FORM 10.02-A: DOMESTIC VIOLENCE TEMPORARY PROTECTION ORDER (DVTPO) IN THE COURT COUNTY, OHIO Order of Protection Per R.C. 2919.26(G)(3), this Order is indexed at LAW ENFORCEMENT AGENCY WHERE INDEXED Case No. Judge State OHIO ( ) PHONE NUMBER STATE OF OHIO/ CITY OF V. DOMESTIC VIOLENCE TEMPORARY PROTECTION ORDER (DVTPO) (R.C. 2919.26) New Order Modification of Previous Order DEFENDANT PERSON(S) PROTECTED BY THIS ORDER: ALLEGED VICTIM: Alleged Victim DOB: Alleged Victim's Family or Household Members : ( Additional forms attached) DOB: First Middle Last DOB: DOB: DOB: DEFENDANT IDENTIFIERS SEX EYES First Middle Last DRIVER'S LIC. NO. Address where Defendant can be found: Distinguishing features: RACE HAIR HT WT DATE OF BIRTH v. DEFENDANT: / EXP. DATE / STATE WARNING TO LAW ENFORCEMENT: DEFENDANT HAS FIREARMS ACCESS ­ PROCEED WITH CAUTION Ex Parte DVTPO Granted: / / (Date) DVTPO Granted: / / (Date) (Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this Order is not required for enforcement.) THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and the Defendant was provided with reasonable notice and opportunity to be heard within the time required by Ohio law. Additional findings of this Order are set forth below. THE COURT HEREBY ORDERS: That the above named Defendant be restrained from committing acts of abuse or threats of abuse against the Petitioner and other protected persons named in this Order. Additional terms of this Order are set forth below. WARNING TO DEFENDANT: See the warning page attached to the front of this Order. FORM 10.02-A: DOMESTIC VIOLENCE TEMPORARY PROTECTION ORDER (DVTPO) Amended: March 1, 2014 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com [Page 2 of 4 Form 10.02-A] Case No.___________________________ (DVTPO) (Ex Parte DVTPO) Upon a hearing held on / / OR / / the Court finds that the Motion for a Domestic Violence Temporary Protection Order is well taken. The Court finds that the safety and protection of the protected persons named in this Order may be impaired by the continued presence of the Defendant. Therefore, the following orders, which are designed to ensure the safety and protection of the protected person named in this Order, are issued to Defendant as pretrial conditions in addition to any bail set under Crim. R. 46. DEFENDANT SHALL NOT ABUSE harm, attempt to harm, threaten, follow, stalk, harass, force sexual relations upon, or commit sexually oriented offenses against the protected persons named in this Order. [NCIC 01 and 02] ALL OF THE PROVISIONS CHECKED BELOW ALSO APPLY TO THE RESPONDENT 1. DEFENDANT SHALL NOT ENTER or interfere with the residence, school, business, place of employment, day care centers, or child care providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at those locations. Defendant may not violate this Order even with the permission of a protected person. [NCIC 04] DEFENDANT SHALL NOT INTERFERE with the protected persons' right to occupy any residence by canceling utilities or insurance or interrupting telephone service, mail delivery, or the delivery of any other documents or items. [NCIC 03] DEFENDANT SHALL SURRENDER all keys and garage door openers to the following residence 2. 3. at the earliest possible opportunity after service of this Order to the law enforcement agency that serves the Defendant with this Order or as follows: 4. DEFENDANT SHALL STAY AWAY FROM THE PROTECTED PERSONS NAMED IN THIS ORDER, and shall not be present within 500 feet or (distance) of any protected persons wherever those protected persons may be found, or any place the Defendant knows or should know the protected persons are likely to be, even with Petitioner's permission. If the Defendant accidentally comes in contact with protected persons in any public or private place, the Defendant must depart immediately. This Order includes encounters on public and private roads, highways, and thoroughfares. [NCIC 04] DEFENDANT SHALL NOT INITIATE OR HAVE ANY CONTACT with the protected persons named in this Order at their residences, businesses, places of employment, schools, day care centers, or child care providers. Contact includes, but is not limited to, landline, cordless, cellular or digital telephone; text; instant messaging; fax; e-mail; voice mail; delivery service; social networking media; blogging; writings; electronic communications; or communications by any other means directly or through another person. Respondent may not violate this Order even with the permission of a protected person. [NCIC 05] 5. FORM 10.02-A: DOMESTIC VIOLENCE TEMPORARY PROTECTION ORDER (DVTPO) Amended: March 1, 2014 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com [Page 3 of 4 Form 10.02-A] Case No.___________________________ 6. DEFENDANT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY OR PETS owned or possessed by the protected persons named in this Order. DEFENDANT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON to do any act prohibited by this Order. DEFENDANT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON at any time while the Order remains in effect, unless the Defendant is excepted for official use pursuant to 18 U.S.C. 925(a)(1). [NCIC 07] DEFENDANT SHALL TURN OVER ALL DEADLY WEAPONS AND CONCEALED CARRY WEAPON LICENSE in Defendant's possession to the law enforcement agency that serves Defendant with this Order or as follows: 7. 8. Any law enforcement agency is authorized to take possession of deadly weapons pursuant to this paragraph and hold them in protective custody until further Court order. [NCIC 07] 9. DEFENDANT MAY PICK UP CLOTHING and personal effects from the following residence: only in the company of a uniformed law enforcement officer within seven days of the filing of this Order or the date of Defendant's release on bond in connection with this charge, whichever is later. Arrangements may be made by contacting: 10. 11. DEFENDANT SHALL NOT USE OR POSSESS alcohol or illegal drugs. IT IS FURTHER ORDERED: [NCIC 08] 12. DEFENDANT IS ADVISED THAT VISITATION ORDERS DO NOT PERMIT THE DEFENDANT TO VIOLATE ANY OF THE TERMS OF THIS ORDER. IT IS FURTHER ORDERED a copy of this Order shall be delivered to the Defendant on the same day that the Order is entered. THIS ORDER IS EFFECTIVE unit the occurrence of one of the followin