SCA-FC-112: Motion for Temporary Relief
Review Date: 10/2015; Revision Date: 10/2015; WVSCA Approved: 2/9/2016
Page 1 of 2
IN THE FAMILY COURT OF
COUNTY, WEST VIRGINIA
IN RE:
The Marriage / Children Of:
Civil Action No.
Petitioner (First/Middle/Last)
and
Respondent (First/Middle/Last)
MOTION FOR TEMPORARY RELIEF
This Motion is being made by
, request the Court to Order the following Temporary Relief.
Have you previously requested temporary relief in this case?
Has the other party previously requested temporary relief in this case?
Yes No
Yes No
Check the "Yes" or "No" box in front of the relief you want.
.
I,
Determine custodial responsibility and time to be spent with children.
Adopt my Individual Proposed Parenting Plan.
(Check "Yes" only if you have attached a Parenting Plan.)
Yes
Yes No
Order a reasonable amount of child support.
Order a reasonable amount of spousal support (alimony).
Yes
No
Yes
No
Order that health insurance be maintained or established.
Order the use and/or possession of the residence and personal property located within
the residence.
Yes
No
Yes
No
Order the use and/or possession of the automobile(s).
Determine responsibility for debts and attorney's fees.
Yes
No
Yes
No
Appoint a guardian ad litem for a party or a child of the parties.
Issue a Protective Order.
Yes
No
Yes
No
Other relief requested:Yes
No
1.
No
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
.
SCA-FC-112: Motion for Temporary Relief
Review Date: 10/2015; Revision Date: 10/2015; WVSCA Approved: 2/9/2016
Page 2 of 2
State of West Virginia
County of ______________________________
I, ____________________________________, the person making this Motion for Temporary Relief,
CERTIFICATE OF SERVICE
_________________________________________
Signature
_________________________________
Date
mailed the Motion, together with any attached documents, by first class United States Mail, postage paid to
, at the address of
(Opposing party)
(Print your name here.)
,
(Opposing party's address)
on the day of , 20 .
VERIFICATION
I, _________________________________________, after making an oath or affirmation to tell the truth,
say that the facts I have stated in this Motion are true to the best of my personal knowledge and belief; and if I
have provided information given to me by others, I believe that information to be true.
_________________________________________
Signature
__________________________________
Date
This Verification was sworn to or affirmed before me on the _______ day of _________________, 20_____.
________________________________________
Notary Public / Other Official
My commission expires: __________________________________________.