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Denial Order Form. This is a Washington form and can be use in Sexual Assault Statewide.
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Tags: Denial Order, SA-6.020, Washington Statewide, Sexual Assault
Court of Washington
For
No.
Denial Order
____________________________________
Petitioner (Protected Person)
vs.
Domestic Violence
Antiharassment
Sexual Assault
(Optional Use)
(ORDYMT)
Clerk's Action Required
___________________________________
Respondent (Restrained Person)
Next Hearing Date/Time: __________________
At:
___________________________________
______________________________________
This Matter having come on for hearing upon the request of the moving party, for a
Temporary Order
Modification
Renewal
Full Order
Termination Order
and the Court Finding:
Petitioner does not meet the income requirements for a fee waiver.
Petitioner
Respondent did not appear.
Petitioner requested dismissal of Petition.
No notice of this request has been made or attempted to the other party.
This Order materially changes an existing Order, necessitating a hearing on notice.
The Order submitted has not been completed or certified upon penalty of perjury.
The Petition does not list a specific incident and approximate date of domestic violence.
The Petition does not list specific incidents and approximate dates of harassment.
The Petition does not list a specific incident and approximate date of nonconsensual sexual
contact or nonconsensual sexual penetration.
A preponderance of the evidence has not established that there is domestic violence.
A preponderance of the evidence has not established that there has been harassment.
Denial Order (ORDYMT) - Page 1 of 2
WPF SA-6.020 (6/2006) – Laws of 2006, ch. 138
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A preponderance of the evidence has not established that there has been nonconsensual
sexual contact or nonconsensual sexual penetration.
For a temporary sexual assault protection order, reasons for denial of the order are:_______
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________.
Other: __________________________________________________________________.
Having entered the above Findings, It is Ordered:
The request to waive the filing fee is denied.
The request for a Temporary Order is denied and the case is dismissed.
The request for a Temporary Order is denied; it may be re-submitted when the above
identified problems have been resolved.
The request for a full Order is denied, and the Petition is dismissed. Any previously entered
Temporary Order expires at ______________.m. today.
The request to Modify or Terminate the Order dated ____________________ is denied.
The request for a Temporary Order is denied and the clerk is directed to set a hearing on the
Petition.
The request before the court is denied, provided that it may be renewed after notice has been
provided to the other party according to the Civil Rules.
This proceeding shall be consolidated with ______________________________ County
Cause No. ___________________.
The parties are directed to appear for a hearing as shown on page One.
Copies of the Petition/Motion and this Order shall be served on __________________
__________________________________and a Return of Service filed with the clerk at or
before the hearing.
Failure to Appear at the Hearing May Result in the Court Granting all of
the Relief Requested in the Petition or Motion.
This order is dated and signed in open court.
Date:
/Time_____________
Judge/Commissioner
Copy Received:
Petitioner
Copy Received:
Date
Respondent
Date
Denial Order (ORDYMT) - Page 2 of 2
WPF SA-6.020 (6/2006) – Laws of 2006, ch. 138
American LegalNet, Inc.
www.USCourtForms.com