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Cohabitant Abuse And Domestic Violence Act Instruction Sheet And Information Sheet Form. This is a Utah form and can be use in Protective Orders And Civil Stalking Statewide.
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Tags: Cohabitant Abuse And Domestic Violence Act Instruction Sheet And Information Sheet, Utah Statewide, Protective Orders And Civil Stalking
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
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THE PEOPLE OF THE STATE OF NEW YORK
TO
COHABITANT ABUSE AND
GREETINGS:
DOMESTIC VIOLENCE ACT
INSTRUCTION being laid aside,
WE COMMAND YOU, that all business and excusesSHEET you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
This instruction sheet explains how to petition for a Civil Protective Order under the Utah Cohabitant Abuse Act (Utah Code Ann. § 30-6-1
through Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
§ 30-6-14).
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
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:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
TABLE OF CONTENTS
:
:
PERSONS ELIGIBLE TO PETITION FOR A PROTECTIVE ORDER . . . . . . . . . . .
YOU MUST BE A COHABITANT . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . .
YOU MUST BE A VICTIM OF ABUSE OR DOMESTIC VIOLENCE . . . . .
INTERESTED PERSONS MAY FILEDefendant(s) OF MINOR CHILDREN
ON BEHALF
:
. . . . . . . . THE. PETITION .IS .FILED. IN. DISTRICT .OR .JUVENILE. COURT . . . . . . . . .
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WHAT IS A PROTECTIVE ORDER? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EX PARTE PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PROTECTIVE ORDER . . . NEW. YORK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
THE PEOPLE OF THE STATE OF . . . . . . . . .
EX PARTE MODIFIED PROTECTIVE ORDER and MODIFIED PROTECTIVE ORDER
MUTUAL PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TO
FOREIGN PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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RELIEF AVAILABLE IN PROTECTIVE ORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
PROCEDURE
GREETINGS: TO OBTAIN A PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
FILL OUT THE PETITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
COMPLETE THE
WE COMMANDINFORMATIONbusiness and. excuses being. laid. aside,.you. and. each. of. you attend before
YOU, that all SHEET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
FILE THE PAPERS WITH THE COURT CLERK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
,
the Honorable
at the
Court
APPROACH THE ASSIGNED JUDGE FOR SIGNATURE ON THE EX PARTE PROTECTIVE ORDER
located. at. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
County of
................ .
in room RETURN, TO the FILING CLERK AFTER THE EX , at
on THE
day of
, 20
o'clock SIGNED . noon,.and. at.any5
PARTE ORDER IS in the
. . . . . . . . . recessed
TRANSPORTATION ORDERS . . . . .
..... . .. .... .... .......
or adjourned date, to testify and give evidence .as .a. witness. in. this. action. on the. part of the. . . . . . . . . . . . 5
APPEAR AT THE PROTECTIVE ORDER HEARING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
RETURN TO THE FILING CLERK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
SCHOOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
WRIT OF ASSISTANCE . . . . . . subpoena . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Your failure to comply with this . . . . . . . .is .punishable. as. a contempt .of .court. and. will make.you liable to
MODIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
DISMISSAL OF PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
result of your failure to comply.
ENFORCING YOUR PROTECTIVE ORDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Witness, Honorable
Court in
County,
, one of the Justices of the
LAW ENFORCEMENT AGENCIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
day of
, 20
LEGAL ASSISTANCE ORGANIZATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
SHELTERS/COUNSELING . . . . . . . . . . . . . . . . . . . . . . . . . . (Attorney must .sign above and.type .name below). . 8
......... ........ .. .......
INFORMATION SHEET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
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:
:
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PERSONS ELIGIBLE TO PETITION FOR: A PROTECTIVE ORDER
JUDICIAL SUBPOENA
Plaintiff(s)
-against:
YOU MUST BE A COHABITANT. You may petition for a Protective Order if you are a cohabitant of the party from
1.
whom you will be requesting protection, or if you are a child of a cohabitant. You are a cohabitant if both you and the other party are
:
age 16 or older, or married, and
a.
The other party is, or was, your spouse;
:
b.
You are related by blood or marriage to the other party;
Defendant(s)
:
......................................................
c.
You have one or more children in common with the other party;
d.
