Order Form Of Extension And/or Modification Of Civil Contact Order

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CIRCUIT COURT OF ILLINOIS
Sixth Judicial Circuit
Champaign County
________________________________________
Independent
Petitioner’s Name (person completing form)
Criminal
Juvenile
Name(s) of other protected parties
________________________________________
________________________________________
Check if filing on behalf of:
 a minor child, or  an adult who because of
(file stamp)
age, disability, health, or inaccessibility cannot
file the petition (list name(s) below)
________________________________________
vs.
________________________________________
Case No. ______________________
Respondent’s Name
If the Respondent is under age 18 and if remedy #4 is ordered
the name(s) of minor’(s)  parents or  legal guardian(s)
Respondent's
__________________________________________
_______________
Date of Birth:
__________________________________________
ORDER FOR EXTENSION AND/OR MODIFICATION
OF CIVIL NO CONTACT ORDER
The court finds that:  an emergency order
 a plenary order
was entered on
.
 Notice of hearing has been served pursuant to Supreme Court Rules 11(b)(3) 412(b)(c). 740 ILCS 22/209.
The court having jurisdiction of the subject matter and the parties, it is hereby ordered that:
 1. An extension of the
 emergency order
 plenary order
is granted and is hereby extended to
20
at
a.m./p.m.
 2. Upon good cause being shown, an extension of the plenary order is granted and is hereby to remain in effect
until vacated or modified. 740 ILCS 22/216 (d-5)
 3. A hearing on the  emergency order  plenary order is set for
, 20
at
a.m./p.m., at Champaign County Courthouse, Courtroom # __, 101 E. Main St., Urbana, Illinois.
 4. The
 emergency order
 plenary order
is vacated.
 5. The
 emergency order
 plenary order
is modified as follows: _________________
_________________________________
_________________________________
JUDGE
_________________________________ .
Date:
 Petitioner
 Respondent given a copy of this Order in open court on
/
/
.
cc:  Petitioner  Respondent  Counsel of Record  Sheriff  Advocate  Jail  S/A
 Involved School Board(s) if remedy #4 is ordered
Katie M. Blakeman
Clerk of the Sixth Judicial Circuit Court
101 E Main
Urbana, IL 61801

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