MT and Decl. for Renewal of Sexual Assault Protection Order (MTAF) 226 Page 1 of 1 WPF SA 5.030 (07/2017) 226 RCW 7.90.121 Court of Washington For No. Petitioner (Protected Person) DOB vs. Respondent (Restrained Person) DOB Motion and Declaration for Renewal of Sexual Assault Protection Order (MTAF) Clerk's Action Required 1. The Sexual Assault Protection Order, the provisions prohibiting firearms and ordering surrender, if ordered, and any modifications will expire on (date): . The Order to Surrender Weapons will expire on (date): . 2. Petitioner requests renewal of the Sexual Assault Protection Order, and any modifications, and the Order to Surrender Weapons because: . 3. Petitioner requests an order that lasts longer than one year. is permanent. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Dated: at , Washington. Signature of Petitioner Print or Type Name Signature of Person Filing on Behalf of Petitioner Print or Type Name This document and the Order Setting Hearing - Sexual Assault, form SA 5.040, must be served on the other party, and a Return of Service must be filed with the court clerk at or before the hearing. American LegalNet, Inc. www.FormsWorkFlow.com