COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. District Court ______________________________County, Colorado Court Address : Calendar No. Petitioner(s) : Plaintiff(s) Address: ____________________________________________________ City/State/Zip: -against- JUDICIAL SUBPOENA : ________________________________________ v. : COURT USE ONLY Respondent: : Address: ____________________________________________________ City/State/Zip: _____________________________________________________ Defendant(s) Case Number: : . . . .The .address .of. the. . . . . . . . . .party .may .be .omitted. from .the written . . . . . . . . . . . . protected . . . . . . . . . . . . . . . . . . . . order of the Court, including the Register of actions. Division: Courtroom: TEMPORARY PROTECTION ORDER PURSUANT TO §14-10-108, C.R.S. TO:____________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Sex M F Race: _____ DOB: ___________________ Ht: _____ Wt: _____ Hair color: _____ Eye color: _____ TO THE COURT FINDS it appropriate to issue this protection order pursuant to §14-10-108, C.R.S. and that irreparable injury would result to the moving party if no order was issued. IT IS ORDERED THAT: You GREETINGS: may not molest or disturb the peace of the other party or of any child(ren). You may not transfer, encumber, conceal, or in any way dispose of any property, except in the usual course of business or for the necessities WE COMMAND YOU, that of life. You must notify the other party of any proposed extraordinary expenditures all business and excuses being laid aside, you and each of you attend before and account to the Court for all extraordinary expenditures made after this order is issued. , the Honorable at the Court located at CountyTHE COURT FURTHER FINDS that physical or emotional harm would result if you are not excluded from the family home of of the other in roomor the home , on the party. of day , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the IT IS ORDERED THAT: You shall not enter the family home or the home of the other party, located at ___________________________________ _______________________________________________________________(address) and shall remain at least ___________ yards away from this location at all times. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whoseFURTHER FINDS that the award of interim legal parental responsibilities and all damages sustained as a THE COURT behalf this subpoena was issued for a maximum penalty of $50 of the child(ren). result of your failure to comply. _____________________________________________________________________, born ______________________, _____________________________________________________________________, born ______________________, Court Witness, Honorable , one of the Justices of the _____________________________________________________________________, born ______________________, to the other partyCounty, is necessary to day of domestic abuse or prevent the child(ren) from witnessing domestic abuse. prevent in , 20 IT IS FURTHER ORDERED THAT: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ (Attorney must sign above and type name below) ____________________________________________________________________________________________________. Date: _____________________________________ ___________________________________________ Attorney(s) for Judge Magistrate By signing, I acknowledge receipt of this Order. Date: __________________________________ ______________________________________ Office and P.O. Address Signature I certify that this is a true and complete copy of the original order. Dated: ______________________________________ PLEASE NOTE: JDF 439 R7/03 ___________________________________________ Clerk Telephone No.: Facsimile No.: IMPORTANT NOTICES FOR RESTRAINED