COURT COUNTY OF1 ORDER OF PROTECTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Case No. DOMESTIC VIOLENCE Adjudicated Hearing Consent w/ AdmissionsCalendar No.JUDICIAL SUBPOENASUPERIOR COURT Consent w/o AdmissionsPlaintiff(s) -against-Defendant(s)OF THE DISTRICT OF COLUMBIA Default Order(202) 879-0157PETITIONERPETITIONER IDENTIFIERS First NameMiddleLast NameDate of Birth of Petitioner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other protected persons/DOB Vs.THE PEOPLE OF THE STATE OF NEW YORK TORESPONDENTRESPONDENT IDENTIFIERSSEXRACEDOBHT WTFirst NameGREETINGS:MiddleLast NameWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableEYES HAIRSOCIAL SECURITY #Relationship to Petitioner:Blood;Legal Custody; Marriage;,Having a child in common; Now or previously having shared the same residence; Romantic/dating relationship;located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomDRIVER'S LICENSE #STATEOther (specify) Respondent's AddressYour 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 to comply.PDID#:THE COURT HEREBY FINDS:That it has jurisdiction over the parties and subject matter, and that the Respondent has been provided with reasonable notice and opportunity to be heard and: That the Petitioner has established by a preponderance of the evidence that there is good cause to believe that the Respondent committed or threatened one or more intrafamily offenses within the meaning of D.C. Code (Title 16-1001). Specifically, the court finds that the Respondent committed the following (in paragraph(s)) . That the Respondent has knowingly and voluntarily waived his right to a hearing, and The Respondent admits to: the Respondent consents to the entry of the Civil Protection order without admissions. THE COURT HEREBY ORDERS that for a period of 12 months: Respondent shall not assault, threaten, harass, or stalk petitioner or his/her child(ren) or destroy Petitioner's property., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressRespondent shall stay at least 100 feet away from Petitioner'sworkplace, vehicle,home,person,Telephone No.: Facsimile No.: E-Mail Address:other:.children's school/daycare,Additional terms of this order follow on succeeding pages.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Respondent shall not contact the Petitioner in any manner, including but not limited to: by telephone,Calendar No.in writing,in any other manner; either directly or indirectly through a third partyexcept under the following conditions: .JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Temporary custody of the following minor children is awarded to:PetitionerRespondent until further order of this Court or the expiration date of this Order. (Specify names and dates of birth.): .Visitation rights with the above minor children are awarded to:RespondentPetitioner under the following conditions: (specify dates, times, person who will pick up and drop off, etc.): .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TORespondent shall vacate the residence at: on or before (date) . The Metropolitan Police Department shall accompany Respondent/Petitioner to retrieve his/her personal belongings from (location) on (date) at (time) a.m./ p.m., and stand by to ensure Petitioner's safety andGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofshall retrieve Petitioner's keys from Respondent.o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomRespondent shall provide Petitioner with financial assistance in the amount of $, per month;one time only;other payment schedule: ,forYour 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 to comply.rent/mortgage assistance;spousal support;property damage;medical costs; other: Payment shall be made by (date(s)): through the D.C. Superior Court Registry, Room 4201, 500 Indiana Avenue, N.W. Washington, D.C. 20001. Checks will be made payable to the Clerk, D.C. Superior Court. Payments shall be forwarded to Petitioner at (non-confidential address): , one of the Justices of theCourt in Witness, Honorableday of, 20 County,Possession and use of the following jointly owned property is awarded to: PetitionerRespondentRespondent shall enroll in and complete a counseling program for:(Attorney must sign above and type name below)drug abuse; domestic violence;alcohol;Attorney(s) forother: Respondent shall enroll in designated program(s) TODAY in the Probation Office (CSOSA), Room 1230 of the D.C. Superior Court and submit to a photograph for identification purposes. CSOSA shall make an assessment of each referral and place the respondent into the prescribed level of supervision.family violence;parenting skills;Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Respondent may not possess, purchase, receive or sell any firearm or ammunition.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Other: If Respondent has a change of address at any time, she/he immediately must provide the Domestic Violence Clerk's Office of the D.C. Superior Court with his/her correct, new address.FAILURE TO COMPL
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