Free CCG N801 A 6-06-7 8 ½ x 11.pmd - Illinois

Emergency Order of Protection: 1 of 3 Pages

CCG N801 A-15M-6/06/07
(This form replaces CCG 96-01)

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
People ex rel. ___________________________________________ Case No. _____________________________________ Independent Proceeding Other Civil Proceeding (Specify)

____________________________________________ on behalf of ______________________________________ self and/or behalf of ______________________________________________________
Petitioner
v.

________________________________

Criminal Proceeding Juvenile Proceeding LEADS NO. __________________________________

______________________________________________________
Respondent

_________________________________________________________________________________________________________________________________________
PETITIONER ADDRESS CITY/STATE/ZIP

(Check if omitted pursuant to Statute) _________________________________________________________________________________________________________________________________________

RESPONDENT

ADDRESS

CITY/STATE/ZIP

________________________________________________________________________________________________________________________________________
Birthdate Sex
M
(Required for LEADS) ________________________________________________________________________________________________________________________________________

Race

Height

Weight

Hair

Eyes

EMERGENCY ORDER OF PROTECTION
CRIM CODE 952 CIVIL CODE 4553 ANY KNOWING VIOLATION OF ANY ORDER OF PROTECTION FORBIDDING PHYSICAL ABUSE, NEGLECT, EXPLOITATION, HARASSMENT, INTIMIDATION, INTERFERENCE WITH PERSONAL LIBERTY, WILLFUL DEPRIVATION, OR ENTERING OR REMAINING PRESENT AT SPECIFIED PLACES WHEN THE PROTECTED PERSON IS PRESENT OR GRANTING EXCLUSIVE POSSESSION OF THE RESIDENCE OR HOUSEHOLD, PROHIBITING ENTERING OR REMAINING AT THE HOUSEHOLD WHILE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS AND SO CONSTITUTING A THREAT TO THE SAFETY AND WELL-BEING OF ANY PROTECTED PERSON, OR GRANTING A STAY AWAY ORDER, IS A CRIMINAL OFFENSE. GRANT OF EXCLUSIVE POSSESSION OF THE RESIDENCE OR HOUSEHOLD SHALL CONSTITUTE NOTICE FORBIDDING TRESPASS TO LAND. ANY KNOWING VIOLATION OF ANY ORDER AWARDING LEGAL CUSTODY OR PHYSICAL CARE OF A CHILD, OR PROHIBITING REMOVAL OR CONCEALMENT OF A CHILD MAY BE A CLASS 4 FELONY. ANY WILLFUL VIOLATION OF ANY ORDER IS CONTEMPT OF COURT. ANY VIOLATION MAY RESULT IN A FINE OR IMPRISONMENT. STALKING IS A FELONY.

Any order of protection which would expire on a court holiday shall instead expire at the close of the next court business day. 750 ILCS 60/220 (f)

The following persons are protected by this Order:

___________________________________________________________________

____________________________________________________________________________________________________________
"The minor child/ren" referred to herein are: _____________________________________________________________________________

_____________________________________________________________________________________________________________
Date, time and place for further hearing: Date: ________________________________ Time:

_______________

Courtroom/Calendar No.: Location:

_______________________

______________________________________________________________________________________________________________
This Order was issued on: Date: ___________________________ Time: ________________ This Order will be in effect until: Date:_________________________ Time:________________

___________________________________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
1. CLERK OF THE CIRCUIT COURT

Emergency Order of Protection: 2 of 3 Pages

CCG N801 B-15M-2/24/05 (
(This form replaces CCG 96-02)

)

Any order of protection which would expire on a court holiday shall instead expire at the close of the next court business day. 750 ILCS 60/220 (f)
BASED ON THE FINDINGS OF THIS COURT, WHICH WERE MADE ORALLY FOR TRANSCRIPTION, OR WHICH ARE SET OUT IN A SEPARATE INSTRUMENT FILED WITH THE COURT, AND WITH THE COURT HAVING JURISDICTION OF THE SUBJECT MATTER AND OVER ALL NECESSARY PARTIES, IT IS HEREBY ORDERED THAT:

1. With respect to all Protected Persons, Respondent is prohibited from committing the following: Physical abuse; Willful deprivation; Harassment; Neglect; Interference with personal liberty; Exploitation; Intimidation of a dependent; Stalking.

