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Order Of Protection Form. This is a New Mexico form and can be use in Domestic Violence Statewide.
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Tags: Order Of Protection, 4-965, New Mexico Statewide, Domestic Violence
4-965. Order of protection, mutual, non-mutual.
______________ Judicial District
_____________ County, New Mexico
Order of Protection
Amended Order
Case No. __________________
PROTECTED PARTY ([ ] PETITIONER [ ] RESPONDENT)
First
Middle
PROTECTED PARTY IDENTIFIERS
Last
Date of Birth of Protected Party
Other Protected Persons/DOB
And/or on behalf of minor family member(s): (list name and DOB)
_____________________________________________________
____________________________________________
_____________________________________________________
____________________________________________
V.
RESTRAINED PARTY
RESTRAINED PARTY IDENTIFIERS
SEX
EYES
First
Middle
RACE
DOB
HT
WT
HAIR
Last
Relationship to Protected Party: ___________________________
______________________________________________________
Restrained Party’s Address
______________________________________________________
______________________________________________________
SOCIAL SECURITY #
Not used in New Mexico
DRIVERS LICENSE # STATE EXP DATE
Distinguishing Features _______________________
CAUTION:
Weapon Involved
THE COURT HEREBY FINDS:
That it has jurisdiction over the parties and subject matter, and the Restrained Party has been provided with reasonable
notice and opportunity to be heard.
Additional findings of this order follow on succeeding pages.
THE COURT HEREBY ORDERS:
That the above named Restrained Party be restrained from committing further acts of abuse or threats of abuse.
That the above named Restrained Party be restrained from any contact with the Protected Party.
Additional terms of this order are as set forth on succeeding pages.
The terms of this order shall be effective until
,
.
WARNINGS TO RESTRAINED PARTY:
This order shall be enforced, even without registration, by the courts of any state, the District of Columbia, any
U.S. Territory, and may be enforced by Tribal Lands under 18 U.S.C. Section 2265. Crossing state, territorial, or tribal
boundaries to violate this order may result in federal imprisonment under 18 U.S.C. Section 2262.
As a result of this order, it may be unlawful for you to possess or purchase ammunition or a firearm, including a
rifle, pistol or revolver, under 18 U.S.C. Section 922(g)(8). If you have any questions whether federal law makes it illegal for
you to possess or purchase a firearm, you should consult an attorney.
Only the court can change this order.
Page 1 of ____
Judge’s signature on last page
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4-965. Order of protection, mutual, non-mutual.
[Family Violence Protection Act,
Sections 40-13-1 to 40-13-8 NMSA 1978]
ADDITIONAL PAGES1 OF
ORDER OF PROTECTION
THIS MATTER came before the court on the ________ day of ______________,
__________ through a hearing on the [ ] petitioner's [ ] respondent's request for an order prohibiting
domestic abuse.
The court further FINDS, CONCLUDES AND ORDERS:
(check only applicable paragraphs)
1.
NOTICE, APPEARANCES AND STATUS
[]
Petitioner was present.
[]
Petitioner was represented by counsel.
[]
Respondent was present.
[]
Respondent was represented by counsel.
[]
Respondent was properly served with a copy of the petition, temporary order of
protection prohibiting domestic abuse and order to appear.2
[]
Respondent was properly served with a copy of the petition and order to appear.2
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[]
Respondent received actual notice of the hearing and had an opportunity to
participate in the hearing.2
[]
Petitioner was properly served with a copy of the counter-petition and order to
appear.2
[]
Petitioner was properly served with a copy of the temporary order and order to
appear.
[]
Petitioner received actual notice of the hearing and had an opportunity to participate
in the hearing.2
[]
The relationship of the parties is that of an "intimate partner" as defined in 18 USC
Section 921 (a)(32). (See 2.b below)
2.
CONSEQUENCES OF ENTRY OF ORDER OF PROTECTION
Violation of this order by the [ ] respondent [ ] petitioner can have serious consequences,
including:
A.
If you violate the terms of this order, you may be charged with a misdemeanor,
which is punishable by imprisonment of up to three hundred sixty-four (364) days
and a fine of up to one thousand dollars ($1,000) or both. You may be found in
contempt of court.
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B.
If you are the spouse or former spouse of the other party, an individual who
cohabitates with or has cohabitated with the other party, or if you and the other party
have had a child together, federal law prohibits you from possessing or transporting
firearms or ammunition while this order is in effect. If you have a firearm or
ammunition, you should immediately dispose of the firearm or ammunition.
Violation of this law is a federal crime punishable by imprisonment for up to ten (10)
years and a fine of up to two hundred fifty-thousand dollars ($250,000).
C.
If you are not a citizen of the United States, violation of this order may have a
negative effect on your application for residency or citizenship.
