Print Form Clear Form Interim/Plenary Order of Protection (Page 2 of 4) (Rev. 12/22/13) CCG N805 B Based on the findings of this court, q which were made orally for the transcription, or q which are set out in a separate instrument filed with the court, and with the court having jurisdiction of the suBject matter and over all necessary parties, it is hereBy ordered that: q 1. q q q q q q q q q q q With respect to all Protected Persons, Respondent is prohibited from committing the following: q Physical abuse; q Harassment; q Interference with personal liberty; q Intimidation of a dependent; q Willful deprivation; q Neglect; q Exploitation; q Stalking 2. Petitioner is granted exclusive possession of the residence and Respondent shall not enter or remain in the household or premises located at: ___________________________________________________________________________________ . (This remedy does not effect title to property.) 3. q a. Respondent is ordered to stay away from Petitioner and other protected persons, including but not limited to refraining from telephone calls, mail, e-mail, faxes, written notes, and communication through third parties. q b. Respondent is prohibited from entering or remaining at ________________________________________________ ________________________________________________________ while any Protected Person is present; and/or ____________________________________________________________________________________________ . q c. Respondent is allowed access to the residence on (date) ________________ at (time) _________ in the presence of (name) ______________________________________________ to remove items of clothing, personal adornments, medications used exclusively by the Respondent and other items as follows: ________________________________ ____________________________________________________________________________________________ . 4. Respondent is ordered to undergo counseling at ______________________________________________________________ for the duration of ____________________________________________________________________________________ . 5. q a. Petitioner is granted physical care and possession of the minor child/ren; and/or q b. Respondent is ordered to: q return the minor child/ren with the initials of _____________________________________________________ to the physical care of _________________________________________________________________ ; and/or q not remove the minor child/ren with the initials of _________________________________________________ from the physical care of Petitioner or __________________________________________________________ . 6. Petitioner is granted temporary legal custody of the minor child/ren with the intitials of: ______________________________ ____________________________________________________________________________________________________ 7. q a. Respondent is awarded visitation rights on the following dates and times or under the following conditions or parameters: [No order shall merely refer to the term "reasonable visitation"] _____________________________________________________________________________________________ ____________________________________________________________________________________________ . q b. Respondent's visitation is restricted as follows: _______________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________________________________________ . q c. Respondent's visitation is reserved/denied. (Petitioner may deny Respondent access to the minor child/ren if, when Respondent arrives for visitation, Respondent is under the influence of drugs or alcohol and constitutes a threat to the safety and well-being of Petitioner or Petitioner's minor child/ren or is behaving in a violent or abusive manner.) 8. Respondent is prohibited from removing the minor child/ren from Illinois or concealing them within Illinois. 9. Respondent is ordered to appear in Courtroom/Calendar ___________________ located at ___________________________ ___________________________ on ______________________ at __________ a.m./p.m., with/without the minor child/ren. 10. Petitioner is granted exclusive possession of the following personal property and the Respondent is ordered to promptly make available to Petitioner said property that is in Respondent's possession or control, to wit: ____________________________________________________________________________________________________ ___________________________________________________________________________________________________ . (This remedy does not effect title to property.) 11. Respondent is prohibited from taking, encumbering, concealing, damaging or otherwise disposing of the following personal property: _____________________________________________________________________________________________ ________________________________________________________________, except as explicitly authorized by the court. q Further, Respondent is prohibited from improperly using the financial or other resources of an aged member of the family or household for the point or advantage of Respondent or any other person. 11.5 Petitioner is granted exclusive possession of the following animals (Detail the animals by name, type and description.): ____________________________________________________________________________________________________ ___________________________________________________________________________________________________ . q With respect to all protected animals, Respondent is ordered to stay away and to refrain from taking, transferring, encumbering, concealing, harming, or otherwise disposing of the animal(s). DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Copy Distribution - White: 1. ORIGINAL - COURT FILE Blue: 2. LEADS Green: 3. SHERIFF/LAW ENFORCEMENT RETURN Canary: 4. RESPONDENT Pink: 5. PETITIONER Gold: 6. STATE'S ATTORNEY Case No._________________________________________