Petition For Temporary Restraining Order To Prevent Interference
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Temporary Restraining Order To Prevent Interference Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
Loading PDF...
Tags: Petition For Temporary Restraining Order To Prevent Interference, 23.6, Ohio County (Court Of Common Pleas), Butler
PROBATE COURT OF BUTLER COUNTY, OHIO
RANDY T. ROGERS, JUDGE
IN THE MATTER OF:
, AN ADULT
CASE NO.
PETITION FOR TEMPORARY RESTRAINING ORDER TO PREVENT
INTERFERENCE WITH THE PROVISION OF PROTECTIVE SERVICES TO
AN ADULT
[R.C. 5101.68]
1.
The above-named Adult is in need of protective services for the following reasons:
2.
The Adult has consented to the protective services.
3.
The Respondent (Name and Address):
has interfered with the provision of these services in the following manner:
4.
Unless Respondent is restrained, Petitioner will be unable to provide protective services
in accordance with Chapter 5101. Of the Revised Code.
WHEREFORE, the Petitioner requests the Court to issue an order restraining Respondent from
interfering with the provision of protective services to the Adult and such further relief as may
be equitable.
Butler County Department of Job & Fam ily Services
By:
Attorney
Address
Title
Address
Phone Number (including area code)
Registration No.
Phone Number (including area code)
E-mail
E-mail
FORM 23.6 - PETITION FOR TEMPORARY RESTRAINING ORDER TO PREVENT INTERFERENCE WITH
THE PROVISION OF PROTECTIVE SERVICES TO AN ADULT
Eff. Date: January 1, 2010
American LegalNet, Inc.
www.FormsWorkFlow.com
