IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF See CIF Petitioner (Former Protected Child) (date of birth) (your full name) and See CIF Respondent (date of birth) (full name of person to be restrained) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) PETITION TO RENEW RESTRAINING ORDER RE: FORMER PROTECTED CHILD Case No. See CIF Original Petitioner (date of birth) (full name of person who obtained original restraining order but is not a party to this renewal request) NOTICE TO PETITIONER You must provide complete and truthful information. If you do not, the court may dismiss your restraining order and may also hold you in contempt of court. I am the Petitioner (Former Protected Child), and I state the following information is true: 1. I was a minor child in the custody of the original petitioner who was protected by the order(s) in this case. 2. I have reached 18 years of age since the original restraining order in this case was granted. NOTICE TO PETITIONER You must keep certain information (223confidential personal information224) out of any papers you file or submit to the court and, instead, provide that information in a Confidential Information Form (CIF). On this document, where that confidential personal information would otherwise appear, the words 223See CIF224 have been included. Do not write anything else in these spaces. See Instructions for further information and links to forms. PETITION TO RENEW RESTRAINING ORDER RE: FORMER PROTECTED CHILD-- Page 1 of 3 (FAPA 1/2016) American LegalNet, Inc. www.FormsWorkFlow.com 3. To the best of my knowledge, the original petitioner is is not or unknown asking to renew the original restraining order. 4. The court signed the original restraining order in this case on , 20 (date of original order). 5. The original restraining order expires on , 20 (date of expiration of original order). 6. I reasonably fear further acts of abuse by the respondent if the restraining order protecting me is not renewed because (Explain why you are afraid respondent will abuse you if the restraining order protecting you is not renewed. IMPORTANT: You do not need to show there have been new or other acts of abuse since the original restraining order.): PETITION TO RENEW RESTRAINING ORDER RE: FORMER PROTECTED CHILD-- Page 2 of 3 (FAPA 1/2016) American LegalNet, Inc. www.FormsWorkFlow.com I ask the court to issue an order renewing the parts of the Restraining Order that protected me. The renewal should be for a period of one year as marked on the Order Renewing Restraining Order Re: Former Protected Child. I also ask that the Order Renewing Restraining Order Re: Former Protected Child continue the security amount set forth in the original restraining order or set another amount as the court deems appropriate. I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and subject to penalty for perjury. DATED this day of , 20. Signature of Petitioner (former protected child) Print or Type Name of Petitioner (former protected child) 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: Print Name, Petitioner (former protected child) Attorney for Petitioner OSB No. (if applicable) Address or Contact Address City, State, Zip Telephone or Contact Telephone Number Use a Safe Contact address Use a Safe Contact number PETITION TO RENEW RESTRAINING ORDER RE: FORMER PROTECTED CHILD-- Page 3 of 3 (FAPA 1/2016) American LegalNet, Inc. www.FormsWorkFlow.com