Protection Order Case No. Temporary Ex Parte Extension of Protection Order and Notice of Hearing Court PETITIONER [ ] PROTECTED PERSON First Middle And Or on behalf of _______________Judicial District County 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; previously lived 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 will be provided with reasonable notice and opportunity to be heard. The Respondent represents an immediate and present danger of domestic violence to the Protected Person(s) and irreparable injury could result from domestic violence if an order is not issued immediately without prior notice to Respondent. 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. Temporary Ex Parte Extension Protection Order & Notice of Hearing CAO DV 9-4 Revised 12/10/2007 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com 1. The Protection Order issued ___________________ is extended. NOTICE OF HEARING The Petitioner and Respondent are notified that a hearing to decide whether the Protection Order will be on renewed is scheduled before Judge at o’clock in m, at the , 20 , County Courthouse located at , Idaho. WARNING: IF THE RESPONDENT DOES NOT APPEAR AT THE HEARING, A LONGER PROTECTION ORDER MAY BE ISSUED AGAINST THE RESPONDENT. IF THE PETITIONER FAILS TO APPEAR, THE PETITION MAY BE DISMISSED. Signed: Date: 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 agree to receive copies of future notices by certified mail. Signed: Date: Petitioner I have received a copy of this order [ ] and agree to receive copies of future notices by certified mail. 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. Temporary Ex Parte Extension Protection Order & Notice of Hearing Page 2 of 2 CAO DV 9-4 Revised 12/10/2007 American LegalNet, Inc. www.FormsWorkflow.com