STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO ) ________________________) Plaintiff, ) v. ) ) ________________________) Defendant. ) CC-43.1 FILE STAMP CASE NO: ________________ ORDER DIRECTING USE OF VISITATION EXCHANGE SERVICES This matter coming before the court, the court having jurisdiction of the parties and the subject matter hereto, and the court being fully advised in the premises; THE COURT FINDS that visitation and the children's best interests will be facilitated by the use of Visitation Exchange Services provided by Children's Safe Harbor, Inc. THE COURT FINDS that: _____ a custody order has been entered awarding resident/custody as set forth below. ____ no order has been entered, but an exchange schedule has been established for the following parties. ________________________________________________ (Custodian) whose address is __________________________________________ and phone number is _______________________________________ Party's attorney ______________________________________________ and phone number ______________________________________________ (Visitation has been awarded to) ______________________________ whose address is ______________________________________________ and phone number is ___________________________________________ Party's attorney ______________________________________________ and phone number ______________________________________________ The minor children are: NAME: _____________________________ DOB: ________________________ NAME: _____________________________ DOB: ________________________ NAME: _____________________________ DOB: ________________________ NAME: _____________________________ DOB: ________________________ American LegalNet, Inc. www.FormsWorkFlow.com CC-43.2 IT IS HEREBY ORDERED THAT: A) Within three (3) business days; each of the parties shall contact: Children's Safe Harbor, Inc., address: 615 South Fifth Street, Rockford, IL 61104 telephone: (815)316-7772 fax: (815)316-7777 to arrange an intake interview for exchanges. Within ten (10) business days, each of the parties shall appear at Children's Safe Harbor, Inc., and cooperate with the personnel at Children's Safe Harbor, Inc., and complete the intake interview and provide truthful information as requested by such personnel. Exchanges shall take place as follows: B) C) D) Exact times for pick-up and drop-off shall be set by the The parties are required to Children's Safe Harbor, Inc. use the services of Children's Safe Harbor, Inc., for all exchanges that can be accommodated by Children's Safe Harbor, Inc. To the extent that exchanges cannot be accommodated by Children's Safe Harbor, Inc., such as holidays, pick-up and drop-off locations and times shall remain as previously ordered or as follows: E) Each of the parties shall comply with all Rules for Children Exchange as established by Children's Safe Harbor, Inc. Violations will be reported to the assigned judge for necessary action and may result in sanctions being imposed for contempt of Court. Orders of Protection ( ) None ( ) Currently Pending Copies will be submitted by intake. Children's Safe Harbor, Exchange Site Report. Inc., shall submit a Visitation F) G) H) This case is set for Status on _________________________in Courtroom ________. Entered: ___________________ _____________________________ Judge American LegalNet, Inc. www.FormsWorkFlow.com