EMERGENCY PROTECTION ORDERS/EX PARTE

PLEASE BE SURE TO SUPPLY A GOOD CONTACT PHONE NUMBER AND E-MAIL FOR US TO REACH YOU IN CASE OF QUESTIONS.
THE PERSON FILING THIS PETITION IS CONSIDERED THE "PETITIONER". IF YOU ARE FILING A CHILD ORDER THE PARENT FILLING OUT THE PETITION IS THE "PETITIONER" AND YOU LIST THE CHILDREN UNDER YOU. THE PERSON YOU ARE FILING AGAINST IS THE "RESPONDENT".
PLEASE NOTE THIS IS A CIVIL ACTION AND IN ORDER TO GO FORWARD WITH A FULL ORDER WE MUST SERVE THE RESPONDENT AT AN ADDRESS. YOU CAN RECEIVE A TEMPORARY ORDER WITHOUT AN ADDRESS FOR THE RESPONDENT, BUT THE CASE CAN NOT GO FORWARD BEYOND THAT WITHOUT SERVICE UPON THE RESPONDENT.
PLEASE GIVE DETAILS ON THE ADULT PETITION ON THE QUESTIONS: "Respondent has knowingly and intentionally...." And "I am afraid of Respondent and there is an immediate and present danger of domestic. violence to me or other good cause for an emergency temporary order of protection because..."; ALL CHILD PETITIONS ON THE QUESTIONS: "Respondent has knowingly and intentionally..." And "An immediate and present danger of domestic violence, stalking, or sexual assault to the child exists because..." PLEASE BE DETAILED AND SPECIFIC WHEN GIVING EXAMPLES OF ALL THREATS, INCIDENTS OR VIOLENCE THAT HAS OCCURRED INCLUDING DATES OF THESE ACTIONS. THE JUDGE NEEDS TO KNOW WHY YOUR LIFE IS IN DANGER AND WHY YOU FEAR FOR YOUR LIFE.
PLEASE BE SURE TO INITIAL/SIGN AND DATE ON THE SIGNATURE LINE OF THE PETITION.
AFTER YOU HAVE SUBMITTED THE ONLINE FORM -THE PHONE # TO CALL DURING THE DAY IS 417-582-5120 AND AFTER 4:30 AND ON NIGHTS/WEEKENDS/HOLIDAY THE PHONE # IS 417-633-0623 - WE NEED TO KNOW THAT YOU HAVE SUBMITTED THIS ONLINE FORM- IF IT IS AFTER BUSINESS HOURS AND YOU DO NOT NOTIFY THE CLERK OF YOUR FILING IT WILL POTENTIALL DELAY YOUR PETITION BEING PROCESSED.
THE RESPONDENT WILL BE GIVEN A COPY OF THE PETITION AS WELL AND BECAUSE OF THAT WE DO NOT TAKE POLICE REPORTS WITH THE PETITION. WE CAN'T INTERFERE WITH AN ONGOING POLICE INVESTIGATION.
IF YOU NEED TO SPEAK TO A VICTIM ADVOCATE, DURING THE WORK DAY THEIR NUMBER IS 417-581-7915. FOR RESOURCES, SUPPORT AND POTENTIAL LEGAL SERVICES PLEASE CONTACT THE GREENE COUNTY JUSTICE CENTER -EVEN AS A RESIDENT OF ANOTHER COUNTY AS THEY SERVICE THIS ENTIRE REGION-THEIR NUMBER IS 417-874-2600. IF YOU ARE IN IMMEDIATE DANGER ANY TIME DURING THIS PROCESS PLEASE CALL 911.

