Superior Court of Washington County of State of Washington, Plaintiff, ___________________________________ Protected Person vs. ____________________________________ Defendant. DOB Civil Case No.: ___________________ No-Contact Order (Reissued Pursuant to a Certificate and Order of Discharge) (CORNC) Judgment and Sentence Discharged in Criminal Case No.: _____________________ [ ] Clerk's action required Expiration date on page 2. The defendant in this matter petitioned the court for a Certificate and Order of Discharge and for Issuance of a Separate No-Contact Order pursuant to RCW 9.94A.637. The court considered the defendant's petition, any supporting material and relevant court records and found that the defendant completed the requirements of the judgment and sentence, including payment of all legal financial obligations. The court further found that the defendant paid the appropriate filing fee associated with reissuance of the nocontact order under a civil cause number. Therefore, the court reissues the no-contact order for the remaining term and under the same conditions as contained in the judgment and sentence that is discharged in the criminal case number listed in the caption. The court orders that the defendant: [ ] shall not have contact with _________________________________________________ (name of protected person(s)) including, but not limited to, personal, verbal, telephonic, written or contact through a third party. [ ] is excluded or prohibited from coming within _______________________ (distance) of: [ ] __________ _________________________________ (name of protected person(s))'s [ ] home/ residence [ ] work place [ ] school [ ] (other location(s)) ____________________________________ _______________________________________________________________________________, or [ ] other location: ___________________________________________________________________. [ ] other: ____________________________________________________________________________ _________________________________________________________________________________ . This order may be enforced under chapter 26.50 RCW. RCW 9.94A.637(2). Violation of this order is a criminal offense and will subject the violator to arrest. RCW 26.50.110 No-Contact Order (CORNC) - Page 1 of 2 WPF CR 08.0660 (7/2009) RCW 9.94A.637(2), 26.50.110 American LegalNet, Inc. www.FormsWorkFlow.com Warnings to the Respondent: A violation of this order with actual notice of its terms is a criminal offense under chapter 26.50 RCW and will subject you to arrest. If the violation of the protection order involves travel across a state line or the boundary of a tribal jurisdiction, or involves conduct within the special maritime and territorial jurisdiction of the United States, which includes tribal lands, you may be subject to criminal prosecution in federal court under 18 U.S.C. §§ 2261, 2261A, or 2262. A violation of this order is a gross misdemeanor unless one of the following conditions apply: Any assault that is a violation of this order and that does not amount to assault in the first degree or second degree under RCW 9A.36.011 or 9A.36.021 is a class C felony. Any conduct in violation of this order that is reckless and creates a substantial risk of death or serious physical injury to another person is a class C felony. Also, a violation of this order is a class C felony if you have at least two previous convictions for violating a protection order issued under Titles 7, 10, 26 or 74 RCW. If you are convicted of an offense of domestic violence, you will be forbidden for life from possessing a firearm or ammunition. 18 U.S.C. § 922(g)(9); RCW 9.41.040. You Can Be Arrested Even if the Person(s) Protected by this Order Invite or Allow You to Violate the Order's Prohibitions. You have the sole responsibility to avoid or refrain from violating the order's provisions. Only the court can change the order upon written application. Pursuant to 18 U.S.C. § 2265, a court in any of the 50 states, the District of Columbia, Puerto Rico, any United States territory, and any tribal land within the United States shall accord full faith and credit to the order. The court directs the clerk of the court: To file this no-contact order under the civil cause number. To mail a copy of this order to the person(s) protected by this order, if the clerk has an address, or forward a copy of this order to the prosecuting attorney who shall mail a copy of this order to the last known address of the protected person. The reasons for the change are contained in the first paragraph of this order. The clerk of the court is further ordered to forward a copy of this order on or before the next judicial day to:______________________________________________________________ [ ] County Sheriff's Office [ ] Police Department where the case is filed, which shall enter it in a computer-based criminal intelligence system available in this state used by law enforcement to list outstanding warrants. This order and the case number of the discharged judgment and sentence shall be linked in the criminal intelligence information system for purposes of enforcing the no-contact order. Service Defendant appeared in court or signed below. Further service is not required. This No-Contact Order Expires On _____________________________________ (The balance of the original term of ____ years, not exceeding the maximum statutory sentence). Dated:____________________________ _____________________________________________ JUDGE/Print Name: I acknowledge receipt of a copy of this order: ___________________________ Deputy Prosecuting Attorney WSBA No. Print Name: ____________________________ Defendant Print Name: ____________________________ Attorney for Defendant WSBA No. Print Name: The defendant must complete a Law Enforcement Information Sheet (LEIS). No-Contact Order (CORNC) - Page 2 of 2 WPF CR 08.0660 (7/2009) RCW 9.94A.637(2), 26.50.110 American LegalNet, Inc. www.FormsWorkFlow.com