IN THE DISTRICT COURT OF Protection from Stalking (K.S.A. 60-31a01 et seq.) COUNTY, KANSAS Final Order of Protection from Stalking Judge or Division: Case Number: Court ORI Number: Plaintiff: Plaintiff Identifiers: Year of Birth Sex: vs. Defendant: (Date File Stamp) F M Defendant Identifiers: SEX HAIR Address RACE EYES DRIVERS LICENSE # Appearances: Plaintiff Plaintiff’s Attorney Defendant Defendant’s Attorney Protected Person: YOB HT WT LAST 4 DIGITS OF SSN (IF KNOWN) DL STATE DL EXP. DATE Defendant Fails to Appear Other (name) This order and its terms are directed at and apply to Defendant only. This order shall be effective until: , 20 . ONLY THE COURT CAN CHANGE THIS ORDER. The Court Finds: (Only the provision(s) initialed by the judge apply.) Plaintiff filed a written verified petition on , 20 requesting an Order of Protection from Stalking. Prior to this hearing, Defendant was given reasonable notice of the date set for the hearing, together with a copy of the petition and any ex parte order of protection from stalking, by personal service on , 20 . This court has jurisdiction over Plaintiff, Defendant and subject matter. The matter was heard and submitted to the court which finds that Plaintiff has proved the allegations of stalking by the preponderance of the evidenced as required by K.S.A. 60-31a05. Order The Court Orders:  This Final Order of Protection from Stalking replaces any previous order of protection from stalking entered by the court and serves as notice of termination of that order upon service of this final order on the defendant.  The plaintiff’s address and telephone number shall remain confidential for the protection of the protected person.  The defendant shall not follow, harass, telephone, contact or otherwise communicate with the protected person. [ NCIC 01 & 05 ]  The defendant shall not abuse, molest, or interfere with the privacy rights of the protected person wherever that person may be. [ NCIC 01 & 02 ]  The defendant shall not contact the protected person, either directly or indirectly. [ NCIC 04 & 05 ]  The defendant shall not direct or request another to contact the protected person, either directly or indirectly. [ NCIC 04 & 05 ]  The defendant shall not enter or come on or around the premises, the residence or workplace where the protected person resides, stays or works. [ NCIC 04 ]  The defendant shall pay the following costs: $ . 07/01/2012 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF COMPLIANCE WITH THE VIOLENCE AGAINST WOMEN ACT (VAWA): This Order meets all the requirements of the Violence Against Women Act, 18 U.S.C. § 2265. This Court has jurisdiction of the parties and the subject matter; the defendant has been afforded notice and a timely opportunity to be heard as provided by the laws of Kansas. This Order is enforceable in all 50 states, the District of Columbia, all Indian tribal courts and all United States territories and shall be enforced as if it were an order of that jurisdiction pursuant to 18 U.S.C. § 2265. Additional terms of this order are set forth below. (Only the provision(s) initialed by the Judge apply.) Other Provisions: 1. Defendant shall pay the following attorney fees: $ 2. Other orders necessary to promote the safety of the protected person: . SO ORDERED: Date Judge of the District Court WARNINGS TO DEFENDANT  This order is effective when signed by the judge. Law enforcement officials shall immediately enforce this order.  Violation of this order may constitute: violation of a protective order as provided in K.S.A. 21-5924, and amendments thereto; stalking as provided in K.S.A. 21-5427, and amendments thereto; assault as provided in K.S.A. 21-5412(a), and amendments thereto; battery as provided in K.S.A. 21-5413(a), and amendments thereto; and criminal trespass as provided in K.S.A. 21-5808(a)(1)(C), and amendments thereto, and may result in prosecution and conviction under Kansas criminal statutes.  Violation of this order could result in the order being extended for up to the lifetime of the defendant.  Violation of this order may also be punishable as contempt of this court.  If the defendant has a concealed carry license, that license is subject to revocation pursuant to K.S.A. 75-7c07, and amendments thereto. After a defendant’s concealed carry license has been revoked, continuing to carry a concealed weapon may constitute a violation of K.S.A. 21-6302, and amendments thereto.  This protection order may subject the defendant to federal firearms restrictions under 18 U.S.C. § 922(g)(8), and violation of this order may subject the defendant to prosecution for such federal crimes, including but not limited to: Firearms possession; Interstate travel to commit domestic violence; Interstate stalking; and Interstate violation of a protection order. Notice of Extension of this Final Order (Pursuant to K.S.A. 60-31a06) This Final Order of Protection from Stalking may be extended for additional periods of time upon motion of the plaintiff. Violation of this order could result in the order being extended for up to the lifetime of the defendant. 07/01/2012 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com