Court of Washington For Plaintiff, vs. Defendant. SID: 1. Protected Person's Identifiers: _________________________________ Name (First, Middle, Last) _________________________________ DOB Gender Race If a protected person's identifiers are not listed, complete a Law Enforcement Information Sheet (LEIS). No. Stalking No-Contact Order (superior cts = ORNC) (clj = NOCON) Pre-trial Post conviction Clerk's action required, para. 8 Defendant's Identifiers: Date of Birth Gender Race 2. Defendant: A. do not contact the protected person. B. do not knowingly come within or knowingly remain within ________________________ (1,000 feet if no distance entered) of the protected person's home, school, business, place of employment, other locations: . C. other: 3. Firearms and Weapons, Defendant: do not obtain or possess a firearm, other dangerous weapon or concealed pistol license. (RCW 9.41.800. See findings in paragraph 7, below.) 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: 4. Electronic Monitoring, Defendant: must submit to electronic monitoring. See separate order or provider and terms of monitoring: __________________________________________________________________________________________________. . ____________________________________________________________________________________________________. 5 This stalking no-contact order expires: (If no date is entered and no box is checked, this order . expires 2 year from today's date.) on ______________________________(date and time). 1 year from today's date. 2 years from today's date. 5 years from today's date. Warning: Violation of this order is a criminal offense under chapter 26.50 RCW and will subject a violator to arrest. You can be arrested even if any 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. (Additional warnings on page 2 of this order.) Stalking No-Contact Order (ORNC, NOCON) - Page 1 of 2 CR 84.0450 (07/2013) ­ Laws of 2013, ch. 84, §16 American LegalNet, Inc. www.FormsWorkFlow.com Findings of Fact 6. Based upon the record both written and oral, the court finds that the defendant has been charged with, arrested for, or convicted of a stalking offense. The court issues this Stalking No-Contact Order under Laws of 2013, ch. 84, §16. 7. The court makes the following mandatory findings pursuant to RCW 9.41.800: The defendant The used, displayed, or threatened to use a firearm or other dangerous weapon in a felony. 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: Willful violation of this order is punishable under RCW 26.50.110. 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. The clerk of the court shall forward a copy of this order on or before the next judicial day to:_________________________________________ County Sheriff's Office Police Department where this action 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. Dated: ______________________ Time ________ a.m./p.m. I acknowledge receipt of a copy of this order: 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) ___________________. Interpreter: _______________________________ print name: _________________________________ ________________________________________________ Judge/ Pro Tem/Court Commissioner Stalking No-Contact Order (ORNC, NOCON) - Page 2 of 2 CR 84.0450 (07/2013) ­ Laws of 2013, ch. 84, §16 American LegalNet, Inc. www.FormsWorkFlow.com