Ord Mod/Term Order for Protection (ORMTSP) - Page 1 of 3 WPF SA 7.030 (07/2017) 226 RCW 7.90.170 Court of Washington For Petitioner (Protected Person) DOB vs. Respondent (Restrained Person) DOB No. Order on Motion to Modify/Terminate Sexual Assault Protection Order (ORMTSP) (JIS Order Code: MPS) Clerk222s action required The Moving Party is: the respondent the petitioner (name): , who filed the motion on behalf of the petitioner. The court received the moving party222s motion for an order to modify (change) or terminate the terms and conditions of the following order: 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): . Hearing: Petitioner222s Motion: A hearing was held today. Respondent222s Motion: The court found adequate cause on (date): and the court held a hearing today. American LegalNet, Inc. www.FormsWorkFlow.com Ord Mod/Term Order for Protection (ORMTSP) - Page 2 of 3 WPF SA 7.030 (07/2017) 226 RCW 7.90.170 The court considered the motion, any declarations of the other party, other documents in the court record, if any, and testimony, if any. Findings: This is the first Motion to Modify/Terminate a Sexual Assault Protection Order that the respondent has filed within the last 12 months in which the order has been in effect. By a preponderance of the evidence, the respondent did or not did approve, as indicated below, that there has been a material change in circumstances such that the respondent is not likely to engage in or attempt to engage in physical or nonphysical contact with the petitioner if the following order/s is/are modified (changed)/terminated: Sexual Assault Protection Order : Provisions: Did prove Did not prove 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 . The Sexual Assault Protection Order should continue in effect but changed as indicated in the order, below. The Order to Surrender Weapons should continue in effect but changed as indicated in the order below. The Sexual Assault Protection Order should be terminated. The Order to Surrender Weapons should be terminated. Order: The motion is denied. The motion is granted. The Sexual Assault Protection Order expires on (date): The Order to Surrender Weapons expires on (date): The Sexual Assault Protection Order continues in effect but changed as follows: American LegalNet, Inc. www.FormsWorkFlow.com Ord Mod/Term Order for Protection (ORMTSP) - Page 3 of 3 WPF SA 7.030 (07/2017) 226 RCW 7.90.170 The Order to Surrender Weapons continues in effect but changed as follows: The Sexual Assault Protection Order is terminated. The Order to Surrender Weapons is terminated. Other Orders: Petitioner is granted judgment against respondent as provided in the Judgment, form SA 8.030. Washington Crime Information Center (WACIC) Data Entry It is Further Ordered that the clerk of court shall forward a copy of this order on or before the next judicial day to: County Sheriff222s Office Police Department Where Petitioner Lives which shall enter it into WACIC. Service The clerk of court shall also forward a copy of this order on or before the next judicial day to: County Sheriff222s Office Police Department Where the Other Party Lives which shall personally serve (name): with a copy of this order and shall promptly complete and return to this court a Return of Service. The moving party shall make private arrangements for service of this order. The other party appeared and was served a copy of this order by the court; further service is not required. Dated: at a.m./p.m. Judge/Commissioner Warnings to the Respondent: A knowing violation of this sexual assault protection 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 the order invites or allows you to violate the order222s prohibitions. You have the sole responsibility to avoid or refrain from violating the order222s provisions. Only the court can change the order. I acknowledge receipt of a copy of this Order: I acknowledge receipt of a copy of this Order: Moving Party Date Non-moving party Date American LegalNet, Inc. www.FormsWorkFlow.com