Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Domestic Violence No Contact Order Form. This is a Washington form and can be use in Felony Judgment And Sentence Statewide.
Tags: Domestic Violence No Contact Order, NC 02.0100, Washington Statewide, Felony Judgment And Sentence
Court of Washington
No.
for
,
Plaintiff
vs.
Pre-Trial
Post Conviction
Replacement Order (paragraph 10)
Domestic Violence No-Contact Order
.
(clj=NOCON, Superior cts =ORNC)
Clerk’s action required: Para 9
No-Contact Order
1. Protected Person’s Identifiers:
Defendant’s Identifiers:
If a minor, use initials
Date of Birth
_________________________________ instead of name, provide
Name (First, Middle, Last)
other info., and complete
Gender
Race
_________________________________ a Law Enforcement
DOB
Gender
Race
Information Sheet (LEIS).
2. Defendant:
A. do not cause, attempt, or threaten to cause bodily injury to, assault, sexually assault, harass, stalk,
or keep under surveillance the protected person.
B. do not contact the protected person, directly, indirectly, in person or through others, by phone, mail,
or electronic means, except for mailing or service of process of court documents through a third
party, or contact by the defendant’s lawyers.
C. do not knowingly enter, remain, or come within________ (1,000 feet if no distance entered) of the
protected person’s residence, school, workplace, other: __________________________________.
D. other: _________________________________________________________________________
______________________________________________________________________________
.
3. Firearms and Weapons, Defendant:
do not obtain or possess a firearm, other dangerous weapon or concealed pistol license. (Pre-Trial,
RCW 9.41.800. See findings in paragraph 7, below.)
do not obtain, own, possess or control a firearm. (Post Conviction or Pre-Trial, RCW 9.41.040.)
shall immediately surrender all firearms and other dangerous weapons within the defendant’s
possession or control and any concealed pistol license to the following law enforcement agency:
________________________________________________. (Pre-Trial Order, RCW 9.41.800.)
Defendant (First,
Middle,
Last Name)
4. This no-contact order expires on
______________________________(date and time) or
1 year
2 years from today’s date.
If no date is entered and no box is checked, this order expires 5 years from today’s date.
The court may extend a no-contact order even if the defendant does not appear at arraignment.
Warning: Violation of the provisions of this order with actual notice of its terms is a criminal offense
under chapter 26.50 RCW and will subject a violator to arrest; any assault, drive-by shooting, or
reckless endangerment that is a violation of this order is a felony. You can be arrested even if the
Domestic Violence No-Contact Order (NOCON) (ORNC) - Page 1 of 2
WPF NC 02.0100 (06/2012) - RCW 10.99.040, .045.050
American LegalNet, Inc.
www.FormsWorkFlow.com
person protected by this order invites or allows 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. (Additional warnings on page 2 of this order.)
Findings of Fact
5. Based upon the record both written and oral, the court finds that the defendant has been charged with,
arrested for, or convicted of a domestic violence offense, and the court issues this Domestic Violence
No-Contact Order under chapter 10.99 RCW to prevent possible recurrence of violence.
6. The court further finds that the defendant’s relationship to a person protected by this order is an
Intimate partner (former/current spouse; parent of common child; or former/current cohabitants as
intimate partners) or Other family member as defined by Ch. 10.99 RCW: ___________________.
7.
(Pretrial Order) For crimes not defined as a serious offense, the court makes the following
mandatory findings pursuant to RCW 9.41.800:
The defendant used, displayed, or threatened to
use a firearm or other dangerous weapon in a felony.
The defendant is ineligible to possess a
firearm due to a prior conviction pursuant to RCW 9.41.040; or Possession of a firearm or other
dangerous weapon by the defendant presents a serious and imminent threat to public health or safety,
or to the health or safety of any individual.
Additional Warnings to Defendant: This order does not modify or terminate any order entered in any
other case. You are still required to comply with other orders.
Willful violation of this order is punishable under RCW 26.50.110. State and federal firearm restrictions
apply. 18 U.S.C. § 922(g)(8)(9); RCW 9.41.040.
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.
Additional Orders
8.
Civil standby: The appropriate law enforcement agency shall, at a reasonable time and for a
reasonable duration, assist the defendant in obtaining personal belongings located at:
_____________________________________________________________________________.
9. The clerk of the court shall forward a copy of this order on or before the next judicial day
to:________________________________________ County Sheriff’s Office City 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.
10.
This order replaces all prior no-contact orders protecting the same person issued under this cause
number.
Dated: ______________________ Time ________ a.m./p.m.
present.
in open court with the defendant
I acknowledge receipt of a copy of this order:
________________________________
Judge/ Pro Tem/Court Commissioner
___________________________
Defendant
The protected person shall be provided with a certified copy of this order.
I am a certified or registered interpreter or found by the court to be qualified to interpret in the
_________________________________ language, which the defendant understands. I translated this
order for the defendant from English into that language.
Signed at (city) _________________________, (state) ____________, on (date)
___________________.
Domestic Violence No-Contact Order (NOCON) (ORNC) - Page 2 of 2
WPF NC 02.0100 (06/2012) - RCW 10.99.040, .045.050
American LegalNet, Inc.
www.FormsWorkFlow.com
Interpreter: _______________________________ print name: _________________________________
Domestic Violence No-Contact Order (NOCON) (ORNC) - Page 3 of 2
WPF NC 02.0100 (06/2012) - RCW 10.99.040, .045.050
American LegalNet, Inc.
www.FormsWorkFlow.com