Georgia > Statewide > Superior Court > Protective Orders
Family Violence Twelve Month Protective Order - Georgia
| Family Violence Twelve Month Protective Order Form. This is a Georgia form and can be used in Protective Orders Superior Court Statewide . |
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ORI Number THE SUPERIOR COURT FOR THE COUNTY OF STATE OF GEORGIA , ] Petitioner, ] Civil Act on File vs. ] No. , ] Respondent. ] FAMILY VIOLENCE TWELVE MONTH PROTECTIVE ORDER A hearing was held on this matter on . . for which theRespondent had notice as required by law and at which the I respondent appeared and/or had the opportunity to be heard and the Petitioner requested that the Protective Order entered in this case be continued. Having heard the evidence presented, reviewed the petition and the entire record concerning this case and for good cause shown, IT IS HERE BY 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 through out 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.CGA 19-13-4(d). Law Enforcement officers may use their arrest powers pursuant to O.CG.A. 19-13-6 and 17-4-20 to enforce the terms of this Order. 3. This Order shall be in effect for twelve(12) months from until . 4. That the Respondent has violated the Family Violence Act, at O.C.G.A. 19-13-1 pco 01 et seg., by committing family violence, has placed the Petitioner in reasonable fear for Petitioners safety, and represents a ere lible threat to the physical safety of Petitioner and/or Petitioners child/ren. Respondent is hereby enjoin ed and restrained from doing, or attempting to do, or threatening o do, any act of injury, maltreating, molesting, following, harassing, harming, or abnsing the Petitioner and/or the minor children in any manner. Respondent is not to interfere with Petitioners travel, transportation, or communication. Respond rat 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. 5. That the Respondent is enjoined and restrained from doing or attempting to do, or pco 02 threatening to do, any act of injury, maltreating, molesting, harassing, harming, or abusing the Petitioners family or household. 1 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 CIVIL ACTION FILE NO. 6. That this Court determined that it had jurisdicion over the parties and the subject matter under the laws of the State of Georgia and Respondent received reasonable notice and had the opportunity to be heard before this Order was issued sufficient to protect the Respondents due process rights and 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 7. Petitioner is awarded sole and exclusive possession of the residence at poo 03 8. 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 shall immediately surrender to law enforcem ent (sheriff or police department) all and any keys, garage door openers and other security devices to the family residence and lav enforcement shall insure that these are given to the Petitioner. 9. Respondent is ordered to stay away from Petitioners and Petitioners child/rens pco 04 residence and workplace and/or school and any subsequent residence or workplace or school of Petitioner and/or Petitioners minor child/ren. 10. Respondent is ordered to provide suitable alternate housing for Petitioner and/or Petitioners children by 11. That Respondent is restrained and enjoined from approaching within yards pco o1, pco 04 of Petitioner and/or Petitioners minor children 12. Respondent is ordered not to have any contact, direct, indirect or through another pco o5 person with Petitioner, by telephone, pager. Fax, e-mail or any other means of communication except as specified in this Order, 13. That Petitioner is awarded temporary custody of the minor child/ren. nam ely: DOB sex DOB sex DOB sex DOB sex Respondent is ordered not to interfere with the physical custody of the minor child/ren. pco.06 Initial here only if Respondent, is awarded temporary custody of the child/ren, 2 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 CIVIL ACTION FILE NO. 14. Respondent is ordered to pay to the Petitioner support for the minor child/ren in the a m ount of $ every beginning the of , . All payments are to be made by or to: income deduction order child support receiver by mail directly to the Petitioner or In determining child support the Court finds at follows: The gross income of the father is $ yearly or $ monthly. The gross income of the mother is $ yearly or $ monthly. The applicable percentages of obligors gross income to be considered by the trier of fact to determine child support are: One child 17 to 23 percent Four children 29 to 35 percent Two children 23 to 28 percent Five children 31 to 37 percent Three children 25 to 32, percent In this case child support is being determined for child/ren and the applicable percentage of gross income to be considered is t o percent. The court has considered the existence of special ciumrcstances, and has found that no special cir cum sta nces OR the f ollo w ing spe cia l c i rcu mstances exis t: 15. Respondent is ordered to pay temporary support for the Petitioner in the amount of beginnin $ every g . All payments are to be made by or to: income deduction order child support receiver by mail directly to the Petitioner or 16. Respondent shall have visitation with the minor child/ren according to the following schedule, beginning : : no visitation no visitation until supervised visitation, supervised by a third party as follows: visitation every other weekend from Friday at 6 p.m. until Sunday at 6 p.m., beginning, other visitation circumstances concerning how respondent shall pick up and return the minor child/ren shall be Strict compliance with this visitation provision shall not be a violation of the restraining provisions of this Order. 3 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 4 CIVIL ACTION FILE NO. 17. Respondent, only when accompanied by local law enforcement, shall be able to remove his/her clothing and personal items iron the residence as follows: 0n , 20 a
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