AFFIDAVIT FOR FILING OUT-OF-STATE PROTECTIVE ORDER MASSACHUSETTS DOCKET NO. (for court use only) Massachusetts Trial Court G.L. c. 209A, § 5A or G.L. c. 258E, § 7 Pursuant to G.L. c. 209A, § 5A or G.L. c. 258E, § 7, I swear or affirm that to the best of my knowledge the order issued by _______________________________________ of _______________________________________, (court) (state) a certified copy of which is submitted with this affidavit, is presently in effect as written. Signed under the penalties of perjury. DATE SIGNED PLAINTIFF’S SIGNATURE x Please submit with this affidavit a certified copy of the other state’s court order and the Massachusetts “PLAINTIFF CONFIDENTIAL INFORMATION” and “DEFENDANT INFORMATION PROVIDED BY PLAINTIFF” forms. STATUTORY EXCERPTS G.L. c. 209A, § 1. “As used in this chapter the following words shall have the following meanings: . . . . “‘Protection order issued by another jurisdiction’, any injunction or other order issued by a court of another state, territory or possession of the United States, the Commonwealth of Puerto Rico, or the District of Columbia, or tribal court that is issued for the purpose of preventing violent or threatening acts or harassment against, or contact or communication with or physical proximity to another person, including temporary and final orders issued by civil and criminal courts filed by or on behalf of a person seeking protection.” G.L. c.209A, § 5A. “Any protection order issued by another jurisdiction, as defined in section one, shall be given full faith and credit throughout the commonwealth and enforced as if it were issued in the commonwealth for as long as the order is in effect in the issuing jurisdiction. “A person entitled to protection under a protection order issued by another jurisdiction may file such order . . . by filing with the court a certified copy of such order which shall be entered into the statewide domestic violence record keeping system established pursuant to the provisions of [St. 1992, c. 188, § 7] and maintained by the office of the commissioner of probation. Such person shall swear under oath in an affidavit, to the best of such person’s knowledge, that such order is presently in effect as written. Upon request by a law enforcement agency, the register or clerk of such court shall provide a certified copy of the protection order issued by the other jurisdiction. “A law enforcement officer may presume the validity of, and enforce . . . a copy of a protection order issued by another jurisdiction which has been provided to the law enforcement officer by any source; provided, however, that the officer is also provided with a statement by the person protected by the order that such order remains in effect. Law enforcement officers may rely on such statement by the person protected by such order.” • G.L. c. 258E, § 1. “As used in this chapter the following words shall, unless the context clearly requires otherwise, have the following meanings . . . . “‘Protection order issued by another jurisdiction’, an injunction or other order issued by a court of another state, territory or possession of the United States, the Commonwealth of Puerto Rico, or the District of Columbia, or a tribal court that is issued for the purpose of preventing violent or threatening acts, abuse or harassment against, or contact or communication with or physical proximity to another person, including temporary and final orders issued by civil and criminal courts filed by or on behalf of a person seeking protection.” G.L. c. 258E, § 7. “Any protection order issued by another jurisdiction shall be given full faith and credit throughout the commonwealth and enforced as if it were issued in the commonwealth for as long as the order is in effect in the issuing jurisdiction. “A person entitled to protection under a protection order issued by another jurisdiction may file such order with the appropriate court by filing with the court a certified copy of such order. Such person shall swear under oath in an affidavit, to the best of such person’s knowledge, that such order is presently in effect as written. Upon request by a law enforcement agency, the clerk or clerk-magistrate of such court shall provide a certified copy of the protection order issued by the other jurisdiction. “A law officer may presume the validity of, and enforce . . . a copy of a protection order issued by another jurisdiction which has been provided to the law officer by any source; provided, however, that the officer is also provided with a statement by the person protected by the order that such order remains in effect. Law officers may rely on such statement by the person protected by such order.” FA/HA-9 (5/10) American LegalNet, Inc. www.FormsWorkFlow.com