IN THE CIRCUIT COURT THIRD JUDICIAL CIRCUIT MADISON COUNTY, ILLINOIS ) ______________________________, ) Petitioner, ) vs. ) ) ______________________________, ) Respondent. ) Case No. ________________ NOTICE TO SCHOOL OF ORDER OF PROTECTION Please be advised that the Third Judicial Circuit Court has entered the attached Order of Protection. At the request of the Petitioner whose children attend your day care facility, pre-school, pre-kindergarten, private or public school or college or university, you are receiving this Notice and the attached certified copy of that Order. A copy of this Notice has also been sent to the parties in this case. The Order of Protection expires on the date indicated on its first page. However, the Order of Protection may be extended to a later date or a Plenary (long-term) Order of Protection may be entered at a later date. It is the obligation of the Petitioner to provide subsequent Orders to you that may extend or terminate the Order of Protection. However, if you have a question as to whether an Order of Protection is still in effect, you can call the Clerk's office, Family Division at (618) 692-6250. Matt Melucci, Clerk of the Circuit Court By: Deputy Clerk I hereby request that the Clerk of the Court notify the day care facility, pre-school, pre-kindergarten, private school, principal office of the public school district, or college or university attended by my child(ren) that an Order of Protection has been entered by the Court. I understand that it is my obligation to provide copies of any subsequent Order that may extend or terminate the Order of Protection. The name(s) of the child(ren) and the name and address of the place(s) where the Order is to be sent are as follows: Name of Child: ________________________ Date of Birth: ________________________ ________________________ Day care, pre-school, pre-kindergarten, private school or principal office of public school district, college or university __________________ __________________ __________________ Day care, pre-school, pre-kindergarten, private school or principal office of public school district, college or university street address street address city, state, zip code city, state, zip code Petitioner's Name Petitioner's Name American LegalNet, Inc. www.USCourtForms.com