You must be the biological parent of the other party’s unborn child; or
THE PEOPLE OF THE STATE OF NEW YORK
e.
You live or have lived in the same residence with the other party.
TO
2.
YOU MUST BE A VICTIM OF ABUSE OR DOMESTIC VIOLENCE, or there must be a substantial likelihood
of immediate abuse or domestic violence.
a.
You are a victim of abuse if the other party:
GREETINGS:
i.
Intentionally caused you physical harm;
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Attempted to cause you physical harm; or Court
,
the Honorable ii.
at the
located at
County of
iii.
Threatened you with physical harm.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date,You are a and give domestic violence if thein this party: on the part of the
to testify victim of evidence as a witness other action
b.
i.
Commits a criminal offense against you involving violence or physical harm or the threat of violence or
physical harm;
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
ii.
the party on whose behalfAttempts, conspires or solicits anothera maximum penalty of $50 and all damages sustained as a
this subpoena was issued for to commit a criminal offense against you involving violence or
physical
result of your failure to comply. harm; or
iii.
Commits or attempts any of the following offenses against you:
Witness, Honorable
Court in
County,
day of
•assault
, one of the Justices of the
, 20
• aggravated assault
•harassment
•stalking
•telephone harassment
•kidnaping
•sexual offenses
•mayhem
•criminal homicide
•protective order violation
(Attorney must •unlawful and type name below)
sign above detention
•some offenses against property, such as burglary
Attorney(s) for
•discharge of a firearm from a vehicle
•possession of a deadly weapon with intent to assault
Office and P.O. Address
3.
INTERESTED PERSONS MAY FILE ON BEHALF OF MINOR CHILDREN. A cohabitant or any party
interested in a minor may petition for a Protective Order on behalf of the minor. The Petition may be filed in Juvenile Court unless you
and the other party are the parents (including adoptive and step) of the minor child.
1
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
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THE PETITION IS FILED IN DISTRICT OR JUVENILE COURT. You should file your action in the District or
4.
:
JUDICIAL SUBPOENA
Plaintiff(s)
Juvenile Court of the county:
-against-
:
a.
Where you reside;
b.
Where the other party resides; or
c.
Where the abuse or domestic violence occurred. :
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . WHAT .IS. A .PROTECTIVE
........ .. .. .................
ORDER?
Protective Orders prohibit contact and communication by one person against another. Protective Orders also determine the rights of
parties consistent with the prohibited contact. There YORK
THE PEOPLE OF THE STATE OF NEW are five types of protective orders: Ex Parte Protective Order, Protective Order, Ex
Parte Modified Protective Order, Modified Protective Order and Mutual Protective Order.
TO
EX PARTE PROTECTIVE ORDER. This is an Order that is immediately available upon the filing of your Petition.
1.
The Order is issued without giving the other party a chance to tell his or her side of the story. The judge may grant you an Ex Parte
Protective Order if it appears from your Petition that abuse or domestic violence has occurred. This Order will be valid until, after further
hearing in your case, a Protective Order is obtained and served on the other party or a Protective Order is denied.
GREETINGS:
2.
PROTECTIVE ORDER. This is an Order that may be obtained at the time of your hearing, after giving both sides a
chance to speak. It replaces the Ex Parte Protective Order. The Order will be valid until the court you attend before
WE COMMAND YOU, that all business and excuses being laid aside, you and each of rescinds the Order.
,
the Honorable
at the
Court
3.
located at
County ofEX PARTE MODIFIED PROTECTIVE ORDER and MODIFIED PROTECTIVE ORDER. When an Ex Parte
Protective Order or a Protective Order has been issued by the court, and the facts on which the order is based subsequently change (for
ininstance a change of address or employment) you must petition the court toat
room
, on the
day of
, 20
, modify the original order.the court may issue anat any recessed
o'clock in The
noon, and Ex Parte
orModified Protective Order pending a hearing and a Modified in this action on the part of the
adjourned date, to testify and give evidence as a witness Protective Order after the hearing.
4.
