Washington > Statewide > Domestic Violence
Foreign Protection Order Information DV 1.050 - Washington
| Foreign Protection Order Information Form. This is a Washington form and can be used in Domestic Violence Statewide . |
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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Case No: DO NOT SERVE OR SHOW THIS FORM TO THE RESTRAINED PERSON : Calendar No. CONFIDENTIAL : Plaintiff(s) FOREIGN PROTECTION ORDER JUDICIAL SUBPOENA INFORMATION -against: Fill in as much of the following information as possible. Type or print only. PERSON BEING RESTRAINED Name (Last, First, Middle) Sex Height Weight [ ] Interpreter needed in Nickname Hair Color Alias : : Race Ethnicity Birthdate Defendant(s) : ...................................................... Social Security Number Eye Color Skin Tone Build/Physical Description Dr. License or Identicard (# and State) Home Phone Number Current Street Address (City, State, Zip Code) Vehicle License No. THE PEOPLE OF THE STATE OF NEW YORK Vehicle Make and Model Vehicle Color Vehicle Year PERSONS BEING PROTECTED Name (Last, First, Middle) TO Relation to Person Being Restrained: Driver's License or Identicard, (# and state) Birthdate Race Sex GREETINGS: CHILDREN AND HOUSEHOLD MEMBERS WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Name Dr. Lic., or Identicard How Related to Persons Resides located at County of (First, Middle Initial, Last) Birthdate Age Race Sex Protected Restrained with (# and State) in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure HISTORY WEAPONS [ ] Guns/Rifles [ ] Knives HISTORY/HAZARD to comply. [ ] Mental Health Problems [ ] Assault INFORMATION Describe in detail: [ ] Assault w/Weapons [ ] Alcohol/Drug Abuse [ ] Explosives [ ] Other Witness, Honorable Court in County, Location of , one of the Justices of theWeapons: day of , 20 [ ] Vehicle [ ] On Person [ ] Residence FOREIGN PROTECTION ORDER INFORMATION Originating court (name, address, telephone number): (Attorney must sign above andcausename below) Originating court type number: Date Order was entered: Expiration date: Attorney(s) [ ] Respondent served by: forpersonal service [ ] certified mail [ ] Respondent attended hearing [ ] other [ ] Other legal proceeding between same individual (type, cause number and location of court): Office and P.O. Address RELIEF GRANTED (Restrained person is prohibited from) [ ] Information regarding relief granted, citations and violations that are arrestable offenses is in the attached order. Telephone No.: DO NOT SERVE OR SHOW THIS SHEET TO THE PERSON RESTRAINED/RESPONDENT. Facsimile No.: COURT CLERKS: GIVE THIS FORM TO LAW ENFORCEMENT. DO NOT FILE IN THE COURT FILE. E-Mail Address: Mobile Tel. No.: WPF DV-1.050-FPOI (12/2001) RCW 26.52.030 - Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com
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