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Order Of Protection (Consent Agreement And Domestic Violence Civil Protection Order) 10.01J - Ohio
| Order Of Protection (Consent Agreement And Domestic Violence Civil Protection Order) Form. This is a Ohio form and can be used in Criminal Hamilton County (Court Of Common Pleas) . |
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IN THE COURT OF COMMON PLEAS COUNTY, OHIO Order of Protection Case No. Per ORC 3113.31(F)(2), this order is indexed at Judge County State OHIO LAW ENFORCEMENT AGENCY WHERE INDEXED CONSENT AGREEMENT AND DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (R.C. 3113.31) ( ) - PHONE NUMBER WITH SUPPORT ORDER PETITIONER: PERSON(S) PROTECTED BY THIS ORDER: Petitioner: DOB: Petitioners Family or Household Member(s): DOB: First Middle Last DOB: DOB: v. DOB: RESPONDENT: RESPONDENT IDENTIFIERS SEX RACE HT WT EYES HAIR DATE OF BIRTH First Middle Las t DRIVERS LIC NO. & EXP. DATE STATE Relationship to Petitioner: Address where Respondent can be found: Distinguishing Features: FIREARMS ACCESS PROCEED WITH CAUTION (Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this form is not required for enforcement.) THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and the Respondent was provided with reasonable notice and opport unity to be heard within the time required by Ohio law. Additional findings of this order are set forth below. THE COURT HEREBY ORDERS: That the above named Respondent be restrained from committing acts of abuse or threats of abuse against the Petitioner and othe r protected persons named in this order, as set forth below. Additional terms of this order are set forth below. The terms of this order shall be effective until / / (DATE CERTAIN FIVE YEARS MAXIMUM) WARNINGS TO RESPOND ENT: See the warnings page attach ed to the front of this Order. FORM 10.01-J CONSENT AGREEMENT AND DOMESTIC VIOLENCE CIVIL PROTECTION ORDER REVISED 9/1/04 Discard all previous versions of this form American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 [Side 2 of Form 10.01-J] Case # ___________________________ This proceeding came on for a hearing on , before the Court and the Ex Parte Order filed , . The following individuals were present: The parties agree to waive their notice and hearing rights and th eir rights under Civil Rule 53, including the right to request findings of fact and conclusions of law and to file objections to the Magistrates Decision in this matter. ALL OF THE PROVISIONS CHECKED BELOW APPLY TO THE RESPONDENT 1. RESPONDENT SHALL NOT ABUSE the protected persons named in this Order by harming, attempting to harm, threatening, molesting, following, stalking, bothering, harassing, 1 and 02] 2. RESPONDENT SHALL IMMEDIATELY VACATE the following residence: 3. EXCLUSIVE POSSESSION OF THE RESIDENCE located at: is granted to: . Respondent shall not interfere with this individuals right to occupy the residence including, but not limited to canceling utilities or insurance, interrupting phone service, mail delivery, or the delivery of any other documents or items. [NCIC 03] 4. RESPONDENT SHALL SURRENDER all keys and garage door openers to the abov e residence at the earliest possible opportunity after service of this Order to the law enforcement agency that serves Respondent with this Order or as follows: 5. RESPONDENT SHALL NOT ENTER the residence, school, business, place of employment, or day care centers of the protected persons named in this order, including the buildings, grounds and parking lots at those locations. [NCIC 04] 6. RESPONDENT SHALL STAY AWAY FROM PETITIONER and all other protected persons named in this order, and shall not be present within 500 feet or (distance) of protected persons, wherever protected persons may be found, or any place the Respondent knows or should know the protected persons are likely to be, even with Petitioners permission . If Respondent accidentally comes in contact with protected persons in any public or private place, Respondent must depart immediately. This order includes encounters on public and private roads, highways, and thoroughfares. [NCIC 04] 7. RESPONDENT SHALL NOT IN ITIATE OR HAVE ANY CONTACT with the protected persons na med in this Order or their residences, businesses, places of employment, schools, day care centers, or babysitters. Contact includes, but is not limited to, telephone, fax, e-mail, voice mail, delivery service, writing, or communications by any other means in person or through another person. [NCIC 05] 8. RESPONDENT SHALL IMMEDIATELY SURREND ER POSSESSION OF ALL KEYS TO THE FOLLOWING MOTOR VEHICLE: to: , who is granted exclusive use of this motor vehicle. 9. RESPONDENT SHALL NOT REMOVE, DAM AGE, HIDE, OR DISPOSE OF ANY PROPERTY OR PETS owned or possessed by the protected persons named in this Order. Personal property shall be apportioned as follows: 10. RESPONDENT SHALL NOT C AUSE OR ENCOURAGE ANY PERSON to do any act prohibited by this order. 11. RESPONDENT SHALL NO T POSSESS, USE, CARRY, OR OB TAIN ANY DEADLY WEAPON. Respondent shall turn over all deadly weapons in Respondents possession to the law enforcement agency that serves Respondent with this Order or as follows: FORM 10.01-J CONSENT AGREEMENT AND DOMESTIC VIOLENCE CIVIL PROTECTION ORDER REVISED 9/1/04 Discard all previous versions of this form American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 [Side 3 of Form 10.01-J] Case # ___________________________ Any law enforcement agency is authorized to take posses sion of deadly weapons pursuant to this paragraph and hold them in protective custody until further Court order. [NCIC 07] 12. PARENTAL RIGHTS AND R ESPONSIBILITIES ARE TEMPORARILY A LLOCATED AS FOLLOWS: [NCIC 09] This order applies to the following child(ren): 13. VISITATION ORDERS DO NOT PERMIT RESPONDE NT TO VIOLATE THE TERMS OF THIS ORDER. (A) Respondents visitation rights are suspended; or (B) As a limited exception to paragraph 6, temporary visitation rights are established as follows: [NCIC 06] This order applies to the following child(ren): 14. LAW ENFORCEMENT AGENCIES, including, but not limited to, , are ordered to assist Petitioner in gaining physical cust ody of the child(ren) if necessary. 15. RESPONDENT SHALL SUPPORT the protected persons named in this Order as follows: 16. RESPONDENT MAY PICK UP CLOTHING and personal items from the above residence only in the company of a uniformed law enforcement officer within 7 days of the filing of this Order. Arrangements may be made by contacting: 17. RESPONDENT SHALL NOT CONSUME, USE, OR POSSESS illegal drugs or beverages containing alcohol. 18. IT IS FURTHER ORDERED: [NCIC 08] 19. RESPONDENT SHALL COMPLETE THE FO LLOWING COUNSELING PROGRAM: Respondent shall cont
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