MUTUAL PROTECTIVE ORDER. This type of Order isdiscouraged and willonly be authorized under extraordinary
circumstances. This Order will restrain both sides from abusing or contacting each other, and will make other orders consistent with mutual
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
restraint.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
FOREIGN PROTECTIVE
5.
result of your failure to comply. ORDER. A protective order issued in another state may be filed in this state. This state will
recognize all of the protections granted by the other state. The court clerk has the necessary forms to accomplish this fil
Witness, Honorable
RELIEF AVAILABLE
Court in
County,
day of
, one of the Justices of the
IN PROTECTIVE ORDERS
, 20
Protective Orders may provide for any and all of the following demands, restraints and provisions. Some of these may not be available
in an Ex Parte Protective Order.
(Attorney must sign above and type name below)
1.
Restrain the other party from attempting, committing or threatening to commit domestic violence against you and
any minor children and family or household members;
2.
Order the other party removed and excluded from your residence, and prohibit the other party from terminating
utility services such as phones, gas, etc.;
3.
Prohibit the other party from contacting, harassing, telephoning, or communicating with you;
4.
Order the other party to stay away from your residence, school, place of employment, or any other place regularly
occupied by you and any minor children and family or household members;
Attorney(s) for
Office and P.O. Address
2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
COURT
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:
Index No.
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5.
Prohibit the other party from purchasing, using or possessing a firearm or other weapon;
:
6.
Award you possession of your residence, automobile and other personal property, and order a law enforcement
-against:
person to assist you in regaining possession of these items;
7.
:
Order a law enforcement officer to supervise the other party's removal of personal belongings from your residence;
8.
:
Grant you temporary custody of your minor children;
JUDICIAL SUBPOENA
Plaintiff(s)
Defendant(s)
9.
Specify child visitation arrangements, including a denial of visitation or supervised visitation;
:
......................................................
10.
Restrain the other party from using drugs or alcohol prior to or during visitation;
11.
Order the other party to pay child and spousal support, and your medical expenses suffered as a result o
THE PEOPLE OF THE STATE OF NEW YORK
12.
TO
Prohibit the other party from moving the minor children outside of the state; and
13.
Order the other party to participate in an electronic monitoring program.
The court may authorize any other type of relief necessary to protect the safety and welfare of you, the minor children and other
household members.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
PROCEDURE TO OBTAIN A PROTECTIVE ORDER
,
the Honorable
at the
Court
located at
County of
in1.
room FILL OUT THE PETITION as best as you can. There20 three different types of Petitions,the depending on whether you
, on the
day of
, are
, at
o'clock in each
noon, and at any recessed
orare requestingdate,for yourself, requesting modification of previous orders, or requesting reliefthe partbehalf of minor children. Your
adjourned relief to testify and give evidence as a witness in this action on solely on of the
petition is verified, meaning that you are swearing under oath that the allegations are true. Knowingly providing false
information or statements for the purpose of obtaining a protective order may subject you to felony
prosecution. The Petition will have several blank lines for you to complete. These lines should be self-explanatory, however, the
following may failure to comply with this subpoena filling out the Petition, ask the court clerk. will make you liable to
Your be helpful. If you need assistance in is punishable as a contempt of court and
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
a.
Complete the heading at the top of the Petition. You are the "Petitioner" and the person you wish to bring to court
result of your failure to comply.
is the "Respondent." Documents that are filed with the court are generally public and may be disclosed to any person. You
may keep your address information private if you so desire. You must complete a separate Information Sheet, which will be
Witness, Honorable
, means to Justices of
kept private, so that the court and law enforcement officers will have a one of the contact you.the
Court in
b.
County,
day of
, 20
Check the box that describes your relationship with the other party.
c.
Describe the acts of abuse and/or domestic violence that have been committed against you and the children and
household and family members included in the Petition. Provide as much detail as possible, particularly whether injuries
(Attorney must sign above and type name below)
resulted or if weapons were used. Attach additional sheets of paper if necessary.
d.
State whether any other court cases have involved, or currently involve, you, the children, or the other party. If so,
list all cases. Include both civil, criminal and juvenile actions.
Attorney(s) for
e.
The court clerk will provide you with the court hearing information to put in the Prayer section.
f.
In the Prayer section, please check the box if you are requesting child custody, child support, spousal support, or
other similar relief. If you check this box, designate the number of days that you would like this relief to be in effect. The relief
Office and P.O. Address
can only be temporary. The time limits are intended to allow you sufficient time to begin divorce or other actions to obtain
permanent orders.
