Missouri > Local Circuit Courts > 13th Circuit > Boone County
Adult Abuse Of Stalking Motion For Renewal Of Full Order Of Protection - Missouri
| Adult Abuse Of Stalking Motion For Renewal Of Full Order Of Protection Form. This is a Missouri form and can be used in Boone County 13th Circuit Local Circuit Courts . |
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IN THE ______ JUDICIAL CIRCUIT COURT, _____________________________, MISSOURI Judge or Division: Case Number: Court ORI Number: MSHP Number: Petitioner: vs. Respondent: Alias/Nicknames: Responsible Law Enforcement ORI: Related Cases: Respondent's Home Address: (Date File Stamp) Home Phone Number: Respondent's DOB: Respondent's Work Address: Work Phone Number: Work Hours: Other Locations Where Respondent May Be Served: SSN (if known, last four digits): M Race: F Sex: Petitioner's Relationship to Respondent pursuant to 18 U.S.C. §§ 921(a)(32) and 922(g)(8) determination: Adults with child(ren) in common Spouse Adults, intimate residing/resided together Former spouse Adults are/were in a continuing social relationship of a romantic/intimate nature Adults related by blood. Define relationship: Adults related by marriage. Define relationship: Adults residing/resided together; no intimacy Stalking. Define relationship: Adult Abuse/Stalking Motion for Renewal of Full Order of Protection The Petitioner requests that the court renew the Full Order of Protection that was issued against Respondent on ___________________________ (date) and terminates on _____________________________ (date) for the reason that: The allegations in the petition for the order of protection still exist on this date. I still believe that I am in immediate and present danger of abuse. The following incidents of abuse have occurred since the date the petition was filed: ____________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Other reasons: ____________________________________________________________________________________ ____________________________________________________________________________________________________ Pursuant to 455.040 RSMo, Petitioner requests that the court renew the full order of protection for not less than 180 days and not more than one year. I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. NOTICE: Section 455.030.3 RSMo provides that a Petitioner seeking protection under the Adult Abuse Act is not required to reveal any current address or place of residence on this motion. Do not provide this information if doing so will endanger you. ___________________________________________ Date ___________________________________________ Petitioner's Signature ______________________________________________ Attorney's Name, Missouri Bar No., if Applicable ___________________________________________ Address (Optional) ______________________________________________ Address ___________________________________________ City, State and Zip ______________________________________________ City, State and Zip ___________________________________________ Telephone OSCA (12-09) AA25 (ASMR) 1 of 1 _______________________________________________ Telephone 455.030.3, 455.040 RSMo American LegalNet, Inc. www.FormsWorkFlow.com IN THE ______ JUDICIAL CIRCUIT COURT, ___________________________, MISSOURI Judge or Division: Case Number: Court ORI Number: Petitioner: MSHP Number: Responsible Law Enforcement ORI: Related Cases: (Date File Stamp) Adult Abuse Petitioner Information (Confidential Record) Petitioner has indicated that disclosure of his or her current address or place of residence may endanger him or her. This information must be maintained as Confidential and is for Court Use Only. Permanent Address: _____________________________________________ _____________________________________________ _____________________________________________ Daytime Phone Number: _______________________________ Evening Phone Number: _______________________________ Temporary and/or Mailing Address (if different from above): ____________________________________________ ____________________________________________ ____________________________________________ Daytime Phone Number: _______________________________ Evening Phone Number: _______________________________ Instructions to Clerk Maintain the closed portion(s) of the record in a sealed manila envelope within the file. The file can be maintained with other open records. If a request is made to review the open portion of the file, the envelope can be removed from the file. Access to the record must be restricted to avoid access to the closed portion of the record. OSCA (12-09) AA40A 1 of 1 455.030 RSMo American LegalNet, Inc. www.FormsWorkFlow.com BOONE COUNTY CIRCUIT CLERK Christy Blakemore 705 East Walnut Columbia, Mo. 65201 (573) 886-4000 Fax No. (573) 886-4044 Case No. ______________ Sheriff's Service Instructions Please complete the following information to assist the Sheriff's Department in serving a copy of the completed petition and the ex parte order of protection on the respondent. Please provide as much information as possible. Your Name Hours you can be reached at home Work Telephone Respondent's Name: Respondent's place of residence and directions to residence if outside of city limits: . Hours you can be reached at work Home Telephone Respondent's place of employment and directions if employed outside of city limits: Hours respondent can be served at work List any other place respondent may be found (friend's house, parent's house, etc.): BEFORE THIS ORDER BECOMES EFFECTIVE, IT MUST BE APPROVED BY THE JUDGE. DESCRIPTION OF RESPONDENT Height Weight Hair Color Hair Length __ _ Other Descriptions: Make, model, color and license number of vehicle respondent drives: ATTACH PHOTO IF AVAILABLE Family Clerks/Word/AA-CPSHERSER Rev 3/10 American LegalNet, Inc. www.FormsWorkFlow.com Case Number (For Court Use Only) ___________________________ CONFIDENTIAL CASE FILING INFORMATION SHEET DOMESTIC RELATIONS CASES ADULT ABUSE/STALKING Required at Case Initiation NOTICE TO LAW ENFORCEMENT: This is a confidential form and shall be used only to validate the electronic transfer of the case into the Missouri Uniform Law Enforcement System (MULES). DO NOT SERVE THIS FORM TO THE RESPONDENT. INSTRUCTIONS: Complete this form for all parties known at the time of filing. Provide the most appropriate Case Type and Party Type codes and descriptions. (Found on the Case Types List and Party Types List at www.courts.mo.gov on the Court Forms/Filing Information page.) If additional space is needed, complete additional Confidential Case Filing Information Sheets. N
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