2. Petitioner is granted exclusive possession of the residence and Respondent shall not enter or remain in the household or premises located at:

__________________________________________________________________________________________________.
[This remedy does not affect title to property]

3.

a. Respondent is ordered to stay away from Petitioner and other protected persons; and/or b. Respondent is prohibited from entering or remaining at ______________________________________________________

____________________________________________________________ while any Protected Person is present; and/or ________________________________________________________________________________________________ c. Respondent is allowed access to the residence on (date) __________________ at (time) ______________in the presence of (name) _______________________________ to remove items of clothing, personal adornments, medications used exclusively by the Respondent and other items, as follows: ________________________________________________________________.
5. a. Petitioner is granted physical care and possession of the minor child/ren; and/or b. Respondent is ordered to:

__________________________________________________________ to the physical care of ________________________________________________________; and/or not remove the minor child/ren ________________________________________________________________ from the physical care of Petitioner or __________________________________________________________________.
return the minor child/ren 7. a. Respondent is 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 is restricted as follows:

_________________________________________________________________________________________________ ___________________________________________________________________________________________________.
c. Respondent's visitation is reserved/denied. (Petitioner may deny Respondent access to the minor child/ren if, when Respondent arrives for visitation, Respondent is under the influence of drugs or alcohol and constitutes a threat to the safety and well-being of Petitoner or Petitoner's minor child/ren or is behaving in a violent or abusive manner.) 8. Respondent is prohibited from removing the minor child/ren from Illinois or concealing them within Illinois.
9. Respondent is ordered to appear in Courtroom/Calendar

___________________________ at ____________________________ __________________________ on __________________________ at _____________ a.m./p.m., with/without the minor child/ren.

10. Petitioner is granted exclusive possession of the following personal property and the Respondent is ordered to promptly make available to Petitioner said property that is in Respondent's possession or control, to wit:

_________________________________________________________________________________________________ ____________________________________________________________________________________________.
[This remedy does not affect title to property]

11. Respondent is prohibited from taking, encumbering, concealing, damaging or otherwise disposing of the following personal property:

________________________________________________________________________________________________ ______________________________________________________________________, except as explicitly authorized by the Court.
Further, Respondent is prohibited from improperly using the financial or other resources of an aged member of the family or household for the profit or advantage of Respondent or any other person. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Case No. ____________________________

Emergency Order of Protection: 3 of 3 Pages

CCG N801 C-30M-12/14/04 (
(This form replaces CCG 96-01)

)

Any order of protection which would expire on a court holiday shall instead expire at the close of the next court business day. 750 ILCS 60/220 (f) `

Case No. __________________________

14. Respondent is 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.

15. Respondent is denied access to school and/or any other records of the minor child/ren and is prohibited from inspecting, obtaining, or attempting to inspect or obtain such records. 17. Respondent is further ordered and/or enjoined as follows:

_________________________________________________________________________________________________ ________________________________________________________________________________________________
18. The relief requested in paragraph(s) ___________________________________ of the petition is (DENIED) (RESERVED), because:

________________________________________________________________________________________________ _____________________________________________________________________________________________
"This Order of Protection is enforceable, even without registration, in all 50 states, the District of Columbia, tribal lands, and the U.S. territories pursuant to the Violence Against Women Act (18 U.S.C. 2265). Violating this Order of Protection may subject the Respondent to federal charges and punishment (18 U.S.C. 2261-2262)."

NOTICE: Upon 2 days notice to Petitioner, or such shorter notice as the Court may prescribe, a Respondent subject to an Emergency Order of Protection issued under the IDVA may appear and petition the Court to re-hear the original or amended petition. Respondent's petition shall be verified and shall allege lack of notice and a meritorious defense.

Date:

_______________________________________

_____________________________________________
Judge Judge's No.

Atty. No. ___________________ Attorney (or Pro Se Petitioner) Name: _________________________________ Address: _______________________________________________________ State/City/Zip: __________________________________________________ Phone: ________________________________________________________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS