Washington > Statewide > Antiharassment
Petition For An Order For Protection UH-02.0200 - Washington
| Petition For An Order For Protection Form. This is a Washington form and can be used in Antiharassment Statewide . |
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Court of Washington For No. Petitioner vs. Respondent Screen for court's jurisdiction. Petitioner, complete this section: 1) Does this case involve title or possession of real property? yes no. yes no. 2) If yes, does the respondent claim an interest in that property, such as the right to occupy? 3) Would the order interfere with respondent's care, custody, or control of his or her minor children? yes no. 4) Are you and the respondent parties in a superior court case? yes no. If yes, list case in paragraph 5, below. 5) Is respondent under the age of 18? yes no. 6) Is respondent your family or household member? yes no. 7) Did respondent sexually assault you or a minor for whom you are seeking this order? yes no. If you answer "yes" to 1, 2, 3, 4, or 5, file your petition in superior court. Otherwise file in district court. Petition for an Order for Protection Harassment (PTORAH) 1. I am petitioning for an Order for Protection against Unlawful Harassment. I request a fee waiver because this incident involved stalking, sexual assault, domestic violence. 2. I am the victim of unlawful harassment committed by respondent, as described in the statement below. I am the parent or guardian of child(ren) under age 18 and seek to restrain a person age 18 years or over from contact with my child(ren). The harassment took place in _____________ county. Respondent lives in _______________ 3. county. 4. Identification of Minors: Name (First, Middle Initial, Last) Age Race Sex How Related to Petitioner Respondent Resides with 5. Other court cases or any other protection, restraining or no-contact orders involving me, the minors and the respondent: Pt for an Or for Protection - Harassment (PTORAH) Page 1 of 3 UH-02.0200 (07/2011) - RCW 10.14.040, RCW 10.14.055 American LegalNet, Inc. www.FormsWorkFlow.com Case Name and Number Court/County Request for Temporary Order: An emergency exists as described in the statement below. I need a temporary restraining order issued immediately without notice to the respondent until a hearing to avoid great or irreparable harm. I request a Temporary Order for Protection that will: I Request an Order for Protection following a hearing that will: Restrain respondent from making any attempts to keep under surveillance, me the minors named in paragraph 4 above. Restrain respondent from making any attempts to contact, except for mailing of court documents, me the minors named in paragraph 4 above. Exclude respondent from any place I may reside. Restrain respondent from entering or being within __________________(distance) of my residence workplace other: Other: Remain effective longer than one year because respondent is likely to resume acts of unlawful harassment against me if the order expires in a year. Require the respondent to pay the fees and costs of this action. Unlawful harassment means a knowing and willful course of conduct directed at a specific person which seriously alarms, annoys, or harasses, or is detrimental to such person and which serves no legitimate or lawful purpose. The course of conduct shall be such as would cause a reasonable person to suffer substantial emotional distress and shall actually cause substantial emotional distress to the petitioner or when the course of conduct would cause a reasonable parent to fear for the well-being of their child. Course of conduct means a pattern of conduct composed of a series of acts over a period of time, however short, evidencing a continuity of purpose. "Course of conduct" includes, in addition to any other form of communication, contact, or conduct, the sending of an electronic communication. Constitutionally protected activities, including free speech, are not included within the meaning of "course of conduct." Statement: The respondent has committed acts of unlawful harassment as follows: (Describe specific acts of harassment and their approximate dates, beginning with the most recent act. You may want to include police responses.) Pt for an Or for Protection - Harassment (PTORAH) Page 2 of 3 UH-02.0200 (07/2011) - RCW 10.14.040, RCW 10.14.055 American LegalNet, Inc. www.FormsWorkFlow.com . If you are requesting a fee waiver, describe the incident(s) involving stalking, a sex offense, or domestic violence: . (Continue on separate page if necessary) I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Dated: at Washington. Petitioner Petitioner may be served with legal documents at the address below (If you are the petitioner, you have a right to keep your residential address confidential. You may list an address that is not your residential address where you agree to accept legal documents): . Pt for an Or for Protection - Harassment (PTORAH) Page 3 of 3 UH-02.0200 (07/2011) - RCW 10.14.040, RCW 10.14.055 American LegalNet, Inc. www.FormsWorkFlow.com
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