IN THE ________ JUDICIAL CIRCUIT, ________________________________, MISSOURI Motion for Renewal of Full Order of Protection ­ Child Use this form when one child is involved with this case. Use CP27 for two to five children and CP26 for six to ten children. Case Number: Judge or Division: Court ORI Number: Petitioner: Protected Child: Age of Protected Child: Sex: F M Race: vs. Respondent: Alias/Nicknames: Respondent's DOB: SSN (if known, last four digits): Home Phone Number: Respondent's Work Address: MSHP Number: Responsible Law Enforcement ORI: Related Cases: Respondent's Home Address: Work Phone Number: Work Hours: (Date File Stamp) Protected Child's Relationship to Respondent pursuant to 18 U.S.C. §§ 921(a)(32) and 922(g)(8) determination: Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify): ___________________________________________ The Party Guardian Ad Litem Court Appointed Special Advocate requests that the court renew the Full Order of Protection ­ Child that was issued against Respondent on ________________ (date) and terminates on ________________ (date). The expiration of the full order will place the protected child(ren) in an immediate and present danger of domestic violence, stalking, or sexual assault. The circumstances forming the basis for the initial order continue to exist. The following incidents of domestic violence, stalking, or sexual assault have occurred since the date the petition was filed: Other reasons: Pursuant to section 455.516, RSMo, the Party Guardian Ad Litem Court Appointed Special Advocate requests that the court renew the Full Order of Protection ­ Child for at least 180 days and not more than one year. A finding by the court of a subsequent act of abuse is not required for a renewal order of protection. I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. NOTICE: Section 455.510.3, RSMo, provides that a Petitioner seeking protection under the Child Protection Orders Act is not required to reveal any current address or place of residence of the child(ren) on this motion. Do not provide this information if doing so will endanger the child(ren). __________________________________________________ Date __________________________________________________ Movant's Signature __________________________________________________ Attorney's Name, Missouri Bar No., if Applicable __________________________________________________ Address (Optional) __________________________________________________ Address __________________________________________________ City, State and Zip __________________________________________________ City, State and Zip __________________________________________________ Telephone OSCA (02-16) CP25 1 of 1 __________________________________________________ Telephone American LegalNet, Inc. www.FormsWorkFlow.com 455.510.3, 455.516, 455.523 RSMo