Request For Hearing (16A)
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Request For Hearing (16A) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Request For Hearing (16A), Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF ____________________
In the Matter of □ the Marriage of:
___________________________________,
Petitioner,
and
___________________________________,
Respondent.
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I,
No. _________________________
REQUEST FOR HEARING
, request a hearing.
(Print your name)
I object to the “Immediate Danger” Order for Temporary Custody and Parenting Time on the ground
that the child/ren was/were not in immediate danger at the time the order was issued.
□ Additional page attached labeled “Request for Hearing, continued.”
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 form myself, and I completed it without paid assistance.
□ I paid or will pay money to _______________________ for assistance in preparing this form.
Dated: ______________________, 20_______.
□ Petitioner, □ Respondent, Signature
Print Name
Address or Contact Address
Telephone or Contact Telephone
City, State, Zip
I certify this is a true copy:
□ Petitioner, □ Respondent, Signature
REQUEST FOR HEARING - Page 1 of 1
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