3
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
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g.
List all of the children, and family and household members that:
should be protected by the Order. Include birthdates
JUDICIAL SUBPOENA
Plaintiff(s)
and recent addresses for the children.
h.
-against-
:
List the address of your residence from which the other party should be removed.
i.
List the address of all other places from which the other party:should be ordered to stay away, including schools,
places of employment, and other places at which you, the children and other family or household members spend considerable
:
time.
Defendant(s)
j.
List the essential personal possessions (including: residence, automobile, toiletries, etc.) that you will ne
......................................................
COMPLETE THE INFORMATION SHEET. The information sheet must be attached to all Protective Orders to provide law
2.
enforcement agencies with more detailed information on the Respondent. Please complete as much information as poss
THE PEOPLE OFPAPERS WITH THE COURT CLERK. Sign the papers in the presence of the clerk. The clerk will sign the petition
3.
FILE THE THE STATE OF NEW YORK
to verify your signature. The clerk will then file your petition. There is no filing fee for the petition and there will be
no
TO fees of any type throughout your case. When the petition is filed, you will be assigned a case number and a judge.
Write your case number and the judge's name on every document to be filed.
APPROACH THE ASSIGNED JUDGE FOR SIGNATURE ON THE EX PARTE PROTECTIVE ORDER. Take the papers to the
4.
assigned judge's in-court clerk and tell him or her that you need the judge's signature on an Ex Parte Protective Order. If court is in
GREETINGS: another judge and explain that the assigned judge is busy. Keep trying until you find an available judge, through
session try to locate
his or her clerk. In some instances, you may be required to wait a short period until a court recess is taken. The judge will initial all of
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend
the relief that will be included in your Order. The judge will have the discretion to deny the Ex Parte Protective Order if the judge feels before
that immediate
,
the Honorable relief is not necessary.
at the
Court
located at
County of
RETURN TO THE FILING CLERK AFTER THE EX PARTE ORDER IS SIGNED. The clerk will give you a copy of the Petition
5.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
and the Ex Parte Protective Order and copies of all the other documents. Keep these copies for your records. The clerk will take the
ororiginals of all the other documents and will ensure that the Petition and the Protective Order are delivered to thelocal sheriff for service
adjourned date, to testify and give evidence as a witness in this action on the part of the
on the other party. The clerk will also deliver copies of the Ex Parte Protective Order to all law enforcement agencies that you request
that may have jurisdiction over the protected locations designated in your petition, including your residence, place of employment,
school, and other places designated by you. The filing clerk will also send a copy of the Order to the Domestic Violence Network. This
NetworkYour failure to all law enforcement agencies, providing instant access forof court and will make you liable to
is available to comply with this subpoena is punishable as a contempt these agencies.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
TRANSPORTATION ORDERS. If the Respondent is in jail, you will need to make arrangements to have the Respondent
6.
result of your failure to comply.
transported by the Sheriff to the Protective Order hearing. The clerk can assist you in obtaining a transportation order.
Witness, Honorable
, one of the Justices of the
7.
APPEAR AT THE PROTECTIVE ORDER HEARING. The time and date for your hearing will be stated on the Petition and
Court inParte Protective Order. You must appear at the hearing. Bring your evidence to this hearing. When your case is
County,
day of
, 20
the Ex
called, identify yourself. The court may hear your case at that time or it may call the entire court calendar, returning to your case after
other matters are heard. When you argue your case, you should simply tell your side of the story and make clear exactly what you want.
The court will allow the other party to argue, if that person is present, and will then make a ruling. You should always appear at your
(Attorney must sign above and type name below)
hearing, even if you want to drop your case. If the Respondent has not been served at least 5 days before the
hearing, you need to appear at the hearing and request an extension, otherwise the order will be
dismissed at the hearing.
Attorney(s) for
8.
RETURN TO THE FILING CLERK. If the judge grants your Protective Order, after your hearing you will be given a copy of your
Protective Order. The court clerk will ensure that the Protective Order is served upon the other party, either by delivering the Order to
the other party at the hearing, or by delivering the Order to the Sheriff for service. The clerk will also deliver copies of the Order to the
law enforcement agencies that you request that may have jurisdiction over your residence, place of employment, school, and other places
designated by you. The filing clerk will also send a copy of the Order to the Domestic Violence Network. This Network is available to all
Office and P.O. Address
law enforcement agencies, providing instant access for these agencies.