UNDERSTAND: ONCE SUBMITTED THIS PROCESS CANNOT BE STOPPED

FAILURE TO FULLY COMPLETE THIS PETITION MAY RESULT IN THE DENIAL OF THE EX PARTE ORDER. IF FILLING OUT A CHILD PETITION IT MUST HAVE A DATE OF BIRTH OR SOCIAL SECURITY NUMBER FOR EACH CHILD. HAVING BOTH IS EVEN BETTER.
CHANGING OR ALTERING THE PRE-PRINTED TEXT ON THIS PETITION MAY RESULT IN THE DENIAL OF THE EX PARTE ORDER.
THERE IS NO FILING FEE OR COURT COSTS ASSOCIATED WITH FILING ORDERS OF PROTECTION. AT THE REQUEST OF THE COURT, A COMPUTER CHECK WILL BE MADE TO SEE WHAT ACTIONS HAVE BEEN TAKEN OR PENDING AGAINST THE PARTIES INVOLVED IN THIS ORDER.
IF THE ALLEGATIONS REGARDING THE CHILDREN IN THE PETITION QUALIFIES UNDER THE MANDATED ABUSE/NEGLECT REPORTING LAW, A HOTLINE WILL BE MADE TO CHILDREN’S DIVISION.
ONCE YOU COMPLETE THIS PETITION GIVE IT TO THE CLERK, THE PETITION CAN NOT BE DISMISSED UNTIL THE DATE OF THE HEARING AND YOU MUST APPEAR.
IF THE JUDGE SIGNS AND APPROVES YOUR ORDER, YOU MUST RETURN TO THIS OFFICE AND ´PICK UP A COPY OF THIS ORDER.
IF THE JUDGE SIGNS YOUR ORDER, YOU WILL HAVE TO APPEAR FOR A HEARING AT A LATER DATE. THE RESPONDENT WILL BE SERVED WITH A COPY OF YOUR PETITION AND ANY AND ALL ATTACHMENTS PRESENTED TO THE COURT AT THE TIME OF FILLING FOR AN ORDER OF PROTECTION

The Court can do one of the following 3 things after reviewing the Petition:

Dismiss the case
Issue a Notice of Hearing/Court date where no order/protection will be in place pending Court hearing.
Grant a temporary order of protection and set a hearing for a full order of protection. Order of Protection - some Missouri statues are: 455.010, 455.020, 455.030, 455.035, 455.030.3, 455.050 RSMo

Information about the person the children need protection from.

The court and law enforcement will use this section to try to find the Respondent. Fill in as much information as you can.
If you don't know something, leave blank.

Alias or nickname (list all):

Last four digits of social security number:

Please enter a number from 4 to 4.

Age:

Respondent is

At least 18 years of age or emancipated

under 18

Race:

Sex:

Height

Weight

Hair Color

Eye Color

Identifying marks (Examples: tattoos, birthmark, braces, beard, pierced ear, glasses):

Home Address

City:

County:

Phone Number:

Work name:

Work address:

Work Phone:

Work hours:

Other places law enforcement may find Respondent to serve the paperwork:

D. Signatures

I swear or affirm under penalty of perjury that the facts are true according to my best knowledge and belief.

I certify that I have removed all confidential

I certify that I have removed all confidential information from this document in compliance with the redaction requirements in Rule 55.025.

NOTICE: You are not required to reveal any current address or place of residence of the children on this petition. Do not provide this information if doing so will endanger the children.

Sign

Date

Your Address

Address City State Zip Code

Telephone Number

Attorney Signature (if applicable)

Date

Attorney's Name

Bar Number

Attorney's Address

Address City State Zip Code

Telephone Number

Confidential Redacted Information Filling Sheet
Order of Protection - Child
TO BE SERVED WITH THE PETITION

Petitioner Information

Your full name

Respondent Information

Name

Child Information

Child One

Name

Address

Child Two

Name

Address

Child Three

Name

Address

Child Four

Name

Address

Child Five

Name

Address

Child Six

Name

Address

Child Seven

Name

Address

Child Eight

Name

Address

Child Nine

Name

Address

Child Ten

Name

Address

Order Of Protection - Child
Petitioner and Protected Child Information
Confidential Record
DO NOT SERVE WITH PETITION - COURT USE ONLY

Disclosure of the protected children's or my current address or place of residence may endanger the children. This information must be maintained as Confidential and is for Court Use Only.

Protected Children's Permanent Address

Daytime Phone Number

Evening Phone Number

Petitioner's Permanent Address (if different from above)

Daytime Phone Number

Evening Phone Number

Email Address

Petitioner's Temporary and/or Mailing Address (if different from above)

Daytime Phone Number

Evening Phone Number

Confidential Case Filling Information Sheet
Domestic Relations Cases -Child Protection

Required at time of Filling Petition

NOTICE TO LAW ENFORCEMENT: This is a confidential form and shall be used only to enter the case into the Missouri Uniform Law Enforcement System (MULES).

DO NOT SERVE THIS FORM TO THE RESPONDENT.

