Court of Washington For No. __________________________________ _________ Petitioner (Protected Person) DOB vs. __________________________________ _________ Respondent (Restrained Person) DOB Reissuance of Temporary Sexual Assault Protection Order and Notice of Hearing (ORRTPO) Clerk's Action Required The Temporary Sexual Assault Protection Order issued on ______________________ is hereby extended through the new court hearing date on this matter on ________________________ [date] at __________ [time] at [location]. Other:_______________________________________________________________________ ____________________________________________________________________________. The clerk of the court shall forward a copy of this order on or before the next judicial day to the ___________________________ County Sheriff’s Office ______________________________Police Department Where Petitioner Lives which shall enter this order in any computer-based criminal intelligence system available in this state used by law enforcement to list outstanding warrants. The clerk of the court shall also forward a copy of this order on or before the next judicial day to __________________________ County Sheriff’s Office _____________________________Police Department Where Respondent Lives which shall personally serve the respondent with a copy of this order, the Temporary Order, and the Petition, and shall promptly complete and return to this court proof of service. Petitioner has made private arrangements for service of this order, the Temporary Order and the Petition. Respondent appeared and was served a copy of this order, the Temporary Order and the Petition by the court; further service is not required. Dated: at a.m/p.m. Judge/Commissioner Presented by: I acknowledge receipt of a copy of this Order. ____________________________________________ Petitioner or Person Filing on Behalf of Petitioner/Date _____________________________________ Respondent Date Reiss of Temp Ord for Protection/Nt Hrg (ORRTPO)– Page 1 of 1 WPF SA-5.010 (8/2006) – Laws of 2006, ch. 138 American LegalNet, Inc. www.FormsWorkflow.com