9.
SCHOOLS. When minor children are included in an ex parte protective order or a protective order, you may provide a copy
4
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
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:
:
of the order to the principals of the schools that the children attend.
:
Plaintiff(s)
Index No.
Calendar No.
JUDICIAL SUBPOENA
10.
WRIT OF ASSISTANCE. When a protective order awards custody of minor children and the Respondent fails to comply with
-against:
that order, you may seek a Writ of Assistance from the court. A Writ of Assistance provides a law enforcement with additional authority
to enforce the terms of the original protective order. If this situation occurs, you may return to the court for the forms necessary to request
:
a Writ of Assistance.
:
MODIFICATION. If your circumstances change, for instance address of residence or employment change, a Petition to Modify
11.
the Protective Order should be filed to include the current information. The court has the forms to modify a protective orde
Defendant(s)
:
. .12. . . . . DISMISSAL OF.PROTECTIVE ORDER. .If.a.Protective Order.has been.issued, the parties can not modify the terms of the order
..
.......... ...............
......... ..... .
without approval of the court. Therefore, your consent to actions by the Respondent that violate the order does not mean that Respondent
can not be charged with violating the order. If you wish to modify the order, a petition to modify must be filed. If you wish to dismiss the
action, a motion to dismiss must be filed.
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
5
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
ENFORCING YOUR PROTECTIVE ORDER
-against-
:
You should keep a copy of your Protective Order with you :at all times. If a violation of your order occurs, you sho
1.
Call the police. Although the police should already have a copy of your order, you should have your order ready
:
to show them upon their arrival;
Defendant(s)
:
. . . . . . . . 2.. . . . . .Make .sure . . . .get .a. police case .number, .even .if. no arrest is made;
.
. . . . . . . you . . . . . . . . . . . . . . . . . . . . .
3.
Ask the officer to refer the case to a prosecutor for screening.
A protective order STATE a Class A misdemeanor. If there is enough proof, the violator may be prosecuted, fined, and
THE PEOPLE OF THE violation isOF NEW YORK
jailed. If the violator is convicted of subsequent protective order violations, the penalties will be increased.
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
6
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
LAW ENFORCEMENT AGENCIES
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
:
LEGAL ASSISTANCE ORGANIZATIONS
:
:
Defendant(s)
SHELTERS/COUNSELING
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
7
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Index No.
CASE NO. ________________________
:
Calendar No.
INFORMATION SHEET
:
(This information must be attached to the Protective Order) SUBPOENA
JUDICIAL
Plaintiff(s)
(Fill out information as completely as possible. Please write clearly)
-against-
:
**********
:
:
Respondent's name: _____________________________________________
Defendant(s)
:
. . Date. . . . .birth:. _______________________ . SSN:________________________
. . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address for service: ______________________________________________
THE PEOPLE OF THEreach OF NEW YORK
Best times to STATE at address:
TO
Alias/nicknames:
_____________________________________
_________________________________________________
Respondent's Employer's name/address: _____________________________
GREETINGS:
________________________________________________________________
WE COMMAND
Other addressesYOU, that all business and excuses being laid aside, you and each of you attend before
(hangouts): _______________________________________
,
the Honorable
at the
Court
located at
County of
Height: ____________________
Race: ________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Weight: ______________________________ ______________________
Age:
Eyes: _____________________
Hair: _________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Special Characteristics/Tattoos/Scars/etc: penalty of $50 and all damages sustained as a
the party on whose behalf this subpoena was issued for a maximum ____________________________
result of your failure to comply.
Make, Year, License No., and Color of Vehicles: _______________________
Witness, Honorable
, one of the Justices of the
Weapons/Violent History: __________________________________________
Court in
County,
day of
, 20
Additional Information: ____________________________________________
(Attorney must sign above and type name below)
________________________________________________________________
________________________________________________________________
Attorney(s) for
Law enforcement agencies to which the Protective Orders and this sheet should be
delivered: _________________________________________________
Office and P.O. Address
________________________________________________________________
________________________________________________________________
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
8/2000
American LegalNet, Inc.
www.USCourtForms.com
