IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF _________________ ) ) ) ) ) ) ) ) ) ) ) )
_________________________________ Petitioner (your full name),
Case No. ___________________
v.
PETITION TO RENEW RESTRAINING ORDER (Family Abuse Prevention Act)
________________________________ Respondent (full name of person to be restrained).
NOTICE TO PETITIONER You must provide complete and truthful information. If you do not, the court may dismiss your restraining order and may also hold you in contempt. I am the Petitioner and I state the following information is true: 1. I reasonably fear further acts of abuse by the Respondent if the Restraining Order is not renewed because: (state why you are afraid Respondent will abuse you if the Restraining Order is not renewed. IMPORTANT: you do not need to show there have been new or other acts of abuse since the original Restraining Order.)
PETITION TO RENEW RESTRAINING ORDER - PAGE 1 OF 2
(FAPA 6/08)
I hereby ask the court to issue an Order renewing the Restraining Order in this matter that was signed on , 20 (date), for a period of one year, and continuing the security amount set forth in the original restraining order or in such other amount as the court deems appropriate.
Signature of Petitioner Print or Type Name of Petitioner STATE OF OREGON County of ) ) ) day of , 20 by
SIGNED AND SWORN to before me this
(Print Name of Petitioner)
NOTARY PUBLIC FOR OREGON/COURT CLERK My commission expires: Certificate of Document Preparation You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to for assistance in preparing this form. Submitted by: Print Name, Petitioner Attorney for Petitioner OSB No. (if applicable)
Address or Contact Address
City, State, Zip
Telephone or Contact Telephone Number
PETITION TO RENEW RESTRAINING ORDER - PAGE 2 OF 2
(FAPA 6/08)