COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : : ______________________________ Plaintiff(s) Petitioner’s Name -against: ______________________________ Address (may be omitted for privacy) : ______________________________ : City, State, ZIP ______________________________ Defendant(s) : . .Telephone. (may. be .omitted). . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ .... .. ...... Index No. Calendar No. JUDICIAL SUBPOENA THE PEOPLE OF IN THE _____________________ JUDICIAL DISTRICT COURT THE STATE OF NEW YORK _____________________ COUNTY, STATE OF UTAH TO ) ) ) EX PARTE GREETINGS: Petitioner, ) PROTECTIVE ORDER ) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the ) Court vs. located at County of ) Civil No. 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 ) Judge Respondent. ) ____________________________, Your failure to comply with this subpoena is punishable as a contempt of VIOLATING THIS NOTICE TO THE RESPONDENT: YOU CAN BE ARRESTED FORcourt 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 ORDER EVEN to comply. result of your failureIF ANY PERSON PROTECTED BY THE ORDER INVITES OR ALLOWS YOU TO VIOLATE THE ORDER’S PROHIBITIONS. ONLY THE COURT CAN CHANGE THE ORDER. YOU MAY BE HELD IN CONTEMPT FOR IGNORINGof the Justices of the Witness, Honorable , one OR ALTERING THE TERMS ORDER. day of Court in OF THE County, , 20 NOTICE TO THE PETITIONER: YOU CANNOT WAIVE, ALTER, IGNORE OR DISMISS THIS ORDER WITHOUT FURTHER COURT ACTION.must sign above and type name below) IN YOU MAY BE HELD (Attorney CONTEMPT FOR IGNORING OR ALTERING THE TERMS OF THIS ORDER. The Court having found that Petitioner is a cohabitantAttorney(s) for and having found that the of Respondent Court has jurisdiction over this matter, and having reviewed Petitioner’s Verified Petition for Protective Order, from which it appears that domestic violence or abuse has occurred or that there is a substantial Office and P.O. Address likelihood of immediate danger of abuse or domestic violence to Petitioner by the Respondent in that Respondent presents a credible threat to the physical safety of Petitioner, and pending further hearing in this matter, 1 of 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : PURSUANT TO UTAH CODE SECTION 30-6-4.2 THE PETITIONER IS GRANTED AN EX JUDICIAL SUBPOENA Plaintiff(s) PARTE PROTECTIVE ORDER. -against: (The Judge shall initial each section that is included in this Order.) : THE COURT MAKES THE FOLLOWING ORDERS IN THE CRIMINAL PORTION OF THIS : EX PARTE PROTECTIVE ORDER: This order is effective from the date and time served on the Respondent, until, after further hearing on this matter, the Respondent is served with a protective order, Defendant(s) : . .the .protective order. is. denied.or. this .matter. is. dismissed.. . . . . . . .. ............ . ..... . ... .... . ........ _____ 1. The Respondent is restrained from attempting, committing, or threatening to commit domestic violence or abuse against the Petitioner and shall not stalk, harass, or threaten, or use THE PEOPLE OF THE STATE OF NEW YORK or attempt to use physical force that would reasonably be expected to cause physical injury to the Petitioner. TO _____ 2. The Respondent is restrained from attempting, committing, or threatening to commit domestic violence or abuse against the designated family and household members and shall not GREETINGS: stalk, harass, or threaten, or use or attempt to use physical force that would reasonably be expected to cause physical injury to those parties. The designated minor children and you attend WE COMMAND YOU, that all business and excuses being laid aside, you and each of members before , the Honorable Court of Petitioner’s family or household are: at the 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 _____ 3. The Respondent is prohibited from directly or indirectly contacting, harassing, 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 toe-mailing, or otherwise communicating with the Petitioner. telephoning, comply. Witness, Honorable , one of the Justices of the _____ 4. The Respondent is ordered excluded and shall stay away from Petitioner’s residence Court in and its premises located at: ________________________________________ County, day of , 20 ______________________________ and any subsequent residence of Petitioner known to the Respondent, and Respondent is prohibited from terminating or interfering with the utility (Attorney must sign above and type name below) services to the residence. _____ 5. The Respondent is ordered to stay away from the school, place of employment, and/or Attorney(s) for other places, and their premises, frequented by Petitioner, the minor children and the designated household and family members. This includes any subsequent school, place of employment or other places known to the Respondent, which are frequented by the Petitioner or the minor children and the designated family and household members. The current addresses include: Office and P.O. Address ________________________________________________________________________ ________________________________________________________________________ 2 of 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : ______________________________________________________________________________ JUDICIAL SUBPOENA Plaintiff(s) -against______________________________________________________________________________ : : _____ 6. Under state law pursuant to this order, the Court having found that Respondent’s use or : possession of a weapon may pose a serious threat of harm to Petitioner, the Respondent is prohibited from purchasing, using, or possessing a firearm or any of the following weapons: Defendant(s) : . . . . . . . . ________________________________________________________________________ .............................................. ________________________________________________________________________ ________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO _____ 7. The Petitioner is awarded temporary possession of the following residence, automobile and/or other essential personal property: ________________________________________________________________________ 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 This order is subject to subsequent orders concerning the listed property in future civil proceedings. (Attorney must sign above and type name below) RESPONDENT’S VIOLATION OF THE CRIMINAL PORTION, PROVISIONS “1" THROUGH “7" OF THIS ORDER IS A CRIMINAL OFFENSE PUNISHABLE AS A Attorney(s) for CLASS A MISDEMEANOR UNDER UTAH CODE ANN. SECTIONS 30-6-4.2 AND 76-5108. IF RESPONDENT’S VIOLATION OF PROVISIONS “1" THROUGH “7" OF THIS Office and P.O. Address ORDER IS A SECOND OR SUBSEQUENT DOMESTIC VIOLENCE OFFENSE, ENHANCED PENALTIES MAY BE IMPOSED UNDER UTAH CODE SECTIONS 7736-1.1 and 77-36-2.4. Telephone No.: 3 of 6 Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : THE COURT ORDERS THE