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Stalking Six Month Protective Order - Georgia
| Stalking Six Month Protective Order Form. This is a Georgia form and can be used in Protective Orders Superior Court Statewide . |
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ORI Number _________________ THE SUPERIOR COURT FOR THE COUNTY OF_________________ STATE OF GEORGIA _________________________, : Petitioner, : Civil Action File v. : No. ____________________________________________, : Respondent. : STALKING SIX M ONTH PROTEC TIVE ORDER A hearing was held on this matter on ______________, 20____ at which the Respondent appearedand/or was provided with the opportunity to be heard and the Petitioner requested that theProtective Order entered in this case be continued. Having heard the evidence presented, reviewedthe petition and the record concerning this case and for good cause shown, IT IS HEREBYORDERED AND ADJUDGED: 1. The Respondent has knowingly and wilfully violated O.C.G.A. 16-5-90 et seq. [pco01] and placed the Petitioner in reasonable fear for the Petitioners safety. Respondent [pco02] is hereby enjoined and restrained from doing or attempting to do, or threatening to do any act constituting a violation of O.C.G.A. 16-5-90 et seq. and of harassing, interfering, or intimidating the Petitioner or Petitioners immediate family. Specifically Respondent is hereby enjoined and restrained from ______________________________________ which is a violation of O.C.G.A. 16-5-90 et seq. and that any future acts committed by the Respondent towards the Petitioner which are in violation of this statute and this Protective Order can amount to AGGRAVATED STALKING, pursuant to O.C.G.A. 16-5-91, which is a felony. A person convicted of Aggravated Stalking shall be punished by imprisonment for not less than one nor more than ten years and by a fine of not more than $10,000.00. 2. Respondent is enjoined and restrained from approaching within _______ yards of [pco04] Petitioner and/or Petitioners immediate family, and/or residence, place of employment, or school. 3. Respondent is not to have any contact of any type, direct, indirect, or through [pco05] another person with the Petitioner or her/his immediate family, including but not limited to telephone, fax, e-mail, voice mail, mail, or any other type of contact. 4. That these proceedings be filed in the office of the Clerk of this Court.<<<<<<<<<********>>>>>>>>>>>>> 2 CIVIL ACTION FILE NO. ____________________ 5. This Order shall remain in effect for six (6) months from this date. This Order expires on ____________________, 20_______. 6. That this Order applies in every county throughout the state and it shall be the duty of every court and every law enforcement official to enforce and carry out the provisions of this Order pursuant to O.C.G.A. 16-5-94(e) and 19-13-4(d). Law Enforcement may use their arrest powers pursuant to O.C.G.A. 16-5-91 and 17- 4-20 to enforce the terms of this Order. 7. That this Court determined that it had jurisdiction over the parties and the subject matter under the laws of the State of Georgia and Respondent received reasonable notice and had the opportunity to be heard before this Order was issued sufficient to protect the Respondents due process rights and this Order shall be presumed valid and pursuant to18 U.S.C. 2265(a) shall be accorded full faith and credit by any other state or local jurisdiction and shall be enforced as if an Order of the enforcing state or jurisdiction. ONLY the following that are initialed by the JUDGE shall apply: ____ 8. Respondent is to receive appropriate psychiatric or psychological services. ____ 9. Petitioner is awarded costs and attorney fees in the amount of _________. ____ 10. Petitioner/protected party is either a spouse, former spouse, parent of a [pco07] common child, Petitioners child, child of Respondent, cohabitates or has cohabited with Respondent and qualifies for 18 U.S.C. 922(g).SO ORDERED this _____ day of ___________________, 20_____. ________________________ JUDGE, SUPERIOR COURT __________________ County ________________________ Print or stamp Judges name Violation of the above Order may be punishable by arrest. 2 <<<<<<<<<********>>>>>>>>>>>>> 3 CIVIL ACTION FILE NO. ____________________ NOTICE TO RESPONDENT1. Violation of this Order may result in immediate arrest and criminal prosecution that may result in jail time and/or fines and/or may subject you to prosecution and penalties for contempt of court. 2. This Order shall remain in effect unless specifically superceded by a subsequent Order signed and filed, by operation of law, or by Order of dismissal, whichever occurs first. Only this Court can void, modify or dismiss this Order. Either party may ask this Court to change or dismiss this Order. 3. If after a hearing, of which the Respondent received notice and opportunity to participate, a protective order is issued which restrains Respondent from harassing, stalking or threatening an intimate partner, Respondent is prohibited from possessing, receiving, or transporting a firearm or ammunition which has been shipped or transported in interstate or foreign commerce for the duration of the Order. 18 U.S.C. 922(g). 4. A person commits the offense of Aggravated Stalking when such person, in violation of a temporary or permanent protective Order prohibiting this behavior follows, places under surveillance, or contacts another person on public or private property for the purpose of harassing and intimidating the other person. This activity can subject the Respondent to arrest and prosecution for felony aggravated stalking, which carries penalties of imprisonment for not less than 1 year nor more than 10 years and a fine of up to $10,000.00. 3<<<<<<<<<********>>>>>>>>>>>>> 4 CIVIL ACTION FILE NO. ____________________Pursuant to O.C.G.A. Section 19-13-3, Petitioner assisted by Name: _________________________ Address: _______________________ _______________________________ Telephone: _____________________ Note to Judges: This form is promulgated as a Uniform Superior Court Rule under the auspices of O.C.G.A. 19-13-53. To order a specific provision, please initial in the space provided. The court may delete or otherwise make inoperative any provision in the standardized form which is not supported by the evidence in the case and in order to comply with the court s application of the law and facts to an individual case. 4<<<<<<<<<********>>>>>>>>>>>>> 5 CIVIL ACTION FILE NO. ____________________ RESPONDEN TS IDENTIFYING INFOR MATION (please complete as much as possible; one of these must be provided to have the order placed in the National Crime Information Center registry: Respondents date of birth, social security number, or drivers l
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