0007 3501 Petition for Order of Protection (Page 1 of 5) Print Form Clear Form (Rev. 12/19/14) CCG N800 A People ex rel. ___________________________________________ IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Case No. ______________________________ q Independent Proceeding q Other Civil Proceeding Specify____________________________ q Criminal Proceeding q Juvenile Proceeding _____________________________________________on behalf of ___________________________________ self and/or on behalf of ______________________________________________________ Petitioner v. ______________________________________________________ Respondent PETITION FOR ORDER OF PROTECTION (Fill in lines and check boxes as applicable) Now comes the Petitioner ______________________________________________________ on his/her own behalf or on behalf of ____________________________________________ , a minor child, or on behalf of ____________________________________, an adult who cannot file a Petition because of age, health, disability or inaccessibility on his/her own behalf, pursuant to the Illinois Domestic Violence Act (IDVA), and moves this Honorable Court to issue an Order of Protection in this cause and in support thereof states as follows: ALLEGATIONS This courT has jurisdicTion of The subjecT maTTer and over all necessary persons wiTh appropriaTe venue because: A. q Petitioner resides at _____________________________________________________________________________________ (Street Address, City) in the County of __________________________________________________________________ State of __________; OR q Petitioner resides at____________________________________________________________________________________ , (Street Address, City) in the County of __________________________ State of __________; and ______________________________________, the person on whose behalf this Petitioner is brought, resides at ________________________________________________ , (Street Address, City) in the County of __________________________________________________________________ State of __________; OR (Street Address, City) q Petitioner's address is omitted pursuant to statute. [Alternative address for notice of any motion is ________________________ __________________________________________________________________________________________________ .] B. q Respondent resides at ___________________________________________________________________________________ , (Street Address, City) in the County of _____________________________________________________________________ State of __________. C. Respondent stands in relationship to the Petitioner or alleged abused person as: q Spouse; q Child; q Sharing or formerly sharing a common dwelling; q Sharing a blood relationship through a child; q Former Spouse; q Having or allegedly having a child in common; q Having or having had a dating or engagement relationship; q Personal assistant to person with disabilities or a person who has responsibility for a high-risk adult with disabilities Page 1 of 5 q Parent; q Stepchild; q Other person related by; blood or marriage. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Case No._________________________________________