COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... COURT OF WASHINGTON THE PEOPLE OF THE STATE OF NEW YORK FOR TO ____________________________________________ Petitioner GREETINGS: vs. NO. ORDER FOR PROTECTION RESPONDENT UNDER AGE 18 HARASSMENT (ORAH18) Court Address_________________________ ____________________________________ _ _____________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Telephone Number:( ) , theRespondent Honorable at the Court (Clerk’s action required) located at County of School notification required. 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 WARNING TO THE RESPONDENT: Willful disobedience of the terms of this order may be contempt of court and may subject you to detention under RCW 7.21.030(4). RCW 10.14.120 1. Full Faith and Credit: This order is issued to prevent violent or threatening acts of harassment. The Your jurisdiction over with this subpoena is and the subject contempt of order is issued in court has failure to complythe parties, the minors punishable as a matter. This court and will make you liable to the party on whose behalfFull Faith and Credit provisions of VAWA.penalty of $50 and all damages sustained as a accordance with the this subpoena was issued for a maximum 18 U.S.C. § 2265. result of your failure to comply. 2. Notice of this hearing was served on the respondent by personal service service by publication pursuant to court order other . Witness, Honorable , one of the Justices of the 3. ____________________________________________ (name) is a responsible and proper person Court in County, day of , 20 to be appointed and is appointed guardian ad litem of respondent and is discharged when proof of service of this order on the guardian ad litem is filed in this case. 4. Minors protected by this order: (Attorney must sign above and type name below) Name (First, Middle Initial, Last) Age Race Sex Attorney(s) for Based upon the petition, testimony, and case record, the court finds that the respondent committed Office and P.O. Address unlawful harassment, as defined in RCW 10.14.020 and .080, and was not acting pursuant to any statutory authority, and after considering the facts of the case, the severity of the alleged offense, any continuing physical danger or emotional distress to the minors to be protected, and the expense, difficulty, Telephone No.: ORD FOR PROT - RESP UNDER 18 - HARASSMENT (ORAH18) – Page 1 of 2 Facsimile No.: UH-05.0500 (5/2004) - RCW 10.14.040, .080, 4.28.020 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : and educational disruption that would be caused by a transfer of the respondent to another school, IT IS JUDICIAL SUBPOENA Plaintiff(s) THEREFORE ORDERED THAT: -against: Respondent is RESTRAINED from making any attempts to keep under surveillance any minors named in the table above. : Respondent is RESTRAINED from making any attempts to contact any minors named in the table above. : Respondent is RESTRAINED from entering or being within ______________ (distance) of the residence work place of any Defendant(s) in the:table above. other: minors named ...................................................... The address is confidential Petitioner waives confidentiality of the address which is: THE PEOPLE OF THE STATE OF NEW YORK Respondent is RESTRAINED from attending ______________________________school at ___________________________________________________________ (address) attended TO by the minors named in the table above and shall transfer to a different school. Other:_______________________________________________________________________ __________________________________________________________________________ GREETINGS: IT IS FURTHER ORDERED that the clerk of court shall forward a copy of this order on or before the next judicialWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before day to: , the Honorable at the Court _________________________________________________________ County Sheriff’s Office located at County of _________________________________________________________ Police Department, WHERE in room , LIVES day of , 20 , at o'clock in system available in thisany recessed noon, and at PETITIONERon the and shall enter it in a computer-based criminal intelligencethe state used by to enforcement to list outstanding witness or adjourned date,lawtestify and give evidence as awarrants. in this action on the part of the The clerk of court petitioner shall forward a copy of this order on or before the next judicial day to: __________________________________________________ County Sheriff’s Office, ______________________________________________________ Police Department, WHERE Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to RESPONDENT LIVES which shall personally serve the respondent with a copy of this order and shall the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a promptly complete and return to this court proof of service. result of your failure to comply. OR Petitioner has made private arrangements for service of this order. If respondent is age 14 or older, serve respondent. If respondent is under age 14, serve respondent and respondent’s guardian. Witness, Honorable further service is not required. , one of the Justices of the OR Respondent appeared; Court in Respondent did not appear. The restraint provisions in this order are the same as those in the temporary County, day of , 20 OR order. The court is satisfied that the respondent was personally served with the temporary order. Further service is not required. (Attorney THIS ANTIHARASSMENT PROTECTION ORDER EXPIRES ON must sign above and type name below) . If the duration of this order exceeds one year, the court finds that respondent is likely to resume unlawful harassment of the petitioner when the order expires. DATED _________________ at _______ a.m./p.m. Attorney(s) for I acknowledge receipt of a copy of this Order: JUDGE/COURT COMMISSIONER I acknowledge receipt of a copy of this Order: ______________________________________ Respondent’s Guardian ad Litem Date Office and P.O. Address Respondent Date Telephone No.: No.: E-Mail Address: Mobile Tel. No.: ORD FOR PROT - RESP UNDER 18 - HARASSMENT (ORAH18) – Page 2 of 2 Facsimile UH-05.0500 (5/2004) - RCW 10.14.040, .080, 4.28.020 American LegalNet, Inc. www.USCourtForms.com