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 ) ____________________________, ) VERIFIED PETITION TO GREETINGS: ) MODIFY PROTECTIVE ORDER Petitioner, ) 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 ) 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 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. PETITIONER IS ADVISED THAT KNOWING FALSIFICATION OF ANY STATEMENT OR INFORMATION PROVIDED FOR THE PURPOSE OF OBTAINING A Witness, Honorable , one of the Justices of the PROTECTIVE ORDER MAY day of SUBJECT THE PETITIONER TO FELONY Court in County, , 20 PROSECUTION (Section 30-6-4(1)(b)(i) Utah Code Ann.) The Petitioner alleges against the Respondent as follows: (Attorney must sign above and type name below) 1. Check One: G An Ex Parte Protective Order G A Protective Order Attorney(s) for Office and P.O. Address was signed by this Court on______________. 1 of 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA 2. Since then, the facts under which the original Order was issued have changed and -against: Petitioner requires a modification of the original order. The new facts include the following: ______________________________________________________________________________ : ______________________________________________________________________________ : ______________________________________________________________________________ Defendant(s) : ...................................................... ______________________________________________________________________________ ______________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ______________________________________________________________________________ ______________________________________________________________________________ TO WHEREFORE: I respectfully request that this Court: GREETINGS: 1. Order the Respondent business at a hearing. WE COMMAND YOU, that allto appear and excuses being laid aside, you and each of you attend before , the Honorable at the Court located atParte Protective Order and, after the hearing, issue a County of2. Immediately issue an Ex inProtective Order ,containing the following relief (Check boxes of relief that youthe requesting): at any recessed room on the day of , 20 , at o'clock in are noon, and or adjourned date, to testify and give evidence as a witness in this action on the part of the 9 Restrain the Respondent from attempting, threatening or committing abuse or domestic violence against Petitioner and from stalking, harassing, or threatening or using or attempting to Your failure to comply with this subpoenabe punishable as a contempt ofinjury and will make you liable to use physical force that would reasonably is expected to cause physical court to the Petitioner. 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. 9 Restrain the Respondent from attempting, threatening or committing abuse or domestic violence against the minor children and designated family and household members and from Witness, Honorable , one of the Justices of the stalking, harassing or threatening or using or attempting to use physical force that would Court in County, day of , 20 reasonably be expected to cause physical injury to the following family or household members. ________________________________________________________________________ ________________________________________________________________________ (Attorney must sign above and type name below) ________________________________________________________________________ 9 Prohibit the Respondent from directly or indirectly contacting, harassing, telephoning, eAttorney(s) for mailing or otherwise communicating with the Petitioner. 9 Order the Respondent to vacate and stay away from the residence located at: ________________________________________________________________________ Office and P.O. Address and any subsequent residence of Petitioner known to the Respondent, and prohibit the Respondent from terminating or interfering with the utility services to the residence. Telephone No.: 2 of 3 Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : 9 Order the Respondent to stay away from Petitioner’s school, place ofSUBPOENA JUDICIAL employment, and Plaintiff(s) other places frequented by Petitioner, the minor children and designated family or household -against: members and any subsequent school, place of employment or other places frequented by the Petitioner, the minor children and designated family and:household members, and known to the Respondent. The current addresses include: : ________________________________________________________________________ Defendant(s) ________________________________________________________________________ : ...................................................... ________________________________________________________________________ ________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________________________________ TO ________________________________________________________________________ Q Make the following changes to the other order(s) issued by the Court in the Protective Order or Ex Parte Protective Order: 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 inDATED: _____________________________. 20 room , on the day of , , 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 State of Utah ) ( ss: ____________ County ) 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. I am the Petitioner; that I have read this Petition and the statements in Being sworn, I state that it are true and correct to the best of my knowledge; that I believe I am entitled to the relief requested, , one of the Justices of the and that Witness, Honorablebeing used to harass or to abuse process. this Petition is not Court in County, day of , 20 ____________________________________ Petitioner (Attorney must sign above and type name below) Subscribed and sworn to before me on ______________________________. Attorney(s) for ____________________________________ Clerk or Notary Public Residing at: My Commission Expires: Office and P.O. Address Serve Respondent at: ______________________________ ______________________________ ______________________________ 3 of 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 8/03 American LegalNet, Inc. www.USCourtForms.com