3.
FINDING OF DOMESTIC ABUSE
An act of domestic abuse was committed by [ ] respondent [ ] petitioner that necessitates an
order of protection. [ ] Petitioner [ ] Respondent is the protected party under this order.
4.
DOMESTIC ABUSE PROHIBITED
[]
Respondent [ ] Petitioner shall not abuse the other party or members of the other
party's household. "Abuse" means any incident by one party against the other party
or another household member resulting in (1) physical harm; (2) severe emotional
distress; (3) bodily injury or assault; (4) a threat by petitioner or respondent causing
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imminent fear of bodily injury to the other party or any household member; (5)
criminal trespass; (6) criminal damage to property; (7) repeatedly driving by
petitioner's or respondent's or a household member's residence or workplace; (8)
telephone harassment; (9) stalking; (10) harassment; or (11) harm or threatened harm
to children in any manner set forth above.
[]
Respondent [ ] Petitioner shall not ask or cause other persons to abuse the other party
or any other household members.
5.
CONTACT PROHIBITIONS
[]
Respondent [ ] Petitioner shall stay ______________ yards away from the other
party, the other party's home and any workplace at all times, unless at a public place,
where the [ ] respondent [ ] petitioner shall remain ______________ yards away
from the other party except as specifically permitted by this order.
[]
Respondent [ ] Petitioner shall not telephone, talk to, visit or contact the other party
in any way except as follows:__________________________________________
______________________________________________________.
[]
The parties may contact each other by telephone regarding medical emergencies of
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minor children;
[]
Other ____________________________________________________________
____________________________________________________.
[]
The parties may attend joint counseling sessions at the counselor's discretion.
(Unless the court has sealed the protected party’s address, include it below.)
Protected party’s addresses
______________________________ (home address)
______________________________ (work address)
______________________________ (city)
______________________________ (if applicable, tribe or pueblo)
______________________________ (state and zip code)
6.
COUNSELING
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[]
Respondent shall attend counseling at ______________, contacting that office within
five (5) days. The respondent shall participate in, attend and complete counseling as
recommended by the named agency.
[]
Petitioner shall attend counseling at ______________, contacting that office within
five (5) days. The petitioner shall participate in, attend and complete counseling as
recommended by the named agency.
[]
Respondent shall report to __________________, for a [ ] drug [and] [ ] alcohol
screen by ______________, __________ (date) with the results returned to this
court.
[]
Petitioner shall report to ______________, for a [ ] drug [and] [ ] alcohol screen by
______________, __________ (date) with the results returned to this court.
[]
Other counseling requirements: ____________________________________
__________________________________________________________________
__________________________________________.
7.
CUSTODY
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[]
The court's orders regarding the minor child(ren) are addressed in the Custody,
Support and Division of Property Attachment of this order of protection.3
8.
PROVISIONS RELATING TO SUPPORT
[]
The court's orders regarding support issues for the parties are found in the Custody,
Support and Division of Property Attachment of this order of protection.3
9.
PROPERTY, DEBTS AND PAYMENTS OF MONEY
[]
The court's orders regarding property, debts and payment of money are found in the
Custody, Support and Division of Property Attachment of this order of protection.3
10.
PARTIES SHALL NOT CAUSE VIOLATION
While this order of protection is in effect the protected party should refrain from any act that
would cause the restrained party to violate this order. This provision is not intended to and
does not create a mutual order of protection. Under Section 40- 13-6 (D) NMSA 1978, only
the restrained party can be arrested for violation of this order.
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11.
ADDITIONAL ORDERS
[]
Review hearing. The parties are ordered to appear for a review hearing on the
________ day of ______________, __________, at ______________ (a.m.) (p.m.).
Failure to appear may result in the issuance of a bench warrant for your arrest or
dismissal of this order.
Any party ordered to attend counseling shall bring proof of counseling to the review hearing.
IT
IS
FURTHER
ORDERED 4 :
___________________________________
_________________________________________________________.
12.
NOTICE TO LAW ENFORCEMENT AGENCIES
ANY LAW ENFORCEMENT OFFICER SHALL USE ANY LAWFUL MEANS TO
ENFORCE THIS ORDER.
[]
Respondent [ ] Petitioner is ordered to surrender all keys to the residence to
law enforcement officers.
[]
Law enforcement officers or __________________ shall be present during
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any property exchange.
[]
This order supersedes prior orders in ______________ County, State of
______________, Cause No. ____________ to the extent that there are
contradictory provisions.
13.
NOTICE TO PARTIES
This order does not serve as a divorce and does not permanently resolve child custody or
support issues.
To make a request to extend this order, the protected party should return to the court with
a copy of this order at least three weeks before the order expires.
14.
