Utah > Statewide > Protective Orders And Civil Stalking
Modified Temporary Protective Order - Utah
| Modified Temporary Protective Order Form. This is a Utah form and can be used in Protective Orders And Civil Stalking Statewide . |
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Modified Temporary Protective Order Ex Parte Order Petitioner (protected person) Case Number: ________________ District:_____ County: ____________________________ State: Uta Judge: _____________________________________ Commissioner: _______________________________ First Middle Last Address and phone # (to keep private, leave blank): Street Other people protected by this order Name (Initials only if Relationship to Age Petitioner under 18) City State Zip Phone #: Petitioner's Date of Birth: _____________________________ Petitioner's attorney (if any): Name Phone # Respondent (person Petitioner is protected from) Describe Respondent: Sex Race Date of Birth Ht Wt First Middle Last Other names used: Relationship to Petitioner: Address (street): City State Zip Eyes Hair Social Security # (only the last 4 numbers) Distinguishing features (like scars, tattoos, limp, etc.): Driver's license issued by (State): Expires: Warning! Weapon involved (Box to be initialed by Court, if applicable) Findings: The Court has reviewed the Request to Modify the Temporary Protective Order and finds it has continuing jurisdiction over the parties and this case; there is reason to believe the existing order listed immediately below should be modified; the Respondent will be served notice of his/her opportunity to be heard at the scheduled hearing; and, there is a substantial likelihood that Respondent immediately threatens Petitioner's physical safety. (The court fills out below.) The Court orders the Respondent to obey all orders initialed on this form and to not abuse, or threaten to abuse, anyone protected by this order. You must not have any contact with the Petitioner. This order lasts until the hearing on: Month Day Year Or later, if the Court extends time for service. Warnings to the Respondent: This is a court order. No one except the court can change it. You can tell your side when you go to court. If you do not obey this order, you can be arrested, fined, and face other charges. This order is valid in all U.S. states and territories, the District of Columbia, and tribal lands. If you go to another U.S. state, territory or tribal land to violate this order, a federal judge can send you to prison. No guns or firearms! (See page 2, item 5.) Violence Against Women Act of 1994, 18 U.S.C. §§ 2265, 2262, 18 U.S.C. § 922(g)(8) Modified Temporary Protective Order Approved Board of District Court Judges May 21, 2008 Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com To: (Respondent's name): ___________________________________________________________________________________________ Go to the court hearing on the date listed below. If you do not go to the hearing, the judge can make orders without hearing your side. Date: __________________ Time:________ Address: a.m. p.m. Judicial Officer: _____________________________ Room: ________________ Obey all orders initialed by the judge. Violation of orders 16 below is a criminal Class A Misdemeanor, punishable by up to one year in jail and a fine. A second or subsequent violation can result in more severe penalties. 1 Personal Conduct Order Do not commit, try to commit or threaten to commit any form of violence against the Petitioner or any person listed on page 1 of this form. This includes stalking, harassing, threatening, physically hurting, or causing any other form of abuse. No Contact Order Do not contact, phone, mail, e-mail, or communicate in any way with the Petitioner, either directly or indirectly. 2 3 4 Contact for Mediation You are allowed to have contact with the Petitioner only during court mediation sessions for your divorce or custody case that are scheduled with a Court Qualified Mediator. Stay Away Order Stay away from: a. The Petitioner's current or future: Vehicle property (list current addresses below): Home address: Work address: School address: Job School Home, premises and b. The school or childcare of the children listed on page 1 of this form. (List current school and childcare addresses here): c. Other (specify): 5 No Guns or Other Weapons The Court finds that your use or possession of a weapon poses a serious threat of harm to the Petitioner. You cannot possess, have, or buy a gun or firearm or any of these weapons: Warning! It is a federal crime for you to have, possess, transport, ship, or receive any firearm or ammunition, including hunting weapons, while this protective order is in effect, even if 5 above is not initialed. 6 Property Orders Until the hearing, only the Petitioner can use, control and possess the following property and things, but cannot dispose of this property without court approval: a. Home at (address): ___________________________________________________________________________ b. Car, truck or other property (describe): _____________________________________________________ ________________________________________________________________________________________________ Modified Temporary Protective Order Approved Board of District Court Judges May 21, 2008 Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com If you violate orders 7 13, you will be in contempt of court and may be punished. 7 8 Property Orders Do not interfere with or change the Petitioner's phone, utility or other services. Proof of Income You and Petitioner must bring the following proof of income to the hearing: pay stubs or employer statements for this year, and complete tax returns for the most recent year. 9 Child Custody & Parent-time Orders The Petitioner (the person asking for protection) will have temporary custody of the minor children listed below. The Petitioner may give a copy of this order to the principal or director of the child's school or daycare. If you do not obey the custody and parent-time orders listed here, the Petitioner may ask for the court's help (such as an order to show cause for contempt): _____________________________ _________________________________________________________________________________________________________ You will have parent-time as follows: __________________________________________________________ ____________________________________________________________________________________________________________ If there is a "No Contact" order, you can communicate with the Petitioner only about parent-time matters through: _______________________________________________________________________________________ 10 11 12 13 No Parent Time No parent time is allowed until the scheduled he
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