Appendix A - School Transfer
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Appendix A - School Transfer Form. This is a Washington form and can be use in Sexual Assault Statewide.
Tags: Appendix A - School Transfer, SA-3.070, Washington Statewide, Sexual Assault
Case Name: _____________________________________ Cause No:________________________
Appendix A: School Transfer
Petitioner and Respondent are under the age of 18 and attend the same public or private elementary,
middle or high school. The Court has entered a Sexual Assault Protection Order. The Court has
considered the following factors regarding Petitioner’s request that Respondent transfer to a different
school: (A) The severity of the act; (B) continuing physical danger or emotional distress to the Petitioner;
(C) expenses involved; and (D) the educational disruption that will be caused by a transfer of the
Respondent to another school. After consideration of the above, the Court orders as follows:
1. Respondent is restrained from attending ___________________________________ School.
2. Respondent shall transfer to a different school and Respondent’s parents or legal guardians are
responsible for transportation and other costs associated with the change of school.
3. The Court Administrator shall send a copy of this order to the school listed in paragraph 1 above
and to the new school of respondent, if known. The new school is _________________________
Appendix A: School Transfer (SA ProOrd) – Page 1 of 1
WPF SA-3.070 (6/2006) – Laws of 2006, ch. 138
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