RECOMMENDATIONS
I have:
[]
reviewed the petition for order of protection;
[]
reviewed the counter-petition for order of protection;
[]
conducted hearings on the merits of the petition;
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[]
after notice and hearing, I prepared this order as my recommendation to the
district court judge regarding disposition of the request for order of
protection. If any party disagrees with the recommendations, that party may,
but is not required to, file written objections and a request for hearing on
those objections with the district court within ten (10) days. A copy of those
objections and a request for hearing must be served by mail on the other
party.
___________________________________
Signed
___________________________________
Title
Court's telephone number: _________________
The court has reviewed the recommendations and adopts them. This order remains in effect unless
and until it is modified by a district court judge or it expires. If objections are filed the court may
conduct a hearing to resolve the objections. (See Rule 1-053.1(H)(1)(a) NMRA).
SO ORDERED:
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______________________________
_____________________________
District Judge
Date
[]
A copy of this order was [ ] hand delivered [ ] faxed [ ] mailed to [ ] respondent [ ]
respondent's counsel on ______________ (date)5.
[]
A copy of this order was [ ] hand delivered [ ] faxed [ ] mailed to [ ] petitioner [ ] petitioner's
counsel on ______________ (date).
___________________________________
Signed
___________________________________
Title
1.
USE NOTES
The first page of this order of protection shall be in the uniform format preceding the
heading for additional pages of the order.
2.
This order may be entered only after a hearing at which respondent received actual notice
and at which respondent had an opportunity to participate if 18 U.S.C. Section 922 is to
apply to this order.
3.
See Form 4-967 NMRA for the Custody, Support and Division of Property Order
attachment.
If appropriate, an order providing for restitution may be included in this paragraph.
4.
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5.
Respondent or petitioner should be served at the time this order is issued, before leaving the
courthouse. If a default order is issued, service upon the non-attending party shall be made
by mail or by personal service. See Section 40-13-6(A) NMSA 1978.
[Approved, effective November 1, 1999 until July 1, 2001; approved, as amended, effective May
1, 2001; as amended by Supreme Court Order 07-8300-20, effective September 17, 2007; as
amended by Supreme Court Order No. 08-8300-40, effective December 15, 2008.]
Committee commentary. — The Family Violence Protection Act provides that "a peace officer
shall arrest without a warrant and take into custody a person whom the peace officer has probable
cause to believe has violated an order" of protection entered pursuant to the Act. Section 40-13-6(C)
NMSA 1978.
This statute would allow a warrantless misdemeanor arrest for conduct occurring outside the
presence of the officer and would not require exigent circumstances in addition to probable cause.
That a misdemeanor must occur in the presence of the arresting officer is a long standing common
law requirement for a warrantless misdemeanor arrest. Eg. State v. Luna, 93 N.M. 773, 777, 606
P.2d 183, 187 (1980). The "exigent circumstances" requirement is mandated by the New Mexico
Constitution. Campos v. State, 117 N.M. 155, 159, 870 P.2d 117, 121 (1994) ("[F]or a warrantless
arrest to be reasonable it must be based upon both probable cause and sufficient exigent
circumstances."). Absent the exigent circumstance that the misdemeanor is committed in the
presence of the officer, id., ("If an officer observes the person arrested committing a felony,
exigency will be presumed."), the New Mexico Constitution appears to bar blanket authority to make
warrantless arrests for misdemeanors committed outside the presence of the officer.
The legislature, of course, lacks power to provide by statute for an arrest procedure that
violates the New Mexico Constitution. Campos v. State, 117 N.M. 155, 158, 870 P.2d 117, 120
(1994). To avoid having the Supreme Court give approval to a form containing language of
questionable constitutional validity, the committee did not use the statutory language in the portion
of the final order describing the power of a law enforcement officer to make a warrantless arrest for
the misdemeanor crime (Section 40-13-6(D) NMSA 1978), of violating the final order of protection.
The committee substituted more general language, which does not prejudge the constitutional issue.
The general provisions of the order of protection, including injunctive orders, "shall continue
until modified or rescinded . . . or until the court approves a subsequent consent agreement. . . ."
Section 40-13-6(B) NMSA 1978. In contrast, "[a]n order of protection . . . involving custody or
support shall be effective for a fixed period of time not to exceed six months". Id. The custody or
support "order may be extended for good cause upon motion . . . for an additional period of time not
to exceed six months", id., unless "the order supersedes or alters prior orders of the court" pertaining
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to child custody or child support. See Section 40-13-5(C) NMSA 1978. In the latter situation, "the
court may enter an initial order of protection, but the portion of the order dealing with child custody
or child support will then be transferred to the court that has or continues to have jurisdiction over
the pending or prior custody or support action". Id.
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