AOC- 275.6 Rev. 1-16 Page 1 of 1 Motion Type: AM COM M O CO NW E A LT H O F K E lex et justitia Case No. Court County Division ____________________ ____________________ Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 403.745; 403.761; 456.070; 456.100 U RT OF JUS TI MOTION TO AMEND PRIOR ORDER OF PROTECTION C E NT U C KY PETITIONER First Middle Last VS. RESPONDENT First Middle Last Information about Respondent: Current Residence: ________________________________________________________________________________ Usual Residence: _________________________________________________________________________________ Occupation: Employer Name: _________________________________________________________________________________ _________________________________________________________________________________ Employer Address: ________________________________________________________________________________ School/Postsecondary Institution (if currently attending): _____________________________________________________ Address: _________________________________________________________________________________________ Sex Race Birthdate Height Weight Eyes Hair Social Security # Drivers License # State Exp. Date CAUTION: q Weapon involved q Believed to be armed and dangerous q Divorce/Custody/Visitation case pending Comes Date: q Petitioner q Respondent and moves the Court to amend its previous order dated: in the following manner: ___________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Date: _____________________________, 2_____ ____________________________________________ Petitioner's/Respondent's Signature ____________________________________________ Attorney's Signature _____________________________________________________________________ Copies to: Court File Petitioner Respondent Court Clerk in county of Petitioner's usual residence, if different Law Enforcement agency/dispatch center responsible for LINK entry Law enforcement agency(ies) designated for service American LegalNet, Inc. ENSURE ALL INFORMATION IN BOXES IS COMPLETE AND LEGIBLE www.FormsWorkFlow.com CLERK Hearing Date: __________________, 2____. Hearing Time: _______ q a.m. q p.m. USE Hearing Location: _______________________________________________________ ONLY