ORDER GRANTING PETITION FOR INJUNCTION AGAINST HARASSMENT IN THE DISTRICT COURT OF THE FIRST CIRCUIT ______________________________ DIVISION STATE OF HAWAI`I Petitioner(s) TWO-SIDED FORM Form #1DC52 DATE FILED: TIME FILED: CLERK: Reserved for Court Use Civil No. 1SS Petitioner(s)/Petitioner(s)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Respondent(s) Hearing Date & Time: Judge: ORDER GRANTING PETITION FOR INJUNCTION AGAINST HARASSMENT The Petition, having come on for hearing on the Hearing Date and Time listed, before the Honorable Judge above named for the Division of the District Court of the above Circuit, with Petitioner(s) appearing: G pro se G with Counsel, and Respondent(s): G appearing pro se G appearing with Counsel, G having been duly served, but failing to appear for the hearing on the Petition the Court having reviewed the Petition, and: G upon the failure of the Respondent(s) to appear, G the Respondent(s) having stipulated to the granting of the Petition and no Findings of Fact having been made, G evidence having been adduced thereon and the Court having found the allegations of the Petition proven by clear and convincing evidence, G Petitioner(s) and Respondent(s) served with a copy of this Order in open court. IT IS ORDERED, ADJUDGED AND DECREED THAT: 1. The Petition is granted. 2. The Ex Parte Temporary Restraining Order herein is made absolute as of . (continued on reverse side) TROORDER.2X (Amended 4/18/97)v SEE REVERSE SIDE I certify that this is a full, true, and correct copy of the original on file in this office. 1D-P-804 CommonLook® Reprographics (11/11) 508 Certified Clerk, District Court of the above Circuit, State of Hawai`i American LegalNet, Inc. www.FormsWorkFlow.com ORDER GRANTING PETITION FOR INJUNCTION AGAINST HARASSMENT (continued) 3. The Respondent(s) and any other person acting on behalf of the Respondent(s) is hereby restrained and enjoined from: a. G Contacting, threatening, or physically harassing the Petitioner(s) and any person(s) residing at Petitioner(s)' residence b. G Telephoning the Petitioner(s) c. G Entering or visiting the Petitioner(s)' residence, including yard and garage and G Entering or visiting the Petitioner(s)' place of employment. 4. Said injunction shall be effective as of and shall be in full force and effect for a period of month(s) year(s) from said date unless terminated or modified by appropriate orders by this Court. 5. RESPONDENT(S) IS PROHIBITED FROM POSSESSION OR CONTROLLING A FIREARM OR AMMUNITION WHILE THIS INJUNCTION ORDER IS IN EFFECT, ANY FIREARM OR AMMUNITION IN THE POSSESSION OF THE RESPONDENT(S) SHALL BE TURNED OVER TO THE POLICE DEPARTMENT FOR SAFEKEEPING WHILE THIS INJUNCTION ORDER IS IN EFFECT. 6. Special conditions or modifications: 7. IT IS FURTHER ORDERED, ADJUDGED AND DECREED THAT ANY WILLFUL VIOLATION OF THIS ORDER AGAINST HARASSMENT SHALL BE PUNISHABLE AS CRIMINAL CONTEMPT UNDER HAWAI`I REVISED STATUTES §604-10.5. IN ADDITION, ANY VIOLATION OF PARAGRAPH 5 SHALL BE PUNISHABLE AS A MISDEMEANOR OFFENSE UNDER HAWAI`I REVISED STATUTES §134-7. 8. G Court costs are awarded to Petitioner(s). G Reasonable attorney's fees are awarded to Petitioner(s). 9. TO ANY POLICE OFFICER OR ANY OTHER LAW ENFORCMENT OFFICER: YOU ARE ORDERED TO ARREST RESPONDENT(S) IF YOU OBSERVE AND/OR HAVE PROBABLE CAUSE TO BELIEVE THAT, DURING THE PERIOD STATED IN PARAGRAPH 4 HEREIN, RESPONDENT(S) HAS VIOLATED THE CONDITIONS OF PARAGRAPH 3 HEREIN. Date: Judge of the above-entitled Court In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 538-5121, FAX 538-5233, or TTY 539-4853 at least ten (10) working days in advance of your hearing or appointment date. For Civil related matters, please call 538-5151. CommonLook® 508 Certified American LegalNet, Inc. www.FormsWorkFlow.com 1D-P-804