1 Case No. ________________ Dept.No. ________________ 2 3 IN THE JUSTICE COURT OF _____________ TOWNSHIP 4 COUNTY OF __________________, STATE OF NEVADA 5 6 7 8 9 10 _______________________________________ ) Applicant,) ) vs. ) ) _______________________________________ ) Adverse Party.) TEMPORARY ORDER FOR PROTECTION OF CHILDREN (NRS 33.400) Date Issued: ______________ Expiration Date: [ ] ________________, unless otherwise ordered by the Court [ ] 30 days from the date of service, unless otherwise ordered by the Court 11 12 13 14 15 16 17 18 19 20 21 YOU, THE ADVERSE PARTY, ARE HEREBY NOTIFIED that ANY INTENTIONAL VIOLATION OF THIS ORDER IS A CRIMINAL VIOLATION and can result in your immediate arrest or issuance of an arrest warrant. Unless a more severe penalty is prescribed by law for the act that constitutes the violation of the Order, a violation of a Temporary Order for Protection of Children is a gross misdemeanor which is punishable by imprisonment in the county jail for not more than one (1) year, or by a fine of not more than $2,000.00, or by both fine and imprisonment. PURSUANT TO NRS 193.166, if the act that constitutes the violation of a protection order is itself a felony, the violator shall, in addition to the term of imprisonment prescribed by statute for the crime, be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 20 years. YOU ARE FURTHER NOTIFIED that you CAN BE ARRESTED even if the person who obtained the Order invites or allows you to contact them. You have the sole responsibility to avoid or refrain from violating the terms of this Order. Only the Court can change the Order upon written application. 23 This Order meets the Full Faith and Credit provisions of the Violence Against Women Act and is enforceable in all 50 states, the District of Columbia, U.S. Territories and Indian Nations. All other Courts and law enforcement with jurisdiction within the United States and all Indian Nations shall give full faith and credit to this Order pursuant to 18 U.S.C. Sec. 2265. 24 Violation of the Order may subject you to federal charges and punishment pursuant to 18 U.S.C. Sec. 2261(a)(1) and (2) and 2262(a)(1) and (2). 22 25 Form C7 Temporary Order for Protection of Children (NRS 33.400) Page 1 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007 1 An Application for an Order pursuant to NRS 33.400 having been filed by the above named 2 Applicant, and the Court having reviewed said Application, and the Court having jurisdiction 3 over the parties and the subject matter, and it appearing that sufficient representations have 4 been made that you, the Adverse Party, have committed and/or are committing and/or remain 5 a threat to commit act(s) that constitute a criminal offense that is specifically enumerated as 6 being harmful to minors, and good cause appearing, 7 YOU ARE HEREBY ORDERED as follows: 8 YOU ARE PROHIBITED, either directly or through an agent, from contacting, 9 intimidating, using, attempting to use, or threatening the use of physical force, or otherwise 10 interfering in any way with ______________________, a Minor, and/or the following 11 persons: ___________________________________________________________________ 12 ___________________________________________________________________________ 13 ___________________________________________________________________________ 14 including, but not limited to, in person, by telephone, through the mail, through electronic 15 mail (e-mail), facsimile, or through another person; 16 1.  YOU ARE ORDERED to stay away from the following places: 17  Residence(s): 18 _________________________________________________________ 19  Place(s) of Employment (Name & Address): __________________ 20 _________________________________________________________ 21  School(s) (Name & Address): ______________________________ 22 _________________________________________________________ 23  Other Specific Locations Frequented (Name & Address): 24 _________________________________________________________ 25 _________________________________________________________ _________________________________________ Form C7 Temporary Order for Protection of Children (NRS 33.400) Page 2 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007 YOU ARE FURTHER ORDERED: _______________________________ 1 2. 2 _____________________________________________________________________ 3 3. 4 REMAIN IN EFFECT: UNLESS THE COURT ORDERS OTHERWISE, THIS ORDER WILL   5 6 7 8 9  10 UNTIL 11:59 P.M. ON THE DATE SET FORTH ON PAGE 1 FOR 30 DAYS AFTER THIS ORDER IS SERVED. IF THIS ORDER IS NOT SERVED WITHIN 30 DAYS OF ISSUANCE, THIS ORDER WILL EXPIRE BY ITS OWN TERMS, AND A NEW APPLICATION FOR AN ORDER MUST BE FILED IF PROTECTION IS NEEDED. THIS ORDER REMAINS IN EFFECT UNTIL THE HEARING WHICH IS SCHEDULED FOR ________________. 11 12 If an application for an Extended Order is filed within the effective period of this Temporary Order, this Temporary Order will remain in effect until the hearing on an 13 14 Extended Order is held. 4. IT IS FURTHER ORDERED that the Clerk of the Court shall transmit a 15 copy of this Order together with the application, to the ________________________ County 16 Sheriff’s Office and/or the _________________ Constable and/or any other appropriate law 17 enforcement agency. 18 5. IT IS FURTHER ORDERED that said law enforcement agency will 19 promptly attempt to serve this Order upon the Adverse Party, without charge to the Applicant, 20 and upon service file a return of service with the Court by the end of the next business day 21 after service is made. 22 23 24 25 _____IT IS FURTHER ORDERED that a hearing on the issuance of an Extended Order is set in Department ____ at: ___________ ___m. on the ____________ day of _____________________________, 20___. THIS TEMPORARY ORDER REMAINS EFFECTIVE UNTIL THE HEARING ON THE EXTENDED ORDER HAS BEEN HELD. YOU and YOUR witnesses may approach and enter the Courthouse to attend the hearing but must stay away from Applicant and Applicant’s witnesses while approaching, leaving, and within the Courthouse. IF AN EARLIER HEARING DATE IS REQUIRED, THE ADVERSE PARTY MAY APPLY TO THE ABOVE COURT FOR RELIEF. Form C7 Temporary Order for Protection of Children (NRS 33.400) Page 3 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007 1 2 NOTICE TO LAW ENFORCEMENT Any law enforcement officer, with or without a warrant, may arrest and take into 3 custody the Adverse Party, when the law enforcement officer has probable cause to 4 believe that (a) an Order has been issued pursuant to NRS 33.400 against the Adverse 5 Party; (b) the Adverse Party has been served with a copy of the Order; and (c) the 6 Adverse Party is acting or has acted in violation of the Order. This arrest may occur 7 regardless of whether the violation occurred in the officer’s presence. 8 9 10 Any law enforcement agency in this state may enforce a Court Order issued pursuant to NRS 33.400, without regard to the county in which the Order is issued. IT IS SO ORDERED this ________________ day of ______________, 20_____. 11 12 ____________________________________ JUDGE 13 14 15 16 17 PROOF OF SERVICE UPON ADVERSE PARTY I, the undersigned, personally served the Adverse Party above named with a copy of this Temporary Order for Protection of Children on the date set forth below. 18 ______________________________ Signature 19 ______________________________ Print Name 20 21 ______________________________ Date of Service 22 23 24 25 Form C7 Temporary Order for Protection of Children (NRS 33.400) Page 4 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007