IN THE 38TH JUDICIAL CIRCUIT, CHRISTIAN COUNTY, MISSOURI

Petition for Order of Protection - Adult Notice to Petitioner: Respondent will receive a copy of this petition with service.

Relationship with Respondent

Residency

Custody

List only the children that the Petitioner and Respondent have in common. The court cannot change custody if a prior order regarding custody is pending or has been made.

It is in the best interest of the minor children that custody be awarded as follows:

Child #2

Child #3

Child #4

Who did each Child reside with during last six months

It is further requested that, upon the hearing of this cause, the court also issue a Full Order of Protection enjoining Respondent from the above acts for such time as is necessary to protect Petitioner and that the court: (one or more may be selected)

Custody

I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. I understand that a copy of this petition will be served on the respondent. BY TYPING IN YOUR NAME YOU SWEAR/AFFIRM UNDER PENALTY OF PERJURY THAT THESE FACTS ARE TRUE ACCORDING TO YOUR BEST KNOWLEDGE AND BELIEF.

NOTICE: Section 455.030.3, RSMo, provides that a Petitioner seeking protection under the Domestic Violence 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.

IN THE 38TH JUDICIAL CIRCUIT, CHRISTIAN COUNTY, MISSOURI

Petition for Order of Protection – Child

Notice to Petitioner: Respondent will receive a copy of this petition with service

Use this form when one child is involved with this case. Use CP42 for two to five children and CP41 for six to ten children.

Protected Child’s Relationship to Respondent pursuant to 18 U.S.C. §§ 921(a)(32) and 922(g)(8) determination:

Indicate any prior or pending custody court cases before, or orders entered by, this court or any other court involving the following parties. (If none, so state):

Additional Requests:

Child Support/Maintenance

Other Support

Counseling/Treatment

Costs/Fees

Other

I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. I understand that a copy of this petition will be served on the Respondent. BY TYPING IN YOUR NAME YOU SWEAR/AFFIRM UNDER PENALTY OF PERJURY THAT THESE FACTS ARE TRUE ACCORDING TO YOUR BEST KNOWLEDGE AND BELIEF.

NOTICE: Section 455.510.3, RSMo, provides that a Petitioner seeking protection under the Child Protection Orders Act is not required to reveal any current address or place of residence of the child(ren) on this petition. Do not provide this information if doing so will endanger the child(ren).

IN THE CIRCUIT COURT OF CHRISTIAN COUNTY, OZARK MISSOURI

ADDITIONAL INFORMATION FORM (IF NEEDED)

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.

NOTE: The full Social Security Number (SSN) is required pursuant to Court Operating Rule 4.07 if the party is a person and is reasonably available. This is a confidential document. This information is needed to open a case in the court’s case management system. While cases deemed public under Missouri statutes can be accessed through Case.net, the day and month of birth, SSN, and confidential addresses are NOT provided to the public through Case.net.

The following information regarding children is required. Complete this section for any child subject to the action of this case.

*MACSS – Missouri Automated Child Support System

Children: *For a Child Order of Protection we must have either a SSN or DOB, we prefer both.

*IMPORTANT: It is the parties’ responsibility to keep the court informed of any change of address or employment.*

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS

IN THE 38th JUDICIAL CIRCUIT, CHRISTIAN COUNTY, MISSOURI

Petition for Order of Protection - Child

Notice to Petitioner: Respondent will receive a copy of this petition with service. Use this form when two to five children are involved with this case. Use CP40 for one child and CP41 for six to ten children.

Protected Child’s Relationship to Respondent pursuant to 18 U.S.C. §§ 921(a)(32) and 922(g)(8) determination:

Protected Child 2

Protected Child 3:

Protected Child 4:

Protected Child 5:

11. Indicate any prior or pending custody court cases before, or orders entered by, this court or any other court involving the following parties. (If none, so state):

Other Support

I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. I understand that a copy of this petition will be served on the Respondent. BY TYPING IN YOUR NAME YOU SWEAR/AFFIRM UNDER PENALTY OF PERJURY THAT THESE FACTS ARE TRUE ACCORDING TO YOUR BEST KNOWLEDGE AND BELIEF.

NOTICE: Section 455.510.3, RSMo, provides that a Petitioner seeking protection under the Child Protection Orders Act is not required to reveal any current address or place of residence of the child(ren) on this petition. Do not provide this information if doing so will endanger the child(ren).