Filling Date

County/City of St. Louis

Case Type

Child Protection Order

Registration of Foreign Protection Order

Petitioner Information:

Party Code Type: PETP

Party Code Type Description: Petitioner Acting Pro Se (with no attorney)

Name

Last First Middle

Address

Street Address City State Zip

Contact Telephone Number

Email Address

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

Respondent Information:

Party Code Type: RESP

Party Code Type Description: Respondent Acting Pro Se (with no attorney)

Name

Last First Middle

Address

Street Address City State Zip

Contact Telephone Number

Email Address

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

The following information regarding the protected child(ren) is required. Complete this section for any child subject to the action of this case

Protected Child(ren) Information:

Protected Child 1

Party Code Type: CHILD

Party Code Type Description: Child

Name

Last First Middle

Address (if different than Petitioner address)

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

Race

Protected Child 8

Party Code Type: CH8

Party Code Type Description: Child 8

Name

Last First Middle

Address (if different than Petitioner address)

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

Race

Protected Child 9

Party Code Type: CH9

Party Code Type Description: Child 9

Name

Last First Middle

Address (if different than Petitioner address)

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

Race

Protected Child 10

Party Code Type: CH10

Party Code Type Description: Child 10

Name

Last First Middle

Address (if different than Petitioner address)

DOB

Gender

Male

Female

SSN

Please enter a number from 9 to 9.

Race

Instructions to Filer

Complete this form for all parties known at the time of filling.
If additional space is needed, complete additional Confidential Case Filing Information Sheets.

NOTE: The full Social Security Number (SSN) is required pursuant to section 509.520, RSMo. This is a confidential document due to the SSN and possible confidential addresses. This information is used to open a case in the courts case management system. While cases deemed public under Missouri statutes can be accessed through Case.net, the day and month of birth, SSN, and confidential addresses are NOT provided to the public through Case.net.

Submitted by

If submitted by an attorney, complete the following:

Bar ID

Address

Street Address City State Zip

Phone

Email Address

*IMPORTANT: It is the parties' responsability to keep the court informed of any change of address or employment.*

Instructions to Clerk

This copy of this form shall be sent to law enforcement to enter the case into MULES. This document must be saved in the case management system with a document security level of 6 making this a sealed document.

EMERGENCY PROTECTION ORDERS/EX PARTE

UNDERSTAND: ONCE SUBMITTED THIS PROCESS CANNOT BE STOPPED

The Court can do one of the following 3 things after reviewing the Petition:

Children needing protection:

Respondent:

A. Information about the people involved in this case

Information about the protected children

Child Two:

Child Three:

Child Four:

Child Five:

Child Six:

Child Seven:

Child Eight:

Child Nine:

Protected Child 10:

Information about the person the children need protection from.

B. I am asking the court to

Order an Ex Parte (emergency) Order of Protection

Order a Full Order of Protection.

Award custody or visitation of the protected children as listed in C, below.

5. Order Respondent to pay child support, maintenance, other support, court fees, or for injuries I received.

Order temporary possession of personal property to me.

C. Custody of the Children

D. Signatures

Confidential Redacted Information Filling Sheet Order of Protection - Child TO BE SERVED WITH THE PETITION

Petitioner Information

Respondent Information

Child Information

Child One

Child Two

Child Three

Child Four

Child Five

Child Six

Child Seven

Child Eight

Child Nine

Child Ten

Order Of Protection - Child Petitioner and Protected Child Information Confidential Record DO NOT SERVE WITH PETITION - COURT USE ONLY

Confidential Case Filling Information Sheet Domestic Relations Cases -Child Protection

NOTICE TO LAW ENFORCEMENT: This is a confidential form and shall be used only to enter the case into the Missouri Uniform Law Enforcement System (MULES).

DO NOT SERVE THIS FORM TO THE RESPONDENT.

Petitioner Information:

Respondent Information:

Protected Child(ren) Information:

Protected Child 1

Protected Child 2

Protected Child 3

Protected Child 4

Protected Child 5

Protected Child 6

Protected Child 7

Protected Child 8

Protected Child 9

Protected Child 10

Instructions to Filer

Instructions to Clerk

Confidential Redacted Information Filling Sheet
Order of Protection - Child
TO BE SERVED WITH THE PETITION

Order Of Protection - Child
Petitioner and Protected Child Information
Confidential Record
DO NOT SERVE WITH PETITION - COURT USE ONLY

Confidential Case Filling Information Sheet
Domestic Relations Cases -Child Protection