PARTIES AND LAW ENFORCEMENT OFFICIALS ON REVERSE E-Mail Address: TEMPORARY PROTECTION ORDER PURSUANT TO §14-10-108, C.R.S. Page 1 of 2 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. IMPORTANT INFORMATION ABOUT PROTECTION ORDERS : Calendar No. : THIS ORDER IS IN EFFECT UNTIL THE DISPOSITION OF THIS ACTION, OR, IN THE CASE OF AN APPEAL, JUDICIAL SUBPOENA Plaintiff(s) UNTIL THE DISPOSITION OF THE APPEAL. -against- : : This order is accorded full faith and credit and shall be enforced in every civil or criminal court of the United States, an Indian tribe, or a United States territory pursuant to 18 U.S.C. Sec. 2265. The issuing court has jurisdiction over the parties and subject matter. The Restrained Party has been given reasonable notice and : opportunity to be heard. Defendant(s) : ...................................................... NOTICE TO RESTRAINED PARTY: THE PEOPLE OF THE STATE OFOF A YORK A KNOWING VIOLATION NEW PROTECTION ORDER IS A CRIME UNDER §18-6-803.5, C.R.S. A VIOLATION MAY SUBJECT YOU TO FINES OF UP TO $5,000.00 AND UP TO EIGHTEEN MONTHS IN JAIL. A VIOLATION WILL ALSO CONSTITUTE CONTEMPT OF COURT. YOU MAY BE ARRESTED WITHOUT NOTICE IF A LAW ENFORCEMENT OFFICER HAS PROBABLE CAUSE TO BELIEVE THAT YOU HAVE KNOWINGLY VIOLATED THIS ORDER. IF YOU VIOLATE THIS ORDER THINKING THAT THE OTHER PARTY OR A CHILD HAS GIVEN YOU PERMISSION, YOU ARE WRONG, AND CAN BE ARRESTED AND PROSECUTED. GREETINGS: THE TERMS OF THIS ORDER CANNOT BE CHANGED BY AGREEMENT OF THE OTHER PARTY OR THE CHILD(REN). ONLY THE COURT CAN CHANGE THIS ORDER. you and each of you attend before WE COMMAND YOU, that all business and excuses being laid aside, YOU MAY APPLY AT ANY TIME FOR THE MODIFICATION OR DISMISSAL OF THIS PROTECTION , the Honorable at the Court located at CountyORDER. of PURSUANT TO §14-4-102(7.5), C.R.S., IF YOU HAVE BEEN EXCLUDED FROM A SHARED RESIDENCE, in room , on the day of , 20 , at o'clock in the noon, and at any recessed YOU MAY GO INTO THE HOME ONCE, IN THE COMPANY OF A LAW ENFORCEMENT OFFICER, TO or adjourned date, to testify and PERSONAL EFFECTS SUFFICIENT TO MAINTAIN A NORMAL STANDARD OF OBTAIN UNDISPUTED give evidence as a witness in this action on the part of the LIVING. YOU MAY NOT GO INTO THE HOME UNLESS A LAW ENFORCEMENT OFFICER IS WITH YOU. TO Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to theNOTICEwhose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a party on TO LAW ENFORCEMENT OFFICIALS: result of your failure to comply. YOU SHALLHonorable Witness, USE EVERY REASONABLE MEANS TO ENFORCE THIS PROTECTION ORDER. , one of the Justices of the YOU SHALL ARREST, OR, IF AN ARREST WOULD BE IMPRACTICAL UNDER THE CIRCUMSTANCES, Court in County, day of , 20 SEEK A WARRANT FOR THE ARREST OF THE RESTRAINED PERSON WHEN YOU HAVE INFORMATION AMOUNTING TO PROBABLE CAUSE THAT THE RESTRAINED PERSON HAS VIOLATED OR ATTEMPTED TO VIOLATE ANY PROVISION OF THIS ORDER AND THE RESTRAINED PERSON HAS BEEN PROPERLY SERVED WITH A COPY OF THIS ORDER must sign above and type name below) NOTICE OF (Attorney OR HAS RECEIVED ACTUAL THE EXISTENCE OF THIS ORDER. YOU SHALL ENFORCE THIS ORDER EVEN IF THERE IS NO RECORD OF IT IN THE PROTECTION ORDER CENTRAL REGISTRY. YOU SHALL TAKE THE RESTRAINED PERSON TO THE NEAREST JAIL Attorney(s) for OR DETENTION FACILITY UTILIZED BY YOUR AGENCY. YOU ARE AUTHORIZED TO USE EVERY REASONABLE EFFORT TO PROTECT THE ALLEGED VICTIM AND THE ALLEGED VICTIM’S CHILDREN TO PREVENT FURTHER VIOLENCE. YOU MAY TRANSPORT, OR ARRANGE TRANSPORATION FOR, THE ALLEGED VICTIM AND/OR THE ALLEGED VICTIM’S CHILDREN TO SHELTER. Office and P.O. Address JDF 439 R7/03 Telephone No.: Facsimile No.: E-Mail Address: TEMPORARY PROTECTION ORDER PURSUANT TO §14-10-108, C.R.S. Mobile Tel. No.: Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com