___________Court __________ County _________ Tennessee ORDER GRANTING BAIL FOR ABUSE CASES Case Number ________________________________________________ vs. _______________________________________________________ Pursuant to Tennessee Code Annotated, Section 40-11-150, the Court has reviewed the facts of the arrest and detention of the defendant and has determined that the defendant: (check where applicable) ___1. Is a threat to the alleged victim or other family or household member. ___2. Is a threat to the public safety. ___3. Is reasonably likely to appear in court. Pursuant to the above findings, the Defendant’s release or bail is conditioned on the following and it is ORDERED that: ___1. The defendant is enjoined from threatening to commit or committing specified offenses set forth in the warrant and against the alleged victim or other family or household member. ___2. The defendant is prohibited from harassing, annoying, telephoning, contacting or otherwise communicating with the alleged victim, either directly or indirectly. ___3. The defendant is directed to vacate or stay away from the home of the alleged victim and to stay away from any other location where the victim is likely to be. ___4. The defendant is prohibited from using or possessing a firearm or other weapon specified by the court as follows: ______________________________________________________________________________________ ___5. The defendant is prohibited from possessing or consuming alcohol or controlled substances. ___6. Any other order required to protect the safety of the alleged victim and to ensure the appearance of the defendant in court as determined by this court as follows:________________________________________________________________________________________ ______________________________________________________________________________________________ BAIL SET AT:__________________ TWELVE (12) HOUR HOLD EXPIRES: _____ :______ ____.M. IT IS FURTHERED ORDERED that a copy of this order be given to the defendant, the victim, and all appropriate law enforcement agencies. I acknowledge these conditions: __________________________________________ Judge Date ______________________________________________ Defendant Date ORDER DISCHARGING DEFENDANT FROM CONDITIONS OF BAIL For good cause, IT IS ORDERED that the defendant is discharged from all conditions of bail set above, except _________________________________________________________________________________________ and the clerk shall send notice to appropriate law enforcement agencies. _____________________________________________________________________ Judge Date NOTICE TO DEFENDANT If you violate this order thinking that the other party has given you permission to do so, you are wrong and can be arrested and prosecuted. The terms of this order cannot be changed by agreement of the parties. Only the court can change this order. VIOLATION OF THIS ORDER MAY CONSTITUTE CONTEMPT OF COURT AND/OR A CLASS A MISDEMEANOR PURSUANT TO T.C.A. §39-13-113 AND MAY CAUSE YOUR BAIL TO BE REVOKED. Revised 7/09 American LegalNet, Inc. www.FormsWorkFlow.com