Request To Modify Protective Order

Temporary Civil Stalking Injunction Ex Parte Order Petitioner (person who asked for the stalking injunction): Case Number: _______ District: __________ County: _____________ State: Utah Judge: _______________________________ ________________ First Name ____________ Middle ____________ Last Other people protected by this order: Address and phone # (to keep private, leave blank): Name Age Relationship to Petitioner ___________________________________ Street ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____ _____________ ____ _____________ ____ _____________ ____ _____________ ____ _____________ ____ _____________ ___________________________________ City --- State --- Zip ___________________________________ Phone # Petitioner's attorney (if any):________________________________________Phone #_______________ Respondent (person who must obey this stalking injunction): Describe Respondent Sex ____ Eye Color ____ Race _______ Hair Color ______ Date of Birth ______ Height _______ Weight ______ ____________ _________ _________ First Name Middle Last Other Names Used _______________________ ____________________________________ Address ______________________________________ Street Social Security Number (last four digits only) _____ Distinguishing features (like scars, tattoos, limp, etc.) __________________________________________ Driver's license issued by ______________________________________ City --- State --- Zip (State):____________ Expires ______________ Warning! [__] Weapon involved (Box to be initialed by Court, if applicable) Findings: The Court has reviewed the Petitioner's Request for Stalking Injunction, and finds that: a. b. c. d. The Court has jurisdiction over the parties and this case, There is reason to believe stalking has occurred, and the Respondent is the stalker. The Respondent has the right to a hearing, if he or she asks for it. (Utah Code Sect76-5-106.5, Sect77-3a-101.) 1 of 3 Approved by Board of District Court Judges, June 2013 Revised December 2014 American LegalNet, Inc. www.FormsWorkFlow.com To: (Respondent's name): _______________________________________________________________ Obey all orders initialed by the judge. 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 that you must not do things such as follow, threaten, annoy, or harass the Petitioner in a way that would cause a reasonable person to suffer emotional distress or to be afraid for the person's safety or the safety of another person. 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, text, mail, e-mail, or communicate in any way with the Petitioner and any person listed on page 1 of this order as well as 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 and property (list current addresses below) [__] Job [__] School [__] Home, premises Home address: ________________________________________________________ Work address: _________________________________________________________ School address: _______________________________________________________ Describe vehicle: ______________________________________________________ [__] b. Other (specify): ________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 4 [___] Child Custody & Parent-time Orders The Petitioner will have temporary custody of the minor children listed below. If you do not obey the custody and parent-time orders listed here, the Petitioner may ask for the court's help (such as an order to show cause for contempt): ___________________________________________________________________________ ___________________________________________________________________________ You will have parent-time as follows: _____________________________________________ 2 of 3 Approved by Board of District Court Judges, June 2013 Revised December 2014 American LegalNet, Inc. www.FormsWorkFlow.com ___________________________________________________________________________ You can only communicate with the Petitioner about parent-time through the following person: ___________________________________________________________________________ ___________________________________________________________________________ The custody and parent-time orders are effective until modified by this court or superseded by another court order. 5 [___] Other Orders (List below): ___________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 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. If you do not agree with this order, you can ask for a hearing to tell your side. Your request must be in writing, and must be filed at the court listed below within 10 days of the date you were served with this order. If you do not ask for a hearing within 10 days, this order will last for 3 years after it is served. You can still ask for a hearing after 10 days, but then you must persuade the court that the injunction is not needed. Court address to ask for a hearing: ______________________________________________________ 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. It may be 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. Date: _______________ Time: