Blue Green Grey Other: Height ­ Weight ­ SSN ­ Other Height Social Sec. # (If known) Scars/Special Features Phone Number Weight Petitioner's relationship to the Respondent (Check all that apply): We are married or used to be married. We live together or used to live together. We have a child together. We are dating, used to date, or have had sex. We are relatives, related by adoption, or are/were in-laws. (Specify): We are the children of a person whose relationship is described above (Specify): The Respondent has stalked me. The Respondent has sexually assaulted me. Other: Findings About Abuse: 1. 2. The Court has jurisdiction over the parties and this case. The Respondent was given reasonable notice of the hearing and an opportunity to be heard. Warning! Weapon involved Has or owns a weapon Based on the information in the Petition, and the hearing held, the court finds that the Respondent: Did the things listed in the Petition and the court adopts these as facts and incorporates them by reference, AND/OR Did the following things: AND there is credible evidence that Respondent is a threat to the safety of the Petitioner and 3. Respondent has specifically: (check all that apply): Abused/Threatened to Abuse Sexually Assaulted the Petitioner AND Petitioner's Minor Children. Petitioner's Minor Children. Stalked 06/10/11 This is a Court Order. Order of Protection page 1 American LegalNet, Inc. www.FormsWorkFlow.com Findings about the minor children of the parties: (check one): The Court has jurisdiction over custody for the child(ren) of the parties because his/her/their home state is Tennessee. The Court has temporary emergency jurisdiction over custody for the children of the parties listed above because they are in Tennessee now, and they (or the Petitioner) were at risk. (If another state has jurisdiction over child custody under UCCJEA, this Court's temporary jurisdiction will end on or when the other state's Court makes an order.) Findings About Firearms: The Respondent (check all that apply): Has no firearms Has firearms that he/she must give to someone else who is allowed to have them (TCA § 36-3-625). Has firearms that are registered under the National Firearms Act and must be either transferred to a responsible third party, or locked in a safe or other secure container to which the Respondent does not have access. A state or federal agency must give its approval before the firearms are turned in. Has a federal firearms license (FFL) or is a responsible party under an FFL, and has firearms under that FFL that qualify as business inventory, and (check one): There is no responsible party listed on the FFL other than the Respondent in this case. The Respondent must turn in or transfer all firearms inventory under his/her control to a separate FFL holder who is legally allowed to have firearms. There is another responsible party listed on the FFL other than the Respondent in this case. This Order does not require the Respondent to turn in or transfer the firearms inventory. Other Findings: Petitioner is a party to a lease or rental agreement and that continuing to reside in the rented or leased premises may jeopardize the life, health and safety of the petitioner or the petitioner's children. The Court orders Respondent to: Obey all orders on this form. Not abuse or threaten to abuse Petitioner or Petitioner's minor children. Not stalk or threaten to stalk Petitioner or Petitioner's minor children. Other Orders to the Respondent (Check all that apply): No Contact You must not come about the Petitioner (including coming by or to a shared residence) for any purpose and must not contact Petitioner AND Petitioner's children, either directly or indirectly, by phone, email, messages, text messages, mail or any other type of communication or contact. Stay Away You must stay away from the Petitioner's home Petitioner's workplace Children's home and workplace. Personal Conduct ­ You must not cause intentional damage to the Petitioner's (or Petitioner's children's) property or interfere with the utilities at their home(s). You must not hurt or threaten to hurt any animals owned or kept by the Petitioner/Petitioner's children. Counseling/Substance Abuse Programs You must go to the following program(s) and give the court proof that you have gone, participated and have made progress in this program (contact information): Parenting Time The Petitioner will have custody of the minor child(ren) in this case. You will have parenting time with your minor child(ren) at the following times: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 06/10/11 This is a Court Order. Order of Protection page 2 American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________________________________________________ __________________________________________________________________________________ Your parenting time will be supervised by: Exchange of the children will take place at and will happen as follows: at: . __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ The person in charge of getting the minor children to and from visitation will be: to the visits
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