Fill and Sign the Supervised Visitations Form

IN THE _____________ (Name of Court) OF _____________ (Name of County), _______________ (State) ____________________ PETITIONER (Name of Petitioner) VS. CASE NUMBER ______- _______ ____________________ RESPONDENT (Name of Respondent) Motion for Visitation Supervised by an Individual Comes now ________________ (Name of Petitioner) , the Petitioner in the above-captioned cause, by and through her attorney, who moves the Court to issue an Order For Visitation Supervised by an Individual according to the proposed Order For Visitation Supervised by an Individual which is attached to this Motion. As grounds for said Motion, Petitioner would show: (Note: the following are samples of possible grounds). 1. There is an abuse prevention restraining order against _________________ (Name of Respondent) , the Respondent, currently in effect, a copy of which is attached to this Motion; 2. Respondent has abused Petitioner, as more fully described in the attached Affidavit; 3. Respondent has abused the children of Petitioner and Respondent, as more fully described in the attached Affidavit. 4. Petitioner is at serious risk of suffering further abuse if the Court does not issue a Supervised Visiting Order. 5. The children of Petitioner and Respondent are at serious risk of suffering further abuse if the Court does not issue a Supervised Visiting Order. Wherefore, Petitioner respectfully moves the Court to issue an Order For Visitation Supervised by an Individual according to the proposed Order For Visitation Supervised by an Individual which is attached to this Motion. Respectfully submitted, _________________________ (Name of Petitioner) By: ______________________ (Printed Name of Attorney) _________________________ (Signature of Attorney) Petitioner’s Attorney State Bar No. ____________ Certificate of Service This is to certify that I, ___________________ (Name of Attorney) , attorney for Petitioner __________________ (Name of Petitioner) , have this date served a true and correct copy of the above and foregoing Motion by U.S. Mail, postage fully prepaid, to the following counsel of record for the Respondent: ______________________ (Name of Attorney) ________________________________ (Post Office Box No. or Street Address) _________________________________ (City, State, Zip Code) This the ____ day of _____________________, 20_______. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Respondent’s Attorney State Bar No. ____________ OF COUNSEL: ________________________ (Name of Attorney) ________________________________ (Post Office Box or Street Address) ________________________________ (City, State, Zip Code) Telephone: ____________