STATE OF SOUTH CAROLINA	)
)	IN THE FAMILY COURT
COUNTY OF	)
)	JUDICIAL CIRCUIT
)
Petitioner	)	PETITION FOR ORDER OF PROTECTION
(For Use in Magistrate’s Court)
)
vs.	)
)	FILE NO.
)
Respondent.	)	Respondent’s SSN:
)	DOB:	Race:	Sex:

I ask this court to issue an Order of Protection, because:

1.	This is the county where this case should be handled, since (check one):

a.	The person who caused the abuse lives in this county; or,

b.	The person who caused the abuse does not live in this State, or can't be found, but I live in this county; or,

c.	The person who caused the abuse last lived with me in this county, and I still live in this county.

2.	The person who caused the abuse lives at in or near the town or city of , which is in

County, and the State of .

3.	The person who was abused was (check one or both, and supply information):

a.	, who is the person asking for an Order of Protection; or,

b.	, who is a child under 18 years old who lives with me.

4.	That the abuser and the victim (check one or more):

are husband and wife	were formerly husband and wife
are cohabiting	formerly cohabiting
have a child/children in common
are household or family members pursuant to S.C. Code Section 20-4-20 (a)(2)

5.	The abuse happened on	, at o'clock, , when did this

6.	I ask this court to (check one or both and supply information):

a.	issue an order of protection which forbids from abusing, threatening to abuse or molesting .

b	hold an emergency hearing within 24 hours.

Sworn to and Subscribed before me	)
this	day of	,	2 .	)
)
)
Notary Public for South Carolina	)	Signature of Petitioner or
)	Person on Behalf of Petitioner under 18 years old
My Commission expires	)

NOTICE TO RESPONDENT: YOU HAVE THE RIGHT TO EMPLOY COUNSEL TO REPRESENT YOU.

SCCA/744 (Amended 05/08)

STATE OF SOUTH CAROLINA

Winkie Clark

2008-05-06

SCJD