DISTRICT COURT, ____________________ COUNTY, UTAH PERMANENT CRIMINAL STALKING INJUNCTION _______________________________, Plaintiff, Case No. ____________________ vs. Assigned Judge: ____________________ ______________________________, Defendant. As of now, you ___________________________________ (defendant) are under Court Order with regards to __________________________________(stalking victim). _____ LEAVE and STAY AWAY from any place where the stalking victim lives, works, goes to school or regularly visits. This means that S you are restrained from entering the residence, property, school, or place of employment of the stalking victim; S you are to stay away from the following specified places frequented regularly by the stalking victim: _____ STAY AWAY from the stalking victim and from certain people and DON’T COMMUNICATE with any of them. DON’T ASK anyone else to communicate with any of them. This means that S you are required to stay away from the stalking victim and members of the stalking victim’s immediate family or household; S you are restrained from making contact with the stalking victim; Permanent Criminal Stalking Injunction 1 Approved by Board of District Court Judges 19 Dec 2003 American LegalNet, Inc. www.USCourtForms.com S you are forbidden from personally or through an agent initiating any communication likely to cause annoyance or alarm, including personal, written or telephone contact with the stalking victim, the stalking victim’s employers, employees, fellow workers or others with whom communication would be likely to cause annoyance or alarm to the stalking victim. IT IS A CRIME to disobey this order. NO ONE EXCEPT THE JUDGE CAN CHANGE COURT ORDERS. The Court makes the following findings: The defendant has been convicted of the criminal offense of stalking, Section 76-5-106.5 Utah Code. Conviction was by verdict guilty plea no contest plea guilty plea held in abeyance for a time. The stalking victim is _____________________________________________. The defendant was notified of the right to a hearing on the issuance of a permanent criminal stalking injunction and the defendant waived a hearing; the defendant failed to appear, or a hearing was held and the court heard evidence and arguments; persons present: Plaintiff’s lawyer Victim Defendant Defendant’s lawyer or defendant knowingly and voluntarily waived attorney There is good cause. It is appropriate to issue a permanent criminal stalking injunction, pursuant to Section 76-5106.5 Utah Code. This order is permanent. VIOLATIONS SHALL CONSTITUTE AN OFFENSE OF STALKING pursuant to Section 76-5-106.5. Violations may be enforced either in a civil action by the victim and/or in a criminal action by a prosecuting attorney. Defendant was afforded both notice and opportunity to be heard in the hearing that gave rise to this order. The court had jurisdiction over the parties and over the matter under the laws of the state of Utah. Pursuant to the Violence Against Women Act 18 U.S.C. §§2265-2266 (2000), this order is valid in all the United States, in the District of Columbia, in tribal lands, and in United States Territories. Signed on ____________, 20_____ X District Judge I handed a copy to the defendant on _______________, 20_____ X _______________ County Sheriff’s Office Permanent Criminal Stalking Injunction 2 Approved by Board of District Court Judges 19 Dec 2003 American LegalNet, Inc. www.USCourtForms.com