State of Alabama REQUEST FOR HEARING Unified Judicial System Form C-90A 8/17 (Elder Abuse Protection Order and Enforcement Act) 247247 38-9F-1 to 38-9F-12, Ala. Code 1975)Court Case Number IN THE CIRCUIT COURT OF COUNTY, ALABAMA (Name of County) v. . (Name of Plaintiff) (Name of Defendant) Pursuant to 247247 38-9F-1 to 247 38-9F-12, inclusive, Ala. Code 1975, I request a hearing on the Petition for Elder Abuse Protection Order filed on (date). (Signature of Defendant) (Printed Name of Defendant222s Attorney) (City) (State) (Zip Code) (Attorney222s Business Telephone Number) ORDER I grant deny the above Request for Hearing. (Signature of Judge) Original - Court Record Copy - Plaintiff American LegalNet, Inc. www.FormsWorkFlow.com