State of Alabama Unified Judicial System Form C-3 (Page 1 of 3) Rev. 7/10 PROTECTION ORDER Case No. (Protection from Abuse Act) § 30-5-1, et seq., Ala. Code 1975 In the Circuit Court of ____________________________County, Alabama Amended Order For Cases Filed on or After July 1, 2010 PLAINTIFF PLAINTIFF First Middle Last and any minor(s) on whose behalf the Petition for Protection from Abuse was filed [List Name(s) and DOB(s)]: __________________________________________________ __________________________________________________ Date of Birth (DOB) of Plaintiff Other Protected Persons(s) [List Name(s) and DOB(s)]: __________________________________________ __________________________________________ V. ____________________________________ DEFENDANT DEFENDANT IDENTIFIERS SEX First Middle RACE EYES HAIR DOB HT WT Last Relationship to Plaintiff: Spouse Ex-Spouse Child Common Law Marriage Child in Common Present or Former Household Member Dating Relationship Defendant’s Home Address & telephone #:__________________ _____________________________________________________ CAUTION: WEAPONS INVOLVED: DISTINGUISHING FEATURES DRIVER’S LICENSE # STATE VEHICLE TAG# Firearm Knife Hands, Feet, Fist Weapon Present on the Property EXP. DATE Other:_______________________________ THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and the Defendant has been provided with reasonable notice and opportunity to be heard. Additional findings of this Court follow on succeeding pages. THE COURT HEREBY ORDERS (Check all that apply): That the above-named Defendant be enjoined from threatening to commit or committing acts of abuse as defined in the Protection from Abuse Act. That the above-named Defendant be restrained from any contact with the Plaintiff, and/or child(ren): and/or any designated person, to wit:__________________________________________________ Additional terms of this order follow on succeeding pages. The terms of this order shall be effective until _______________________,_________________; or further order of the Court. NOTICE TO LAW ENFORCEMENT This Order shall be enforced, even without registration, by courts and any law enforcement officer of any state, the District of Columbia, any U.S. territory, and may be enforced by Tribal lands (18 U.S.C.A. Section 2265). WARNINGS TO DEFENDANT: This Order shall be enforced, even without registration, by the courts and any law enforcement officer of any State, the District of Columbia, any U.S. territory, and may be enforced by Tribal lands (18 U.S.C.A. Section 2265). Crossing state, territorial, or tribal boundaries to violate this Order may result in penalties, including federal imprisonment (18 U.S.C.A. Section 2262). Federal law provides penalties for possessing, transporting, shipping, or receiving any firearm or ammunition while subject to a qualified protection order or after being convicted of a misdemeanor crime of domestic violence [18 U.S.C.A. Sections 922(g)(8) and 922(g)(9)]. This Order is also enforceable on U.S. Department of Defense installations (10 U.S.C.A. Section 1561a). A willful violation of this Order is a Class A misdemeanor, and may also be punishable for contempt, Section 30-5-A-3 (c) (2),Ala. Code 1975. ONLY THE COURT CAN CHANGE THIS ORDER Original-Court Record Copy-Law Enforcement Copy-Plaintiff Copy-Defendant American LegalNet, Inc. www.FormsWorkFlow.com PROTECTION ORDER (Protection from Abuse Act) §30-5-1, et seq., Ala. Code 1975 Amended Order State of Alabama Unified Judicial System Form C-3 (Page 2 of 3) Rev. 7/10 Case No. In the Circuit Court of ________________________County, Alabama FINDINGS OF THE COURT (Continued from Page One) (Check all that apply): After a hearing was held in which the Defendant: appeared { pro se or with counsel} or did not appear, the Court finds that the Plaintiff proved the allegations of abuse by a preponderance of evidence and further finds that: Service was perfected on the Defendant on _______________________________ (date). The Defendant represents a credible threat to the physical safety of the: Plaintiff; and/or minor(s); and/or minor child(ren); and/or any designated family or household member, to-wit: _____________________________________. THE COURT FURTHER ORDERS THAT (Check all that apply): (1) The Defendant is enjoined from threatening to commit, or committing acts of abuse, as defined in the Protection from Abuse Act, against the: Plaintiff, and/or child(ren); and/or any designated person, to wit:__________________________________________. (2) The Defendant is restrained and enjoined from harassing, stalking, annoying, telephoning, contacting, or otherwise communicating, directly or indirectly, with the Planitiff; and/or child(ren) or threatening or engaging in conduct that would place in reasonable fear of bodily injury, the: Plaintiff; and/or child(ren) of the Plaintiff; and/or any designated person, to-wit: _______________________________________________________. (3) The Defendant is ordered to stay away from: the Plaintiff’s residence; place of employment; school; and/or the child)ren)’s: residence; place of employment; school; and/or any designated person ’s, to-wit:_____________________________________; residence; place of employment; school; and/or any specified place, as designated below which the court determines the Defendant has no legitimate reason to frequent, frequented by: the Plaintiff; child(ren); and/or any