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Civil Stalking Injunction - Utah

Civil Stalking Injunction Form. This is a Utah form and can be used in Protective Orders And Civil Stalking Statewide .
 Fillable pdf Last Modified 5/3/2012
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Civil Stalking Injunction Case Number: _______ District: __________ County: _____________ State: Utah Judge: _______________________________ Petitioner (person who asked for the stalking injunction): Other people protected by this order: First Middle Last Address and phone # (to keep private, leave blank): Street Name Age Relationship to Petitioner City State Zip Phone #: Petitioner's attorney (if any): Name Phone # Respondent (person who must obey this stalking injunction): Describe Respondent: Sex First Middle Last Race Date of Birth Ht Wt Other names used: Address: Street __________________________________________________________________________________________ Eyes Hair Social Security # (only the last 4 numbers) Distinguishing features (like scars, tattoos, limp, etc.) State Zip City Driver's license issued by (State): Expires: Warning! Weapon involved (Box to be initialed by Court, if applicable) There was a hearing on (date): . The Respondent was given notice and an opportunity to be heard in the hearing that gave rise to this order. The following people were present at the hearing: Petitioner Petitioner's attorney (name): Respondent Respondent's attorney (name): Other (name) The Court reviewed the Request for Civil Stalking Injunction and: received argument and evidence, accepted the stipulation of the parties, entered the default of the Respondent for failure to appear, finds that there is reason to believe that stalking has occurred and that the Respondent is the stalker, and makes the orders below. (Utah Code §77-3a-101) The Court orders the Respondent to obey all orders initialed (The Court fills out below.) on this form. This order ends in 3 years on: You must not contact or stalk the Petitioner. Warnings to the Respondent: · Attention: This is an official court order. No one except the court can change it. If you disobey this order, the court may find you in contempt. You may also be arrested and prosecuted for the crime of stalking and any other crime you may have committed in disobeying this order. · 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! It is a federal crime for you to have, possess, transport, ship, or receive any firearm or ammunition, including hunting weapons, while this civil stalking injunction is in effect. Violence Against Women Act of 1994, 18 U.S.C. §§ 2265, 2262, 18 U.S.C. § 922(g)(8) Civil Stalking Injunction 1 of 2 Approved by Board of District Court Judges, May 2006 Revised: March 2007 American LegalNet, Inc. www.FormsWorkFlow.com Month Day Year The Respondent must obey all orders initialed by the judicial officer. These orders replace any previous temporary stalking injunction in this case. Violation of these orders 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 stalk the Petitioner. This means you must not follow, threaten, annoy, harass, or cause distress to the Petitioner. For a legal definition of stalking, see Utah Code, sections 76-5-106.5 and 77-3a-101. 2 No Contact Order Do not contact, phone, mail, e-mail, or communicate in any way with the Petitioner and any person listed below, either directly or indirectly. Other people you must not contact: 3 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: Describe vehicle: _ b. Other (specify): Job School Home, premises and 4 Other Orders (List below): _____________________________________________________ _________________________________________________________________________________________________________________ Date: ________________________ Judge (printed name) ________________________________________________________ Respondent's Waiver of Notice I received a copy of this Civil Stalking Injunction, and waive my right to be personally served with the order. Respondent's Address: ___________________________________________________________________________________ Street City State Zip Respondent's Signature: _________________________________________________________________________ Civil Stalking Injunction 2 of 2 Approved by Board of District Court Judges, May 2006 Revised: March 2007 American LegalNet, Inc. www.FormsWorkFlow.com
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