FOLLOWING RELIEF IN THE CIVIL PORTION SUBPOENA JUDICIAL OF THIS EX Plaintiff(s) PARTE PROTECTIVE ORDER. The civil portion is effective from the date and time -against: served on the Respondent, until, after further hearing on this matter, the Respondent is served with a protective order, the protective order is denied or this matter is dismissed. : _____ 8. : The Petitioner is granted temporary custody of the following minor child/ren: Defendant(s) : . . . . . . . . ________________________________________________________________________ .............................................. ________________________________________________________________________ ________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO ________________________________________________________________________ When a minor child is included in an ex parte protective order, the Petitioner may a copy of the order to the principal of the school where the child attends. provide GREETINGS: If the Respondent fails to return custody and minor child as ordered in this order the WE COMMAND YOU, that all business of a excuses being laid aside, you and each of you attend before , the Honorable obtain a writ of assistance from the court. at the Court Petitioner may 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 _____ 9. The Respondent shall have visitation as follows: ________________________________________________________________________ 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 , one of the Justices of the Court in ________________________________________________________________________ County, day of , 20 ________________________________________________________________________ (Attorney must sign above and type name below) ________________________________________________________________________ ________________________________________________________________________ Attorney(s) for _____ 10. The Respondent is restrained from using drugs and/or alcohol prior to or during visitation. Office and P.O. Address _____ 11. The Respondent is restrained from removing the parties’ minor children from the state of Utah. 4 of 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : VIOLATION OR FAILURE TO COMPLY WITH THE CIVIL PORTION, PROVISIONS JUDICIAL SUBPOENA Plaintiff(s) “8" THROUGH “11" OF THIS ORDER, MAY SUBJECT PERSONS TO CONTEMPT -against: PROCEEDINGS. : : ______12 The Division of Child and Family Services is ordered to conduct an investigation into the allegation of child abuse. Defendant(s) : ...................................................... ______13. A Guardian ad Litem is appointed to represent the best interests of the children. ______14. An officer from the following law THE PEOPLE OF THE STATE OF NEW YORK enforcement agency:__________________ shall TO accompany the Petitioner to ensure that Petitioner obtains custody of the children that the Petitioner safely regains possession of awarded property. and/or ______15. An officer from the following law enforcement agency:_________________ _______________shall facilitate Respondent’s removal of Respondent’s essential personal GREETINGS: belongings from the parties’ residence. The law enforcement officer shall contact Petitioner to make these arrangements. Respondent and excuses being Petitioner or and the of you attend WE COMMAND YOU, that all businessmay not contact thelaid aside, youentereachresidence to before , the Honorable any items. at the Court obtain located at County of in______16. room , on enforcement agencies with jurisdiction over theo'clock in the day of , 20 , at noon, have any Law the protected locations shalland atthe recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the authority to compel Respondent’s compliance with this Order, including the authority to forcibly evict and restrain Respondent from the protected areas. Information to assist with the identification of the Respondent is attached to this Order. 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 aordered to bring proof $50 and all damages the ______17. The Respondent and the Petitioner are maximum penalty of of current income to sustained as a result of your failure to comply. hearing. The proof should include year-to-date pay stubs or employer statements, and complete tax returns for the most recent year. Witness, Honorable Court in County, , one of the Justices of the day of , 20 ______18. Other: ________________________________________________________________________ (Attorney must sign above and type name below) ________________________________________________________________________ ________________________________________________________________________ Attorney(s) for ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Office and P.O. Address ________________________________________________________________________ ________________________________________________________________________ 5 of 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : 19. Unless otherwise modified by the Court, this Order is effective from the date and time JUDICIAL SUBPOENA Plaintiff(s) served on Respondent, until, after further hearing in this matter, the Respondent is served with a -against: Protective Order or a Protective Order is denied. : 20 The Respondent is ordered to appear at a hearing on: : Date: _________________________________________ Defendant(s) : . . . . . . . . . . . . . . .Time:. . . . . . . . ._________________________________________ .... .......................... Room: _________________________________________ Address: _________________________________________ THE PEOPLE OF THE STATE OF NEW YORK TO DATED: _____________________ TIME: _____________ GREETINGS: BY THE COURT: 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 DISTRICT COURT JUDGE 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 Serve Respondent at: Street: ________________________ City/Town: ________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to State/Zip: ________________________ 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. with Disabilities Act, individuals needing special accommodations (including In compliance with the Americans auxiliary communicative aids and services) during this proceeding should call the Clerk of the Court immediately Witness, notice , one of the Justices of the upon receipt of this Honorable Court in County, day of , 20 IF YOU NEED AN INTERPRETER, PLEASE NOTIFY THE COURT (five days before your (Attorney must sign above and type name below) hearing, if possible). In all criminal cases and in some other proceedings, the court will arrange for the interpreter and will pay the interpreter’s fees. In most civil matters, the court cannot pay for the interpreter but can give you a list of certified approved interpreters. You Attorney(s) for must use an interpreter from the list. Office and P.O. Address 6 of 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com