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Petition For Order Of Protection E CCG N800 - Illinois
| Petition For Order Of Protection E Form. This is a Illinois form and can be used in General Cook Local County . |
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Petition: 5 of 5 Pages 7. Print Form Clear Form (2/28/05) CCG N800 E a. Respondent should be awarded visitation rights on the following dates and times or under the following conditions or parameters: (No order shall merely refer to the term "reasonable visitation".) _______________________________________________________________________________________ ____________________________________________________________________________________________. b. Respondent's visitation should be restricted as follows: _____________________________________________________________________________________ ___________________________________________________________________________________________. 8. 9. 10. c. Respondent's visitation should be denied. Respondent should be prohibited from removing the minor child/ren from Illinois or concealing them within Illinois. Respondent should be ordered to appear in this Court with/without the child/ren on a date certain. Petitioner should be granted exclusive temporary possession of the following personal property and the Respondent should be ordered to deliver to Petitioner said property that is in Respondent's possession or control, to wit: __________________________________________________________________________________________________ ________________________________________________________________________________________________. 11. Respondent should be ordered not to take, encumber, conceal, damage or otherwise dispose of any of the following real or personal property, 12. _____________________________________________________________________________________________ ________________________________________________________________________________________________. Respondent should be ordered to pay temporary support for Petitioner and/or the minor child/ren of the parties as follows $ ____________ per_________________, starting __________________________ payable through the Clerk of the Circuit Court, or directly to wit: to Petitioner. (Not available in Emergency Order) Respondent should be ordered to pay $ ____________ respecting losses and expenses within the scope of Sec. 214(b)(13) of the IDVA to __________________________ on or before ________________________. (Not available in Emergency Order) 13. 14. Respondent should be prohibited from entering or remaining at the household or residence located at ____________________________ __________________________________________________________________________________________ while under the influence of alcohol or drugs and so constituting a threat to the safety and well-being of any Protected Person. 14.5. Respondent must be ordered to surrender any and all firearms to the local law enforcement agency (i.e., police department). If the Respondent is a law enforcement officer, any and all firearms must be surrendered to Respondent's employer. (All surrendered firearms shall remain confiscated for a period not to exceed two (2) years.) 15. Respondent should be denied access to school or any other records of the minor child/ren and prohibited from inspecting, obtaining or attempting to inspect or obtain such records. 16. Respondent should be ordered to pay $ ______________ to the following shelter ________________________________________ 17. on or before _____________________________. (Not available in Emergency Order) Respondent should be further enjoined as follows: ______________________________________________________________________________________________ ________________________________________________________________________________________________ ______________________________________________________________________________________________ ________________________________________________________________________________________________ __________________________________________________ Signature of Attorney or State's Attorney _____________________________________________ Signature of Petitioner UNDER THE PENALTIES OF PERJURY AND AS PROVIDED BY LAW PURSUANT TO SECTION 1-109 OF THE CODE OF CIVIL PROCEDURE, THE UNDERSIGNED CERTIFIES THAT THE STATEMENTS SET FORTH IN THIS INSTRUMENT ARE TRUE AND CORRECT, EXCEPT AS TO MATTERS STATED TO BE ON INFORMATION AND BELIEF AND AS TO SUCH MATTERS THE UNDERSIGNED BELIEVES THE SAME TO BE TRUE. Dated: ______________________________, ___________ __________________________________________ Signature of Petitioner Atty. No.: _________________ Attorney (or Pro Se Petitioner): Name: _________________________________________________ _______________________________________________ City/State/Zip: ___________________________________________ Telephone: _____________________________________________ Address: DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Case No. 1. CLERK OF THE CIRCUIT COURT _______________________________ Petition: 5 of 5 Pages 7. (2/28/05) CCG N800 E a. Respondent should be awarded visitation rights on the following dates and times or under the following conditions or parameters: (No order shall merely refer to the term "reasonable visitation".) ________________________________________________________________________________________ ___________________________________________________________________________________________. b. Respondent's visitation should be restricted as follows: ________________________________________________________________________________________ ____________________________________________________________________________________________. 8. 9. 10. c. Respondent's visitation should be denied. Respondent should be prohibited from removing the minor child/ren from Illinois or concealing them within Illinois. Respondent should be ordered to appear in this Court with/without the child/ren on a date certain. Petitioner should be granted exclusive temporary possession of the following personal property and the Respondent should be ordered to deliver to Petitioner said property that is in Respondent's possession or control, to wit: __________________________________________________________________________________________________ ________________________________________________________________________________________________. 11. Respondent should be ordered not to take, encumber, conceal, damage or otherwise dispose of any of the following real or personal property, 12. _____________________________________________________________________________________________ _______________________________________________________
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