Interim/Plenary Order of Protection (Page 1 of 4) (Rev. 08/05/15) CCG N805 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People ex rel. ___________________________________________ _____________________________________________ on behalf of ____________________________________ self and/or on behalf of ______________________________________________________ Petitioner v. ______________________________________________________ Respondent Petitioner Address q (Check if omitted pursuant to Statute) Respondent Birthdate (Required for LEADS) Case No. ______________________________ q Independent Proceeding q Other Civil Proceeding Specify ______________________________ q Criminal Proceeding q Juvenile Proceeding LEADS No. _____________________________ City/State/Zip Code Address Sex Race Height Weight City/State/Zip Code Hair Color Eye Color ORDER OF PROTECTION INTERIM PLENARY 953 q Crim 4552 q Civil 954 q Crim 4652 q Civil 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. A charge of violating this order of protection (720 ILCS 5/12-30) may subject respondent to gps monitoring pursuant to 730 ILCS 5/5-6-3. 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 ) (Definitions of prohibited conduct on reverse) The following persons are protected by this Order: _____________________________________________________________________ ____________________________________________________________________________________________________________ "The minor child/ren" referred to herein are: _________________________________________________________________________ ____________________________________________________________________________________________________________ The following animals are protected by this Order (Detail the animals by name, type and description): _____________________________ ___________________________________________________________________________________________________________ . 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: q Date: _____________________, ______ Time: ________________ q Vacated by court order: q Specified event: ___________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS American LegalNet, Inc. www.FormsWorkFlow.com DEFINITIONS PURSUANT TO THE ILLINOIS DOMESTIC VIOLENCE ACT 1. 2. 3. "Petitioner" may mean not only any named petitioner for the order of protection and any named victim of abuse on whose behalf the petition is brought, but also any other person protected by this Act. "Abuse" means physical abuse, harassment, intimidation of a dependent, interference with personal liberty or willful deprivation, but does not include reasonable direction of a minor child by a parent or person in loco parentis. "Physical abuse" includes sexual abuse and means any of the following: (a) knowing or reckless use of physical force, confinement or restraint; (b) knowing, repeated and unnecessary sleep deprivation; or (c) knowing or reckless conduct which creates an immediate risk of physical harm. "Harassment" means knowing conduct which is not necessary to accomplish a purpose that is reasonable under the circumstances; would cause a reasonable person emotional distress; and does cause emotional distress to the petitioner. Unless the presumption is rebutted by a preponderance of the evidence, the following types of conduct shall be presumed to cause emotional distress: (a) creating a disturbance at petitioner's place of employment or school; (b) repeatedly telephoning petitioner's place of employment, home, or residence; (c) repeatedly following petitioner about in a public place or places; (d) repeatedly keeping petitioner under surveillance by remaining present outside his or her home, school, place of employment, vehicle or other place occupied by petitioner or by peering in petitioner's windows; (e) improperly concealing a minor child from petitioner, repeatedly threatening to improperly remove a minor child of petitioner's from the jurisdiction or from the physical care of petitioner, repeatedly threatening to conceal a minor child from petitioner, or making a single such threat following an actual or attempted improper removal or concealment, unless respondent was fleeing an incident or pattern of domestic violence; (f ) threatening physical force, confinement or restraint on one or more occasions. "Interference with personal liberty" means committing or threatening physical abuse, harassment, intimidation or willful deprivation so as to compel another to engage in conduct from which she or he has a right to abstain or to refrain from conduct in which she or he has a right to engage. "Willful deprivation" means willfully denying a person who, because of age, health or disability, requires medication, medical care, shelter, accessible shelter or services, food, therapeutic device, or other physical assistance, and thereby exposing that person to the risk of physical, mental or emotional harm, except with regard to medical care or treatment when the dependent person has expressed an intent to forgo such medical care or treatment. This paragraph does not create any new affirmative duty to provide support to dependent persons. "Intimidatio