IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _________________ ________________________________, Petitioner, and ________________________________, Respondent. STATE OF ________________________ County of _________________________ ) ) ) ) ) ) ) Case No. ______________________ EX PARTE PETITION FOR ORDER OF ASSISTANCE ) ) ss. ) I, Petitioner, request that the Court issue an Order of Assistance directing a peace officer of the county or city in which the child/ren are located to assist in recovering the custody of the child/ren listed in the attached affidavit. Information Required by the Uniform Child Custody Jurisdiction and Enforcement Act. 1. The Court that issued the Order I am asking this Court to enforce ‘ did ‘ did not identify the jurisdictional basis it relied upon when it exercised jurisdiction over the child/ren. The basis was: ___________________________________________________________________________________ (fill out if the court did identify the jurisdictional basis) ___________________________________________________________________________________. 2. The Order that I am asking the Court to enforce ‘ has ‘ has not been vacated, stayed or modified. The name of the court, case number and nature of the proceeding is as follows: ___________ ___________________________________________________________________________________ (fill out if the Order has been vacated, stayed or modified) 3. No proceeding involving domestic violence, custody or any other issue regarding the child/ren has been started that could affect this proceeding, except: _____________________________________ (List court, case number and nature of proceeding) 4. The present physical address of the child and the other party is: __________________________ Page 1 of 2, EX PARTE PETITION FOR ORDER OF ASSISTANCE Petition5BVer03.wpd (12-04) American LegalNet, Inc. www.USCourtForms.com ___________________________________________________________________________________. 5. The Order I am asking the court to enforce is a valid and current order which ‘ has ‘ has not been registered and confirmed under the UCCJEA (ORS 109.787). [If the Order has been registered, use the MOTION rather than this PETITION.] Points and Authorities ORS 107.437 allows the court to issue an order of assistance upon the sworn affidavit of the applicant and a finding that the applicant is entitled to physical custody of the child/ren under a valid and current custody order, and that the child is being held by another person in substantial violation of the custody order. Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: ‘ I selected this document for myself and I completed it without paid assistance. ‘ I paid or will pay money to _______________________ for assistance in preparing this form. DATED: _______________________, 20 _____. ____________________________________________________________________________________ Petitioner, Signature Print Name ____________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact Telephone SIGNED AND SWORN to before me this ___________ day of _______________, 20 _____. ____________________________________ Notary Public for ____________/Court Clerk My Commission Expires: _______________ I certify that this is a true copy. ___________________________________ Petitioner, Signature Page 2 of 2, EX PARTE PETITION FOR ORDER OF ASSISTANCE Petition5BVer03.wpd (12-04) American LegalNet, Inc. www.USCourtForms.com