Form 4.4: Cancellation, Modification or Extension of Chapter 236 Order. Case No. Order of Protection Judge _____________________________________________ AMENDED (print or type name here) This order can be verified during business hours with the IOWA County State __________________ County Clerk of Court at __________ _________________or anytime with the _________________ CANCELLATION, MODIFICATION OR EXTENSION OF CHAPTER 236 ORDER ____________________________________ (law enforce- ISSUE ment agency) at __________________________________. DATE: PETITIONER/PROTECTED PARTY: Other Protected Persons: ___________________________________________________ ___________________________________________________ First Middle Last ___________________________________________________ V. RESPONDENT/DEFENDANT: RESPONDENT Date of Birth ___________________________________________________ First Middle Last Respondents Address ___________________________________________________ If checked, CAUTION: FIREARMS WARNING ___________________________________________________ for Law Enforcement THE COURT HEREBY FINDS: It has jurisdiction over the parties and subject matter, and the Respondent has been provided with reasonable notice and opportunity to be heard. Additional findings are set forth below. THE COURT HEREBY ORDERS: ( ) The previous order is hereby cancelled as of , 20 (see #1 below) ( ) This modified order expires on Additional terms of this order are as set forth below. WARNINGS TO RESPONDENT: This order shall be enforced, even without registration, by the courts of any state, the District of Columbia, any U.S. Territory, and any tribal jurisdiction (18 U.S.C. 2265). Crossing state, territorial, or tribal boundaries to violate this order may result in federal imprisonment (18 U.S.C. 2262). Federal law provides penalties for possessing, transporting, shipping, or receiving any firearm or ammunition (18 U.S.C. 922(g)(8)). Only the court can change this order. <<<<<<<<<********>>>>>>>>>>>>> 2On this _______ day of ______________________, 20____, this matter comes before the court regarding the Chapter 236 Temporary, Final, or Consent order entered on ____________________________________________. The court finds (if checked) that [ ] plaintiff failed to appear for hearing. [ ] __________________________________________________ The court ORDERS as follows (check the appropriate option(s) below): ____ (1) The order is hereby canceled. The Petition for Relief from Domestic Abuse is dismissed without prejudice. ____ (2) The order is modified as follows:_______________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________. The modification is effective ( ) immediately. ( ) upon service. To the extent not inconsistent herewith, the prior protective order shall also remain in force. ____ (3) The order is hereby extended . ____ (4) If checked, court costs are assessed against defendant. (5) The clerk of court shall reflect this change in status on the domestic abuse registry and shall notify law enforcement regarding this order. _________________________________ JUDGE, ______ JUDICIAL DISTRICT [ ] The ________ County Sheriff shall serve defendant with a copy of this order. [ ] The __________________________________ were personally served with a copy of the order by the court. [ ] The clerk of court shall provide copies of this order to the parties and law enforcement agencies, pursuant to Iowa Code section 236.5(5). NOTICE: If you have a disability and need assistance to participate in court proceedings, please call the ADA Coordinator at ( ) _______________. If you are hearing impaired, call Relay Iowa TTY at 1-800-735-2942.