DC-27 (revised October 2018)STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT NO CONTACT ORDER - DOMESTIC Sixth Division Fourth Division Third Division Second Division State of Rhode Island v. Defendant Case Number Bureau of Criminal Identification Number Law Enforcement Agency Date of Birth It is hereby ORDERED that the above-named Defendant is enjoined and restrained from any contact with the alleged victim whose date of birth is . It is further ordered that the Defendant shall not harass, interfere with, molest, or threaten the victim in any manner, directly or indirectly. This Order is effective immediately and shall remain in effect until . A violation of the Order is a criminal offense under G.L. 1956 247 12-29-4 and will subject the violator to arrest, or may constitute a violation of probation or contempt. A person subject to this Order who possesses, transports, or receives any firearms or ammunition may be subject to federal prosecution under 18 U.S.C.A. 247 922(g)(8), punishable by up to ten (10) years in prison. Signature of the Defendant Date Address: Entered as an Order of the court on . Judicial Officer American LegalNet, Inc. www.FormsWorkFlow.com