J-1 (6/00) [Discard all previous versions of this form]SUP.CT. FORM 10.01-G WARNING CONCERNING THE ATTACHED DOMESTIC VIOLENCE PROTECTION ORDERNOTE: Rules of Superintendence 10.01 and 10.02 require this Warning to be attached to the FRONT of all civil and criminal domestic violence protection orders issued by the courts of the State of Ohio.WARNING TO RESPONDENT / DEFENDANTViolating the attached Protection Order is a crime, punishable by imprisonment or fine or both, and can cause your bond to be revoked or result in a contempt of court citation against you. This Protection Order is enforceable in all 50 states, the District of Columbia, tribal lands, and U.S. Territories pursuant to the Violence Against Women Act of 1994, 18 U.S.C. Section 2265. Violating this Protection Order may subject you to federal charges and punishment. You may also be subject to federal penalty for possessing, transporting, or accepting a firearm under the Gun Control Act, 18 U.S.C. Section 922(g)(8). Only the Court can change this order. The Petitioner cannot give you legal permission to change this order. If you go near the Petitioner, even with the Petitioner's consent, you may be arrested. If you and the Petitioner / Complainant/ Victim want to resume your relationship you must ask the Court to modify or dismiss this Protection Order. Unless the Court modifies this order, you can be arrested for violating this Protection Order. You act at your own risk if you disregard this WARNING.WARNING TO PETITIONER / COMPLAINANT / VICTIMYou cannot change the terms of this order by your words or actions. Only the Court can allow the Respondent/Defendant to contact you or return to your residence. If you and the Respondent want to resume your relationship, you must ask the Court to modify or dismiss this Protection Order.NOTICE TO ALL LAW ENFORCEMENT AGENCIES AND OFFICERSThe attached Protection Order is enforceable in all jurisdictions. Violation of this Protection Order, regardless of whether it is a criminal or civil Protection Order, is a crime under R.C. 2919.27. Law enforcement officers with powers to arrest under R.C. 2935.03 for violations of the Ohio Revised Code must enforce the terms of this Protection Order as required by R.C. 2919.26, 2919.27 and R.C. 3113.31. If you have reasonable grounds to believe that Respondent / Defendant has violated this Protection Order, it is the preferred course of action in Ohio under R.C. 2935.03 to arrest and detain Respondent / Defendant until a warrant can be obtained.Page 1 of 42001 © American LegalNet, Inc.J-1 (6/00) SUP. CT. FORM 10.01-H [Discard all previous versions of this form]DVEXP IN THE COMMON PLEAS COURT OF MONTGOMERY COUNTY, OHIO DIVISION OF DOMESTIC RELATIONS:Case No. PetitionerDate Of Birth::Judge v.DOMESTIC VIOLENCE EX PARTE :CIVIL PROTECTION ORDER (R.C. 3113.31)Respondent: Date Of Birth:NAME(S) AND DATE OF BIRTH OF FAMILY OR HOUSEHOLD MEMBERS OF PETITIONER PROTECTED BY THIS ORDER: Petitioner Child Child Child Other NOTICE TO RESPONDENT: SEE THE ATTACHED WARNING AND NOTICE OF FULL HEARING BELOW.This proceeding came on for an ex parte hearing on , . The Court finds: 1) the facts contained in the Petition are true in that Respondent engaged in domestic violence against the family or household member(s) named in the Petition as defined in R.C. 3113.31; and 2) the following orders are equitable and fair, necessary to protect the family or household member(s) named in the Petition from domestic violence, and supported by good cause as shown at the ex parte hearing. Violence Against Women Act, 42 U.S.C. 13981, Full Faith and Credit Declaration: The Court further finds that it has jurisdiction over the parties and matter under Ohio law and that notice and an opportunity to be heard will be provided to Respondent within the time required by Ohio law. The Court hereby issues the following orders to Respondent (the applicable orders are marked in the boxes below): 1. RESPONDENT SHALL NOT ABUSE the family or household member(s) named in this Order by harming, attempting to harm, threatening, molesting, following, stalking, bothering, harassing, annoying, contacting, or forcing sexual relations on them. [NCIC 01 and 02]2. RESPONDENT SHALL IMMEDIATELY VACATE the following residence: . 3. EXCLUSIVE POSSESSION OF THE RESIDENCE locatedat: is granted to: Petitioner. Respondent shall not interfere with this individual's right to occupy the residence by canceling utilities or insurance, interrupting phone service, mail delivery, or the delivery of any other documents or items. [NCIC 03] 4. RESPONDENT SHALL SURRENDER all keys and garage door openers to the above residence at theearliest possibleopportunity to the law enforcement officer who serves Respondent with this Order or as follows: . 5. RESPONDENT SHALL STAY AWAY FROM THE FAMILY OR HOUSEHOLD MEMBER(S) NAMED IN THIS ORDER. Respondent shall not be present within 500 yards (distance) of them, and shall refrain from entering any place where they may be found. This order to stay away includes, but is not limited to, the buildings, grounds, and parking lots of their residences, schools, businesses, places of employment, day care centers, and babysitters. If Respondent accidentally comes in contact with the family or household member(s) named in this Order in any public or private place, Respondent must depart immediately. [NCIC 04] 6. RESPONDENT SHALL NOT CONTACT, the family or household member(s) named in this Orderor their residences,businesses, places of employment, schools, day care centers, and babysitters. Contact includes, but is not limited to, telephone, fax, e-mail, and voice mail. [NCIC 05]Page 2 of 42001 © American LegalNet, Inc.7. RESPONDENT SHALL IMMEDIATELY SURRENDER POSSESSION OF AND ALL KEYS TO THE FOLLOWING MOTOR VEHICLE, including license tags and stickers, title, and registration papers: to: Petitioner, who is granted exclusive use of this motor vehicle. 8. RESPONDENT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTYOR PETS owned orpossessed by the family or household member(s) named in this Order. Household and family personal property shall be apportioned as follows: . 9. RESPONDENT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON to do any act prohibited by this order. 10. RESPONDENT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON.Respondent shallturn over all deadly weapons in Respondent's possession at the earliest possible opportunity to the l