designated person. Name(s) and location(s) of the other specified place(s): _________________________________________________________________________. (4) Temporary custody of the child(ren) of the parties is hereby awarded to: _______________________________________________. (5) The Defendant is enjoined from interfering with the Plaintiff’s efforts to remove any of the Plaintiff’s child(ren). I direct ______________________________________________ (appropriate law enforcement officer ) to accompany the Plaintiff during this effort. (6) The Defendant is enjoined from removing any child(ren) from the individual, to wit: ___________________________________________, having legal custody of the child(ren), except as subsequently authorized by a custody or visitation order issued by a court of competent jurisdiction. (7) The Defendant is removed and excluded from the residence of the Plaintiff, regardless of ownership of the residence. (8) The possession and use of the automobile, ____________________________________________________________, is (Description, year, make) awarded to ____________________________________________________ and other essential personal effects, _____________________________________________________________________________________________________________ (Please Specify) are awarded to ___________________________________________________. ___________________________________________________(the appropriate law enforcement officer) is to accompany the Plaintiff to the residence of the parties or to ____________________________________________________ as necessary to protect the Plaintiff or any child(ren) from abuse. (9) The Defendant is prohibited from: transferring; concealing; property mutually owned or leased by the parties, as follows: encumbering; or otherwise disposing of specified (10) The Defendant is ordered to obey the following grant of relief deemed necessary to provide for the safety and welfare of the: Plaintiff; and/or any child(ren); and/or any designated person, as follows: ________________________________________ ___________________________. Original-Court Record Copy-Law Enforcement Copy-Plaintiff Copy-Defendant American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System, Form C-3 (Page 3 of 3) Rev. 7/10 PROTECTION ORDER (Protection from Abuse Act) §30-5-1, et seq., Ala Code 1975 Case No. In the Circuit Court of ________________________County, Alabama Amended Order (11) The Defendant is ordered to comply with the following visitation arrangements of any child(ren) [These visitation arrangements should be given on a basis that gives primary consideration to the safety of the Plaintiff and/or child(ren), or both, and require supervision by a third party or denies visitation if necessary to protect the safety of the Plaintiff and/or child(ren)]: __________________________________________________________________________________________. (12 ) The Defendant is ordered to pay attorney’s fees in the amount of $ ____________________________and court costs. (13 ) The Defendant is ordered to support the Plaintiff and/or child(ren) living in the residence or household when the Defendant is the sole owner or lessee. The Plaintiff is granted possession of the residence or household to the exclusion of the Defendant by evicting the Defendant; restoring possession to the Plaintiff; or both; or by agreeing to allow the Defendant to provide suitable alternate housing. (14 ) The Defendant is ordered to pay temporary reasonable support in the amount of $________________________ for the Plaintiff and/or any child(ren) in the Plaintiff’s custody, or both, when the Defendant has a legal obligation to support these persons. The amount of temporary support awarded shall be in accordance with the Child Support Guidelines, Rule 32, Alabama Rules of Judicial Administration, as calculated on Form CS-42, unless a different amount is set by this Court. (15) The Defendant is ordered to provide temporary possession of the vehicle (description) _____________________ to the Plaintiff, since the Plaintiff has no other means of transportation of his or her own and the Defendant either has control of more than one vehicle or has alternate means of transportation. (16) The following previous court orders are incorporated (all or in-part) into this Order. Custody Order ______________ (case#) Visitation Order _______________ (case#) Support Order ______________ (case#). (17 ) The Defendant is ordered to surrender all firearms to _____________________________________ (law enforcement agency). Any law enforcement officer is hereby authorized to remove any weapons known to be possessed by the Defendant if not timely surrendered. (18 ) Any law enforcement officer is hereby directed to accompany the Plaintiff to the: residence of the parties; and/or another location, ______________________________________________________, as necessary to enforce any of the terms of this (description of location) Order. (19 ) ____________________________________________________________________________________________________________ _________________________________________________________________________________________________. __________________________________________ Date Original-Court Record Copy-Law Enforcement _____________________________________________________ Judge Copy-Plaintiff Copy-Defendant American LegalNet, Inc. www.FormsWorkFlow.com