Extended Order For Protection Against Harassment In The Workplace Cover Sheet Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Extended Order For Protection Against Harassment In The Workplace Cover Sheet Form. This is a Nevada form and can be use in Workplace Harassment Statewide.
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Tags: Extended Order For Protection Against Harassment In The Workplace Cover Sheet, B-24, Nevada Statewide, Workplace Harassment
Extended Order for Protection Against
Harassment in the Workplace
State of Nevada NRS 33.270
Case No. ________________________________
Dept. No. ________________________________
Court ___________________________________
County __________________________________
EMPLOYER/NAME OF BUSINESS
First
Middle
Last
V.
ADVERSE PARTY
SEX
Middle
DOB
EYES
First
RACE
WT
HAIR
DISTINGUISHING FEATURES
VEHICLE
STATE
TAG #
Last
Adverse Party’s Home Address and Phone Number:
__________________________________________________
__________________________________________________
CAUTION:
HT
ACCESS TO WEAPONS
MAKE/MODEL/
COLOR
OTHER: ________________________
THE COURT HEREBY FINDS:
That is has jurisdiction over the parties and subject matter, and the Adverse Party received actual notice of
hearing at which such person had an opportunity to participate and be heard.
THE COURT HEREBY ORDERS:
That the Adverse Party be prohibited from committing further unlawful acts of harassment in the workplace. Additional
terms of this order are as set forth on the following pages.
The terms of this order shall expire at 11:59 p.m. on
unless otherwise ordered by the Court.
(month)
(date)
(year)
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. 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).
Form B-24 Extended Order for Protection Against Harassment in the Workplace Cover Sheet
©2007 Nevada Supreme Court
June 30, 2007