Protection Order Case No. Amended Order Renewed Order Court County PETITIONER [ ] PROTECTED PERSON First _______________Judicial District Middle And Or on behalf of State Idaho PETITIONER/PROTECTED PERSON IDENTIFIERS Last minor family member(s) (list name and DOB) Date of Birth of Petitioner other Protected Person(s): (list name and DOB) _______________________________________ _______________________________________ _______________________________________ _______________________________________ RESPONDENT RESPONDENT IDENTIFIERS SEX First Middle RACE EYES HAIR DOB HT WT Last __________________________________________________ DISTINGUISHING FEATURES Respondent’s Address __________________________________________________ Relationship to Protected person: spouse: former spouse; living together; formerly living together; child in common; parent related by blood, adoption or marriage; are in, or have been in, a dating relationship. DRIVERS LICENSE # CAUTION: † STATE Weapon Alleged to be Involved. The court has jurisdiction over the parties and subject matter, the Respondent has been provided with reasonable notice and opportunity to be heard. There is an immediate and present danger of domestic violence to the Protected Person(s). The terms of this order shall be effective until earlier by another court order. , at 11:59 P.M. /unless terminated WARNINGS: This order shall be enforced, even without registration, by the courts of any state, the District of Columbia, any U.S. Territory, and may be enforced on Tribal Lands (18 U.S.C. Section 2265). Crossing state, territorial, or tribal boundaries to violate this order may result in federal imprisonment (18 U.S.C. Section 2262). Federal law provides penalties for possessing, transporting, shipping, or receiving any firearm or ammunition (18 U.S.C. Section 922(g)(8)). Violation of any provision of this order by the respondent, after actual notice of its terms, is a misdemeanor and may result in arrest and sentencing for up to one (1) year in jail and a five thousand dollar ($5,000) fine, even if the protected person consents to the violation. Only the Court can change this order. Protection Order CAO DV 8-1 Revised 12/10/2007 Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com Petitioner Appeared: Yes No Represented by: Respondent Appeared: Yes No Represented by: The Respondent agreed to entry of a protection order. The Court found, after a hearing, that a protection order should be issued. The Court finds that the original Petitioner is the abuser and the original Respondent is the victim of domestic violence. The original Petitioner shall be the Respondent and the original Respondent shall be the Petitioner. THE COURT ORDERS: 1. Personal Conduct Order. Respondent shall not harass, annoy, disturb the peace of, telephone, contact, or otherwise communicate with (either directly or indirectly, in person or through any other person): [01] The Protected Person The minor child/ren residing in the Protected Person’s household. [05] Exceptions are: to meet with or through attorneys or during legal proceedings contact by telephone to arrange visitation of the child/ren contact by telephone between .m. and .m. on for the following purposes: to participate in counseling/mediation, if Court ordered to respond to an emergency involving the child/ren Other: 2. Stay-Away Order. Respondent shall not, EVEN IF INVITED BY THE PROTECTED PERSON, go to: go within feet of: Protected Person Protected Person’s residence at [04] Protected Person’s school campus or work place at Protected Person’s child/ren’s school campus or work place at Other: 3. Move-out Order. Respondent is ordered to move from the residence at within [03] hours of the time you are served with this order and take from the residence only items needed for employment and necessary personal effects (at peace officer’s discretion). Protection Order Page 2 of 4 CAO DV 8-1 Revised 12/10/2007 American LegalNet, Inc. www.FormsWorkflow.com 4. Child custody. Custody of the minor child/ren is awarded as provided in the existing child custody order/divorce decree entered as follows: [06] Name of Child (first, middle initial, last) Protected Person [09] Birth Date Sex Custody Awarded To Respondent shall NOT have the child/ren until further order of the Court shall have the child/ren as follows (list days, times and conditions): [06] supervised by: neutral drop off/pick up location: child/ren to be transported by: Neither party shall remove the child/ren from 5. Law enforcement assistance. Peace officers are instructed to enforce this Court order by all necessary means, including arrest. Law enforcement officers are ordered to: Remove the Respondent from the residence at peace officer’s discretion, but no later than . The time for removal shall be at the hours after service of this order. Place the Protected Person in possession of the residence at Supervise the removal of Protected Person’s Respondent’s items needed for employment and necessary personal effects (at peace officer’s discretion) from the residence. 6. Conflicting Orders. If any term of another order conflicts with any term of this order you must follow the more restrictive term. 7. Change in address. The parties shall at all times keep the Court informed of their current mailing addresses. 8. Treatment/Counseling. Within days of this order, Respondent shall report to and participate and complete all scheduled Protection Order Page 3 of 4 CAO DV 8-1 Revised 12/10/2007 American LegalNet, Inc. www.FormsWorkflow.com treatment or counseling. A written report shall be submitted to the Court within this order. days of 9. Future notices. The parties have waived their right to personal service and agreed that all future notices of hearing may be served by certified mail. 10. Other: [07] [08] 11. Order to clerk. It is further ordered that the clerk of the court shall forward a copy of this order to the appropriate law enforcement agency for immediate entry into record systems and service upon Respondent, if not previously served; and the clerk shall deliver or mail a copy of this order to the Petitioner. Date: Signed: Judge NOTICE: It is a misdemeanor under Idaho Code § 39-6312 for the respondent, after notice of this order, to violate the provisions of this order. Further, it is a crime under Idaho Code § 8-204 for any person to aid and abet a crime, or, not being present, to advise and encourage a crime. In addition, under Idaho Code §18-304, any person who counsels, aids, solicits or incites another to commit a misdemeanor is guilty of a misdemeanor. Therefore, it may be a crime for any person to encourage or invite contact between the respondent and the petitioner, except such contact as is expressly permitted by the above order. I have received a copy of this order and advisory notice and warning. Signed: Date: Petitioner Signed: Date: Respondent ATTENTION: KEEP A COPY OF THIS ORDER IN YOUR POSSESSION AT ALL TIMES IN ORDER TO ASSIST PEACE OFFICERS. IMMEDIATELY REPORT ANY VIOLATION OF THIS ORDER TO LAW ENFORCEMENT. Protection Order Page 4 of 4 CAO DV 8-1 Revised 12/10/2007 American LegalNet, Inc. www.FormsWorkflow.com