IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT _____________________COUNTY, ILLINOIS _______________________________________ Petitioner [ ] on behalf of: [ ] a minor child, or [ ] an adult who because of age, disability, health, or Inaccessibility cannot file the Petition (name(s) listed below) ________________________________________________ ________________________________________________ Name(s) of additional Petitioner(s) □ □ □ Independent Criminal Juvenile (file stamp) vs. Case Number _______________ _______________________________________ ORDER FOR EXTENSION AND/OR MODIFICATION OF [ ] EMERGENCY [ ] INTERIM ORDER OF PROTECTION The Court finds that: [ ] an emergency order [ ] an interim order was entered on______________________________, 20_____. The Court having jurisdiction of the subject matter and the parties, it is hereby ordered that: □ 1. An extension of the [ ] emergency order [ ] interim order is hereby granted to ,20 at .m. □ 1.(a) The motion to extend the [ ] emergency order [ ] interim order is denied. □ 2. A hearing on the [ ] emergency order [ ] interim order [ ] petition for plenary order is set for _______________________________,20_____at _______ .m., in the ________________________County Courthouse, _________________________, Illinois. □ 3. The [ ] emergency order [ ] interim order is vacated. □ 4. The [ ] emergency order [ ] interim order is modified as follows:___________________ ____________________________________________________________________________ ____________________________________________________________________________ Order to be served on Respondent. __________________________________ JUDGE Date: ______________________________ Page 1 of 2 3/3/10 Order extend or modify emg or interim OP 49A American LegalNet, Inc. www.FormsWorkFlow.com I certify that I served this order on the Respondent as follows: (a) - (Individual Respondent - personal): By leaving a copy and a copy of the order with the respondent personally, as follows: Name of Respondent Date of Service _________________________________________ ________________________________________ (b) - (Individual Respondent - abode): By leaving a copy of the order at the usual place of abode of the respondent with a person of his family, of the age of 10 years or upwards, informing that person of the contents of the order, and also by sending a copy of the order in a sealed envelope with postage fully prepaid, addressed to the respondent at his usual place of abode, as follows: Name of Respondent Person with whom left Date of Service Date of Mailing ______________________ ______________________ _________________ _________________ (c) - (Other service): _________________________________, Sheriff of _______________________________County, IL By ___________________________Deputy SHERIFF’S FEES Service and return……………………$_______________ Miles…………………………………$_______________ Mailing Expense……………………..$_______________ Total………………………………………………………….$_______________ _______________________________ Sheriff of___________________County, IL Page 2 of 2 3/3/10 Order extend or modify emg or interim OP 49A American LegalNet, Inc. www.FormsWorkFlow.com