The Family Court of East Baton Rouge Parish, State of Louisiana
Application for Ex-Parte Temporary Custody Order
Louisiana Code of Civil Procedure Article 3945 B (1)
The order submitted to the Court must comply with Louisiana Code of Civil Procedure Article 3945 B.(1)
THE FAMILY COURT PARISH OF EAST BATON ROUGE STATE OF LOUISIANA
BEFORE ME, this ______ day of ____________________ , year _______, personally came and appeared: ____________________________________ who, after being duly sworn, did depose as follows: I have read the allegations of the petition and they are true and accurate to the best of my knowledge, information, and belief. Immediate and irreparable injury will result to the child or children named in the attached petition before the defendant/respondent herein or his/her attorney can be heard in opposition because of the following SPECIFIC FACTS: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
(ATTACH SUPPLEMENTAL PAGES IF NECESSARY)
_______________________________
Signed by (Petitioner)
SWORN TO AND SUBSCRIBED, before me, Notary Public, on this _____ day of ______________, year ________, at Baton Rouge, Louisiana.
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Signed by (Notary Public)
NOTICE: The Court will not consider any application unless on this Court approved form AND must be presented with Form F (Certification of Applicant's Attorney) attached. Form E: Application for Ex-Parte Temporary Custody Order Form revised: September, 1999