Free Form 8.080.2 - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of G the Marriage of: , , Petitioner, and , Respondent. ) ) ) ) ) ) ) )

Case No. REQUEST FOR HEARING RE: STATUTORY RESTRAINING ORDER (UTCR 8.080)

1. I am the G Petitioner G Respondent in the above-referenced action, and I request a hearing to: a. Apply for further temporary orders (specify in detail; attach additional sheets if necessary):

b. Modify or revoke the following term(s) of the statutory restraining order: i. G Paragraph 1. G Revoke or G Modify as follows (explain):

ii. G Paragraph 2. G Revoke or G Modify as follows (explain): iii. G Paragraph 3. G Revoke or G Modify as follows (explain): iv. G Paragraph 4. G Revoke or G Modify as follows (explain):

2. I G will G will not be represented by an attorney at the hearing. Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: G I selected this document for myself and I completed it without paid assistance. G I paid or will pay money to for assistance in preparing this form.

Page 1 - Form 8.080.2 -- Request for Hearing Re: Statutory Restraining Order (Revised 12/3/03)

UTCR App. Page 29

Submitted by: G Petitioner G Respondent, Signature Address or Contact Address Print Name City, State, Zip Telephone or Contact Telephone

Certificate of Mailing. I certify that I mailed a copy of this Request for Hearing by U.S. Mail with postage paid to the other party, or the other party's attorney, at the following address: on the following date:

.

G Petitioner G Respondent, Signature I certify that this is a true copy: G Petitioner G Respondent, Signature

Print Name

Page 2 - Form 8.080.2 -- Request for Hearing Re: Statutory Restraining Order (Revised 12/3/03)

UTCR App. Page 30