Mt to Mod/Term Sexual Assault Protection. Order (PTMD) - Page 1 of 2 WPF SA 7.010 (07/2017) 226 RCW 7.90.170 Court of Washington For No. Petitioner (Protected Person) (DOB) vs. Respondent (Restrained Person) (DOB) Motion to Modify/Terminate Sexual Assault Protection Order (PTMD) Clerk's Action Required: para 2 I am: The respondent The petitioner (Name): , and I am filing this motion on behalf of the petitioner. 1. Request to Modify/Terminate I request that the court enter an order to modify (change) terminate the: Sexual Assault Protection Order, filed on (date): All provisions Provision 1: No contact Provision 2: Exclude from places Provision 3: Stay away Provision 4: other (specify) Provision 5: School transfer Prohibit Weapons and Order Surrender Order to Surrender Weapons, filed on (date): 2. Hearing Respondent only: I request that the court find adequate cause and set a hearing. (Bring a Finding of Adequate Cause and Order for Hearing on Respondent222s Motion to Modify/Terminate Sexual Assault Protection Order, form SA 07.025 with you when you file your motion.) Petitioner only: I request that the court set a hearing. (Bring an Order Setting Hearing- Sexual Assault, form SA 05.040 with you when you file your motion.) American LegalNet, Inc. www.FormsWorkFlow.com Mt to Mod/Term Sexual Assault Protection. Order (PTMD) - Page 2 of 2 WPF SA 7.010 (07/2017) 226 RCW 7.90.170 3. Statement The Sexual Assault Protection Order/Order to Surrender Weapons should be modified/terminated because: . The Sexual Assault Protection Order/Order to Surrender Weapons should be changed as follows: . 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 Moving Party Print or Type Name Signature of Moving Party Filing on Print or Type Name Behalf of Petitioner This document 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