Supplement To The Petition For Order Of Protection
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1STATE OF SOUTH CAROLINA
)
IN THE FAMILY COURT
)
COUNTY OF
)
________ JUDICIAL CIRCUIT
)
)
SUPPLEMENT TO THE
)
PETITION FOR ORDER OF PROTECTION
Petitioner
)
(For Use in Family Court)
)
vs.
)
FILE NO.
)
)
Respondent
)
You must complete this form if you live or are sheltered in this county, but the abuse occurred in another
county; the person who caused the abuse lives in another county; or both of you last lived together in another
county.
1. I live or am sheltered in _______________________County.
2. I am asking the court to transfer this case to ___________________________ County for the hearing, because: (check
one):
_______ a. The alleged act of abuse occurred in this county; or,
_______ b. The person who caused the abuse lives in this county; or
_______ c. The person who caused the abuse and I last lived together in this county.
The caption in the Petition for Order of Protection must designate the county identified in Item 2
above. (S.C. Code Ann. Section 20-4-30, as amended.)
______________________________________________
Signature of Petitioner or
Person on Behalf of Petitioner under 18 years old
This form is for Internal Use Only. Because of safety concerns, the petitioner should be contacted at
the following address which shall be confidential and not subject to Public Disclosure.
Contact Person: ___________________________________________
Address: _________________________________________________
Phone: ______________________
SCCA/425C (12/2002)
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