February 2007 Form 4.4: Cancellation, Modification or Extension of Chapter 236 Order February 2007 American LegalNet, Inc. www.FormsWorkflow.com February 2007 8 Cancellation, Modification or Extension of Chapter 236 Order (cont’d) On this day of , 20 Temporary, Final or Consent order entered on , this matter comes before the court regarding the Chapter 236 . The court finds (if checked) that [ [ [ [ ] Protected party requests order be dismissed ] Protected party failed to appear for hearing ] There is insufficient evidence ] The court ORDERS as follows (check the appropriate option(s) below): (1) The order is hereby canceled. The Petition for Relief from Domestic Abuse is dismissed without prejudice. (2) The order is modified as follows: The modification is effective ( ) immediately. ( protective order shall also remain in force. . ) upon service. To the extent not inconsistent herewith, the prior (3) The order is hereby extended. (4) If checked, court costs are assessed against respondent. (5) The clerk of court shall reflect this change in status on the domestic abuse registry and shall notify law enforcement regarding this order. JUDGE, [ ] The [ ] The JUDICIAL DISTRICT County Sheriff shall serve and return service of this order upon the respondent. were personally served with a copy of the order by the court. [ ] The clerk of court shall provide copies of this order to the parties and law enforcement agencies, pursuant to Iowa Code sections 236.5(5) and 664A.4. NOTICE: If you have a disability and need assistance to participate in court proceedings, please call the ADA Coordinator at ( . If you are hearing-impaired, call Relay Iowa TTY at 1-800-735-2942. ) February 2007 American LegalNet, Inc. www.FormsWorkflow.com