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Order Of Assistance Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Order Of Assistance, 5B, Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF _________________
________________________________,
Petitioner,
and
________________________________,
Respondent.
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Case No. ______________________
ORDER OF ASSISTANCE
This matter came before the Court on the motion/petition and affidavit of the ‘ Petitioner
‘ Respondent requesting that the Court direct the law enforcement agency having jurisdiction where
the
child/ren are located to assist the applicant in recovering the custody of
(name(s) and date(s) of birth of child/ren)
The court has considered the motion/petition and affidavit on file and, being fully advised,
makes the following findings and order.
The applicant ‘ is
‘ is not entitled to physical custody of the child/ren under a valid and
current custody order.
The child/ren ‘ are ‘ are not being held by ‘ Petitioner ‘ Respondent in substantial
violation of the custody order.
IT IS HEREBY ORDERED applicant’s motion/petition is:
‘ Allowed. Any law enforcement agency having jurisdiction where the child/ren are located
shall use reasonable means and force to recover custody of the child/ren listed below and deliver the
child/ren to applicant.
‘ Denied.
Page 1 of 2, ORDER OF ASSISTANCE
Order5BVer03.wpd (12-04)
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Names and location(s) of child/ren:
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________.
Name and address/contact address of applicant:
____________________________________________________________________________________
____________________________________________________________________________________
DATED this ________day of ___________________, 20______.
______________________________________________
Circuit Court Judge
_______________________________________________
Print Name
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.
Submitted by:
____________________________________________________________________________________
‘ Petitioner ‘ Respondent
Address or Contact Address
____________________________________________________________________________________
City, State, Zip
Telephone or Contact Telephone
I certify that this is a true copy: ____________________________________
‘ Petitioner ‘ Respondent, Signature
Page 2 of 2, ORDER OF ASSISTANCE
Order5BVer03.wpd (12-04)
American LegalNet, Inc.
www.USCourtForms.com