February 2007 Form 4.8: Domestic Abuse Protective Order by Consent Agreement Accompanying Dissolution Decree (Iowa Code Chapter 598) February 2007 American LegalNet, Inc. www.FormsWorkflow.com February 2007 6 Domestic Abuse Protective Order by Consent Agreement Accompanying Dissolution Decree (Iowa Code Chapter 598) (cont’d) On the determine if day of , 20 , a hearing was held in this marriage dissolution action to , hereinafter designated as the protected party, should be accorded the (petitioner or respondent) type of protection described in Iowa Code Chapter 236 from (petitioner or respondent) as defendant. The following persons were present and participated in the hearing: hereinafter designated . The court FINDS by a preponderance of the evidence: (1) The parties appeared and each consented to the entry of this order. [ ] (2) If checked, the defendant committed a domestic abuse assault against the protected party. [ ] (3) The protected party or the children are in imminent danger of physical harm from the defendant. The court accordingly ORDERS as follows: 1. Defendant shall not threaten, assault, stalk, molest, attack, harass or otherwise abuse the protected party. Defendant shall not use, or attempt to use, or threaten to use physical force against the protected party that would reasonably be expected to cause bodily injury. 2. Defendant shall not communicate with the protected party in person or through any means including third persons. This restriction shall not prohibit communication through legal counsel. 3. Defendant shall not go to, enter, or occupy the protected party’s residence or any other residence in which the protected party is staying, under any circumstance. 4. (Insert additional provisions expressly limiting contact, if any, including limitations on access to protected party’s school or workplace): . 5. The issues of custody and visitation have been set forth in detail in the dissolution decree. These custody and visitation provisions have been attached and are incorporated in this order by this reference. As a result, custody and visitation shall be treated as a specific provision of this protective order and are enforceable under the provisions of Iowa Code Chapter 236. 6. The defendant shall not possess firearms while this order is in effect. Defendant shall deliver all firearms to the County Sheriff or (law enforcement agency) on or before , 20 . The defendant is advised that the issuance of this protective order may also affect the right to possess or acquire a firearm or ammunition under federal law. 18 U.S.C. §§ 922(d)(8), (g)(8). 7. A DEFENDANT WHO VIOLATES THIS ORDER FACES IMMEDIATE ARREST. Violation may occur even if the protected party consents to conduct that is prohibited by this order. Only the court can relieve defendant from the restrictions contained in this order. 8. This order is effective immediately. JUDGE, JUDICIAL DISTRICT [ ] The County Sheriff shall serve and return service of this order upon the defendant. [ ] Defendant was personally served with a copy of this 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