IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY ) Case No: ) Petitioner ) REQUEST FOR HEARING RE: and ) STATUTORY RESTRAINING ) ORDER ) Marriage ) Registered Domestic Respondent ) Partnership (RDP) ) Unmarried Parents I, Petitioner Respondent, request a hearing to terminate or modify the following terms of the Statutory Restraining Order (explain): a. Paragraph 1 Terminate (or) Modify : b. Paragraph 2 Terminate (or) Modify : c. Paragraph 3 Terminate (or) Modify : d. Paragraph 4 Terminate (or) Modify : Additional pages attached, titled 223Termination or Modification requests, continued224 I will will not be represented by a lawyer at the hearing. Certificate of Mailing I certify that on (date): I placed a true and complete copy of this request in the United States mail to Petitioner Respondent at (address): Date Signature Print Name Page 1 - Form 8.080.3 227 REQUEST FOR HEARING RE: STATUTORY RESTRAINING ORDER (Revised 8-1-19) American LegalNet, Inc. www.FormsWorkFlow.com