FAPA 226 Renewal Order Page 1 of 3 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No: Petitioner v. ORDER RE: RENEWING RESTRAINING ORDER Respondent (Person restrained) (Family Abuse Prevention Act) NOTICE TO RESPONDENT This Order continues the original (or modified) Restraining Order and is effective immediately Violation of the Restraining Order may result in your arrest, or in civil or criminal penalties The Restraining Order is enforceable in every state, the District of Columbia, and all tribal lands and territories of the United States If you want to oppose the continuation of the order, see the Notice to Respondent and Request for Hearing forms you received with this order The court reviewed the Petition to Renew Restraining Order THE COURT FINDS: A person in Petitioner222s situation would reasonably fear further acts of abuse by Respondent if the Restraining Order is not renewed No further service is necessary because Respondent appeared in person before the court Other: THE COURT ORDERS: The Restraining Order in this case is RENEWED for 1 year, expiring on (date): The Petition to Renew Restraining Order is DENIED because: Other Orders: American LegalNet, Inc. www.FormsWorkFlow.com FAPA 226 Renewal Order Page 2 of 3 (Aug 2019) SECURITY AMOUNT for violation of any provision of this Order or the original Order is $5,000 unless otherwise specified here: $ CERTIFICATE OF COMPLIANCE WITH THE VIOLENCE AGAINST WOMEN ACT This protective order meets all full faith and credit requirements of the Violence Against Women Act. (18 U.S.C. 2265) This court has jurisdiction over the parties and the subject matter. The Respondent is being afforded notice and timely opportunity to be heard as provided by the law of the jurisdiction. This order is valid and entitled to enforcement in this and all other jurisdictions. Judge Signature: Certificate of Readiness This proposed Order is ready for judicial signature because it is submitted ex parte as allowed by statute or rule; or in open court with all parties present Submitted by Petitioner Attorney for Petitioner Date Signature OSB# (attorneys only) Name (printed) Contact Address (use a SAFE address) City, State, ZIP Contact Phone (use a SAFE number) American LegalNet, Inc. www.FormsWorkFlow.com FAPA 226 Renewal Order Page 3 of 3 (Aug 2019) FIREARMS PROHIBITIONS MAY APPLY TO YOU If the firearms prohibition in Paragraph 10 or 11 of the original Restraining Order to Prevent Abuse is initialed by the judge and has not been changed, it is unlawful for you to possess or purchase a FIREARM, including a rifle, pistol, or revolver, and AMMUNITION under ORS 107.718(1)(h). As a result of this order, or any order renewing or changing this order, it may be unlawful for you to possess or purchase a firearm, including, a rifle, pistol, or revolver, or ammunition under federal law (18 U.S.C. 247 922(g)(8)). State law or local laws may also prohibit you from such possession or purchase (ORS 166.250 to 166.270; and local law). This order may affect your ability to serve in the Armed Forces of the United States or to be employed in law enforcement. If you have any questions about how these laws apply to you, talk to a lawyer. You may be prohibited from: 225 Traveling across state lines or tribal land lines with the intent to violate this order and then violating this order 225 Causing the Petitioner to cross state lines or tribal land lines for the purpose of violating the order Other Laws May Also Apply To You Whether or not a Restraining Order is in effect, federal law may prohibit you from: 225 Traveling across state lines or tribal land lines with the intent to injure the Petitioner and then intentionally committing a crime of violence causing bodily injury to the Petitioner 225 Causing the Petitioner to travel across state lines or tribal land lines if your intent is to cause bodily injury to the Petitioner or if the travel results in your causing bodily injury to the Petitioner American LegalNet, Inc. www.FormsWorkFlow.com FAPA 226 Service Information Page 1 of 1 (Aug 2019) SERVICE INFORMATION PETITIONER: (Name) Female Male ***Residence/Contact Address (use a safe address):*** Street, Apartment, City, State, ZIP County Contact Phone Number (Use safe contact number) Age Race/Ethnicity Height Weight Eye Color Hair Color RESPONDENT: (Name) Female Male Residence Address County Phone Number Age Race/Ethnicity Height Weight Eye Color Hair Color PLEASE FILL OUT THIS INFORMATION TO HELP WITH SERVICE OF THE RESTRAINING ORDER Where is Respondent most likely to be found? Residence Hours Address above Employment Hours Address on CIF form Other: Hours Address Description of Vehicle Is there anything about the other party222s character, past behavior, or the present situation that indicates that he or she may be a danger to others? To him/herself? (Explain): Does the other party have any weapons, or access to weapons? (Explain): Has the other party ever been arrested for or convicted of a violent crime? (Explain): *** The Respondent will receive a copy of this information *** If you do not want Respondent to know your residential address or phone number, use a contact address in the state where you reside or a contact phone number so the court and the sheriff can reach you if necessary. Check for mail at this address frequently. The court will assume that you receive all notices sent to your contact address. American LegalNet, Inc. www.FormsWorkFlow.com