F.C.A. §§115, 651; S.S.L. §384-a; D.R.L. §70, 71, 72 General Form 23 (Writ of Habeas Corpus) 9/2009 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ........................................................................................ In the Matter of a Proceeding under Article of the Family Court Act Docket No. Petitioner, -againstRespondent ........................................................................................ TO: A petition having been filed in this Court by the Petitioner [specify name and relationship to child(ren)]: , alleging that the Respondent [specify name and relationship to child(ren)]: has wrongfully and unlawfully [check applicable box(es)]: detained the child(ren) named below denied visitation rights to the child(ren) named below, IT IS HEREBY ORDERED that the following child(ren)[specify]: Name of Child Date of Birth WRIT OF HABEAS CORPUS be produced by you before the Honorable Court of the State of New York, located at [specify address]: , New York, [check applicable box]: forthwith time]: for such further proceeding as the Court may direct; and it is further ORDERED that [specify]: , a Judge of the Family on [specify date and [Required if Court makes a temporary order of custody or visitation; check applicable box(es)]: And the Court having searched the statewide registry of orders of protection, the sex offender registry and the Family Court's warrant and child protective records, and having notified the attorneys for the parties and for the child [check if applicable]: and the following self-represented party or parties [specify]: of the results of these searches; And the Court having considered and relied upon the following results of these searches in making this decision [specify; if no results found, so indicate]: American LegalNet, Inc. www.FormsWorkFlow.com General Form 23 Page 2 And the Court, having dispensed with the search of the statewide registry of orders of protection, the sex offender registry and the Family Court's warrant and child protective records because these databases had been reviewed within the past 90 days; . PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. ENTER Judge of the Family Court Date: Check applicable box: Order mailed on [specify date(s) and to whom mailed ]:___________________________ Order received in court on [specify date(s) and to whom given]:_____________________ American LegalNet, Inc. www.FormsWorkFlow.com