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Petition For Order Of Protection A CCG N800 - Illinois
| Petition For Order Of Protection A Form. This is a Illinois form and can be used in General Cook Local County . |
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Petition: 1 of 5 Pages 0007 3501 Print Form Clear Form (2/28/05) CCG N800 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People ex rel. _____________________________________________ ______________________________________________ on behalf of _____________________________________ self and/or on behalf of ____________________________________________________ Petitioner v. Case No. ____________________________ Independent Proceeding Other Civil Proceeding (specify) ______________________________ Criminal Proceeding Juvenile Proceeding ____________________________________________________ Respondent PETITION FOR ORDER OF PROTECTION (Fill in lines and check boxes as applicable) Now comes the Petitioner ___________________________________________________ on his/her own behalf or on behalf of ____________________________________________________, a minor child, or on behalf of ______________________ ______________________________________________, an adult who cannot file a petition because of age, health, disability or inaccessibility on his/her own behalf, pursuant to the Illinois Domestic Violence Act (IDVA), and moves this Honorable Court to issue an Order of Protection in this cause and in support thereof states as follows: ALLEGATIONS THIS COURT HAS JURISDICTION OF THE SUBJECT MATTER AND OVER ALL NECESSARY PERSONS, WITH APPROPRIATE VENUE, BECAUSE: A. Petitioner resides at ___________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of ____________________; OR Petitioner resides at ___________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of ___________________; and __________________________________, the person on whose behalf this Petition is brought, resides at _____________________________________________________, (Street Address, City) in the County of _______________________ State of ____________________; OR Petitioner's address is omitted pursuant to statute. [Alternative address for notice of any motion is _____________________________ ______________________________________________________________________________________________________ .] B. Respondent resides at ____________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of _____________________________. C. Respondent stands in relationship to the Petitioner or alleged abused person/as: Spouse; Child; Sharing or formerly sharing a common dwelling; Sharing a blood relationship through a child; Former spouse; Having or allegedly having a child in common; Having or having had a dating or engagement relationship; Personal assistant to person with disabilities or a person who has responsibility for a high-risk adult with disabilities; Parent; Stepchild; Other person related by blood or marriage. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS 1. CLERK OF THE CIRCUIT COURT Case No. _________________________________ Petition: 1 of 5 Pages 0007 3501 (2/28/05) CCG N800 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People ex rel. _____________________________________________ ______________________________________________ on behalf of _____________________________________ self and/or on behalf of ____________________________________________________ Petitioner v. Case No. ____________________________ Independent Proceeding Other Civil Proceeding (specify) ______________________________ Criminal Proceeding Juvenile Proceeding ____________________________________________________ Respondent PETITION FOR ORDER OF PROTECTION (Fill in lines and check boxes as applicable) Now comes the Petitioner ___________________________________________________ on his/her own behalf or on behalf of ____________________________________________________, a minor child, or on behalf of ______________________ ______________________________________________, an adult who cannot file a petition because of age, health, disability or inaccessibility on his/her own behalf, pursuant to the Illinois Domestic Violence Act (IDVA), and moves this Honorable Court to issue an Order of Protection in this cause and in support thereof states as follows: ALLEGATIONS THIS COURT HAS JURISDICTION OF THE SUBJECT MATTER AND OVER ALL NECESSARY PERSONS, WITH APPROPRIATE VENUE, BECAUSE: A. Petitioner resides at ___________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of ____________________; OR Petitioner resides at ___________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of ___________________; and __________________________________, the person on whose behalf this Petition is brought, resides at _____________________________________________________, (Street Address, City) in the County of _______________________ State of ____________________; OR Petitioner's address is omitted pursuant to statute. [Alternative address for notice of any motion is _____________________________ ______________________________________________________________________________________________________ .] B. Respondent resides at ____________________________________________________________________________________, (Street Address, City) in the County of _______________________ State of _____________________________. C. Respondent stands in relationship to the Petitioner or alleged abused person/as: Spouse; Child; Sharing or formerly sharing a common dwelling; Sharing a blood relationship through a child; Former spouse; Having or allegedly having a child in common; Having or having had a dating or engagement relationship; Personal assistant to person with disabilities or a person who has responsibility for a high-risk adult with disabilities; Parent; Stepchild; Other person related by blood or marriage. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS 2. PETITIONER'S COPY Case No. __________________________________ Petition: 1 of 5 Pages 0007 3501 (2/28/05) CCG N800 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People ex rel. _____________________________________________ ______________________________________________ on behalf of _____________________________________ self and/or on behalf of __
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