This form is not needed if form 41-7 requesting a temporary restraining order is used.
NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Notice of Hearing for Temporary Orders and Order to Appear
Notice is given to Respondent, [name of respondent], and Respondent is ORDERED to appear in person [include if applicable: and to furnish information sufficient to accurately identify Respondent’s net resources and ability to pay child support and to bring with [him/her] tax returns for the past two years, a financial statement substantially in the form and detail prescribed by the current edition of Texas Family Law Practice Manual, form 4-2, and pay stubs for the past three months. IT IS ORDERED that Respondent shall appear with those documents] before this Court in the courthouse at [address, city], Texas, on ________________________ at ____________ __.m. The child[ren] the subject of this suit [is/are] [name[s] of child[ren]]. Petitioner is [name of petitioner].
1.Temporary Injunction
One of the purposes of the hearing is to determine whether the temporary injunction prayed for should be granted to enjoin Respondent from the following:
Select as required by petition. |
1.A.Disturbing Child[ren] or Another Party
Disturbing the peace of the child[ren] or of another party.
And/Or |
1.B.Withdrawing Child[ren] from School or Day Care
Withdrawing the child[ren] from enrollment in the school or day-care facility where the child[ren] [is/are] presently enrolled.
And/Or |
1.C.Hiding Child[ren] from Petitioner
Hiding or secreting the child[ren] from Petitioner.
And/Or |
1.D.Disparaging Remarks
Making disparaging remarks regarding Petitioner [include if applicable: or Petitioner’s family] in the presence or within the hearing of the child[ren].
And/Or Use only if this issue is a serious matter in the suit. |
1.E.Consumption of Alcohol
Consuming alcohol within the [number] hours before or during the period of possession of or access to the child[ren].
And/Or |
1.F.Affecting Health or Dental Insurance
Canceling, altering, failing to renew or pay premiums on, or in any manner affecting the level of coverage that existed at the time this suit was filed of, any health or dental insurance policy insuring the child[ren].
Continue with the following. |
2.Other Temporary Orders
Another purpose of this hearing is to determine whether, while this case is pending, the Court should make temporary orders, as necessary and equitable, on the following matters:
2.A.Temporary Joint Managing Conservators
Petitioner and Respondent should be appointed temporary joint managing conservators of the child[ren] [include if applicable: and [Petitioner/Respondent] should be designated as the conservator who has the exclusive right to designate the primary residence of the child[ren]].
2.B.Temporary Conservator with Right to Designate Primary Residence
[Petitioner/Respondent] should be appointed the temporary conservator who has the right to designate the primary residence of the child[ren].
2.C.Temporary Support
[Petitioner/Respondent] should be ordered to provide support for the child[ren], including the payment of child support and medical and dental support in the manner specified by the Court, while this case is pending.
2.D.Temporary Conservator without Right to Designate Primary Residence
[Petitioner/Respondent] should be appointed the temporary conservator who does not have the right to designate the primary residence of the child[ren].
2.E.Electronic Communication
The Court should order reasonable periods of electronic communication between the child[ren] and Petitioner to supplement Petitioner’s periods of possession of the child[ren].
2.F.Residence Restriction
The primary residence of the child[ren] should be restricted to [geographic area].
2.G.School Enrollment
§ 105.001(a)
[Petitioner should be awarded the exclusive right to enroll the child[ren] in school./The parties should be ordered to enroll the child[ren] in the public schools for the attendance zone of Petitioner’s residence./The parties should be ordered to enroll the child[ren] as follows: [name of child] in [name and address of school] as long as the child is eligible to attend that school [repeat for each child if more than one].]
2.H.Travel Restriction
Respondent should be enjoined from removing the child[ren] beyond [geographic area], acting directly or in concert with others.
2.I.Denial or Restriction of Possession or Access
Respondent should be denied access to the child[ren] or, alternatively, the Court should render a possession order [in accordance with section 153.004(d–1)(2) of the Texas Family Code/providing that Respondent’s periods of visitation be continuously supervised]. [If Tex. Fam. Code §§ 153.501–.503 (international parental abduction risk) apply, see form 55-1 for further restrictions.]
2.J.Child Custody Evaluation
The Court should order the preparation of a child custody evaluation regarding the circumstances and condition of the child[ren] [,/and] the parties [include if applicable: , and the residence of any person requesting conservatorship of, possession of, or access to the child[ren]] and any issue or question relating to the suit at the request of the Court before or during the evaluation process.
2.K.Psychological or Psychiatric Evaluation
The Court should order the [psychological/psychiatric] evaluation of [name[s]] and the child[ren].
2.L.Parent Education and Family Stabilization Course
The Court should order the parties to attend a parent education and family stabilization course.
2.M.Parenting Coordinator/Facilitator
The Court should appoint a parenting [coordinator/facilitator/coordinator or facilitator].
2.N.Ad Litem/Amicus
2.N.1.Guardian Ad Litem
The Court should appoint a guardian ad litem to represent the best interests of the child[ren].
Or |
2.N.2.Attorney Ad Litem
The Court should appoint an attorney ad litem to provide legal services for the child[ren].
Or |
2.N.3.Amicus Attorney
The Court should appoint an amicus attorney to provide legal services necessary to assist the Court in protecting the best interests of the child[ren].
2.O.ADR Participation
The Court should order the parties to participate in an alternative dispute resolution process before trial of this matter.
2.P.Tax Returns
The Court should order Respondent to produce copies of income tax returns for tax years [years], a financial statement, and current pay stubs by a date certain.
2.Q.Execution of Releases
The Court should order Respondent to execute all necessary releases required by Petitioner to obtain any discovery allowed by the Texas Rules of Civil Procedure.
The Court should order Respondent to execute all necessary releases pursuant to the Health Insurance Portability and Accountability Act (HIPAA) and 45 C.F.R. section 164.508 to permit Petitioner to obtain health-care information regarding the child[ren].
The Court should order Respondent to execute for all health-care providers of the child[ren] an authorization for disclosure of protected health information to Petitioner pursuant to the Health Insurance Portability and Accountability Act (HIPAA) and 45 C.F.R. section 164.508.
The Court should order Respondent to designate Petitioner as a person to whom protected health information regarding the child[ren] may be disclosed whenever Respondent executes an authorization for disclosure of protected health information pursuant to the Health Insurance Portability and Accountability Act (HIPAA) and 45 C.F.R. section 164.508.
2.R.Interim Attorney’s Fees
The Court should order Respondent to pay reasonable interim attorney’s fees and expenses.
The Court should order a pretrial conference to simplify the issues in this case and determine the stipulations of the parties and for any other matters the Court deems appropriate.
Include 2.T. if applicable. |
The Court should make all other and further orders that are pleaded for or that are deemed necessary for the safety and welfare of the child[ren].
If appropriate, see form 40-4 for recitations regarding temporary orders to be effective for the duration of a party’s military duty. |
SIGNED on ______________________________ at ____________ __.m.
JUDGE PRESIDING