CASE NUMBER: 04-2-08824-4
ORDER FOR PROTECTION
(ORPRT), Domestic Violence
Clerk's Action Required Order Expires:
Clark County District Court 1200 Franklin Street 2nd Floor Vancouver WA
|Identification of Minors:||No Minors Involved.|
|Name (First, Middle Initial, Last)||Age||Race||Sex||Name (First, Middle Initial, Last)||Age||Race||Sex|
|Alexander XXXXX||6||W||M||Rsp is Step-par|
|to Petr's son|
|Respondent is RESTRAINED from causing petitioner physical harm, bodily injury, assault, including sexual assault, and from molesting, harassing, threatening, or stalking petitioner the minors named in the table above these minors only:|
|Respondent is RESTRAINED from coming near and from having any contact whatsoever, in person or through others, by phone, mail, or any means, directly or indirectly, except for mailing of or service of court documents by a 3rd party or contact by Respondent's lawyer(s) with petitioner the minors named in the table above these minors only: If both parties are in the same location, respondent shall leave. May have contact by mail as to dissolution only|
|Respondent is EXCLUDED from entering or being within, or knowingly remaining within __250____ feet of petitioner's current residence, or any future residence during the life of this order. Petitioner's address at present is confidential Petitioner waived confidentiality of the address which is: XXXXXX, Vancouver, WA XXXXX|
Petitioner shall have exclusive right to the residence shared by petitioner and
respondent as stated above
as folows: ____________________________|
The respondent shall immediately VACATE the residence. Respondent may take personal clothing and tools of trade from the residence while a law enforcement officer is present.
Respondent is ROHIBITED from knowingly
coming within, or knowingly remaining within __300__ feet of: petitioner's:|
person workplace school the day care or school of the minors named in the table above of these minors only:
|6||Petitioner shall have possesion of: essential personal belongings including the following:|
Petitioner is granted use of the following vehicle:|
Year, Make, & Model_____________________ License No.________________
Respondent shall participate in treatment and counseling as follows:|
domestic violence perpetrator treatment program approved under RCW 26.50.150 or counseling at: __________________________
parenting classes at: ___________________________
drug/alcohol treatment at: _________________________
|10||Petitioner is granted judgement against Respondent for $_______ attorneys fees and costs.|
|11||Parties shall return to court on _________, at ________ am / pm for review (clerk's action is required):|
|Complete only if protection ordered involves minor children No children Involved|
A parenting plan or custody order exists and will be followed.|
Parties must obtain and follow a parenting plan or custody order.
Petitioner is GRANTED the temporary care, custody, and control of|
the minors named in the table above
these minors only:
Respondent is RESTRAINED from interfering with petitioner's physical or legal
custody of the minors named in the table on page one|
these minors only:
Respondent is RESTRAINED from removing from the state |
the minors named in the table on page one
these minors only:
The respondent will be allowed visitation as follows: |
Petitioner may request modification of visitation if respondent fails to comply with treatment counseling as ordered by the court.
|If the person with whom the child resides a majority of the time plans to relocate the child, that person must comply with the notice requirements of the Child Relocation Act. Persons entitles to time with the child under a court order may object to the proposed relocation. See RCW 25.09, RCW 26.10 or RCW 26.26 for more information.|
WARNINGS TO THE RESPONDENTViolation of the provisions of this order with actual notice of its terms is a criminal offense under chapter 26.50 RCW and will subject a violator to arrest. If the violation of the protection order involves travel across a state line or the boundary of a tribal jurisdiction, or involves conduct within the special maritime and territorial jurisdiction of the United States, which includes tribal lands, the defendant may be subject to criminal prosecution in federal court under 18 U.S.C. sections 2261, 2261 A, or 2262. Violation of this order is a gross misdemeanor unless one of the following conditions apply: Any assault that is a violation of this order and that does not amount to assault in the first degree or second degree under RCW 9A.36.011 or 9A.36.021 is a class C felony. Any conduct in violation of this order that is reckless and creates a substantial risk of death or serious physical injury to another person is a class C felony. Also, a violation of this order is a class C felony if the respondent has at least 2 previous convictions for violating a protection order issued under Titles 10, 26 or 74 RCW. Effective immediately, and continuing as long as this protection order is in effect, the respondent may not possess a firearm or ammunition 18 U.S.C. section 922(g)(8). A violation of this federal firearms law carries a maximum possible penalty of 10 years in prison and a $250,OO0 fine. An exception exists for law enforcement ofticers and military personnel when carrying department/government-issued firearms. 18 U.S.C. section 925(a)(1). If the respondent is convicted of an offense of domestic violence, the respondent will be forbidden for life from possessing a firearm or ammunition. 18 U.S.C. section 922(g)(9); RCW 9.41.040.
YOU CAN BE ARRESTED EVEN IF THE PERSON OR PERSONS WHO OBTAINED THE ORDER INVITE OR ALLOW YOU TO VIOLATE THE ORDER'S PROHIBITIONS.
WARNING TO THE RESPONDENT
You have the sole responsibility to avoid or refrain from violating the order's provisions. Only the court can change the order upon written application.Pursuant to 18 U, S. C. section 2265, a court in any of the 50 states, the District of Columbia, Puerto Rico, any United States territory, and any tribal land within the United States shall accord full faith and credit to the order.
It is ordered that the clerk of the court sha1l forward a copy of this
Qrder on or before the next judicial day to
Clark County Sheriff's Office Police Department
WHERE PETITIONER LIVES which shall enter it in a computer-based criminal intelligence system available in this state used by law enforcement to list outstanding warrants.
Service of Order:Repondent appeared and was informed of the order by the court; further service is not required.
Petitioner shall make arrangements for personal service of this order.
Petitioner shall serve this order by mail publication
The clerk of the court shall also forward a copy of this order on or before the next judicial day to
Clark County Sheriff's Office Police Department WHERE RESPONDENT LIVES which shall personally serve the respondent with a copy of this order and shall promptly complete and return to this court proof of service.
The law enforcement agency where petitioner
respondent lives shall
assist petitioner in obtaining possession of assist respondent in obtaining possession of
residence personal belongings other _________________
located at: the shared residence petitioner's residence
respondent's residence other location: _________________
Custody of the above-named minors, including taking physical custody for delivery to petitioner.
Use of the above designated vehicle.
THIS ORDER IS EFFECTIVE THROUGH THE EXPIRATION DATE AS STATED BELOW THE CAPTION ON PAGE ONE.DATED 10/27/2004 at 335 xxxx/p.m.
JUDGE / COURT COMMISSIONER
I acknoledge receipt of a copy of this Protection Order:
|Brian P. Carr
Oct 27, 2004