Use the form to complete aPetition for Temporary Protective Order.

Assume the following facts when completing the order.James and Terry Smith have been married for 5 years.Like any couple they have had arguments and difficult times in their marriage.James often yells but Terry has been used to it.Once while they were dating, they got into an argument and James grabbed Terry very hard and started shaking her.He apologized and said it would never happen again.Last year, they got into a very heated argument about James' spending.He got very upset and punched the wall near where Terry was standing.He did not hit her but she feared that he would.Last month, they started having financial problems because James lost his job.He is easily agitated and drinks a lot.Terry is concerned and confronts him about drinking so much.He starts yelling and throwing items in the home.He throws a lamp at Terry and it breaks while hitting her head.She seeks medical treatment.She is fearful of being around James and wants him to get help. She has been staying at a friend's home but wants to return to her home.She seeks legal advice from your attorney and decides to file a temporary protective order.James and Terry reside at 123 Main Street, Savannah, Georgia. They do not have any children.Terry wants James to vacate the home and get professional help with his anger management and drinking.You can make up any additional facts not listed but needed to complete the order.