Extended Order For Protection Against Harassment In The Workplace {B-25}

1 2 3 4 5 Case No. _____________________ Dept. No._____________________ IN THE JUSTICE COURT OF _____________ TOWNSHIP COUNTY OF __________________, STATE OF NEVADA _____________________________________, ) Employer,) ) 7 ) ) vs. 8 ) ) 9 _____________________________________. ) Adverse Party. 6 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 EXTENDED ORDER FOR PROTECTION AGAINST HARASSMENT IN THE WORKPLACE (NRS 33.270) Date Issued: _____________ Time: _____ __. m. Expiration Date: __________ Time: 11:59 p.m. WARNING: This is an official Court Order. If you disobey this Order, you may be arrested and prosecuted for the crime of violating an Order for Protection Against Harassment in the Workplace and any other crime that you may have committed in disobeying this Order. An intentional violation of an Extended Order for Protection Against Harassment in the Workplace is a misdemeanor, unless a more severe penalty is prescribed by law for the act that constitutes the violation of the Order. Under NRS 193.150, a misdemeanor is punishable by imprisonment in the county jail for not more than 6 months, or by a fine of not more than $1,000.00, or by both fine and imprisonment. PURSUANT TO NRS 193.166, if the act that constitutes the violation of a protection order is itself a felony, the violator shall, in addition to the term of imprisonment prescribed by statute for the crime, be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 20 years. YOU ARE FURTHER NOTIFIED that YOU CAN BE ARRESTED even if the person who obtained the Order invites or allows you to contact them. You have the sole responsibility to avoid or refrain from violating the terms of this Order. Only the Court can change the Order upon written application. The Court having considered the filings, testimony (if applicable) and evidence presented at hearing, and the Court having found that the Adverse Party received notice of hearing at which such person had an opportunity to participate and be heard, and the Adverse Party was present, was not present, was represented by counsel______________ was present, was not ______________________________________and the Applicant Form B-25 Extended Order for Protection Against Harassment in the Workplace Page 1 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 present, [ ] was represented by counsel ____________________________, and the Court having proper jurisdiction over the parties and this subject matter, and it appearing to the satisfaction of the Court that the Adverse Party has committed and/or is committing or remains a threat to commit harassment in the workplace and good cause appearing, IT IS HEREBY ORDERED that the Extended Order for Protection Against Harassment in the Workplace is granted for the following reasons: The Court has found that the employer has presented evidence sufficient to support the granting of the application for an Extended Order of Protection Against Harassment in the Workplace; and The Court has found that the Adverse Party knowingly threatened to cause or committed an act causing bodily injury to himself or another person; and/or damage to the property of another person; and/or substantial harm to the physical or mental health or safety of a person. Other: ______________________________________________________________ IT IS FURTHER ORDERED that you, the Adverse Party, are prohibited, either directly or through an agent, from contacting, intimidating, using, attempting to use, or threatening the use of physical force, or otherwise interfering in any way with the employer, any employee of the employer while the employee is performing his duties of employment, and any person while the person is present at the workplace of the employer, including, but not limited to, in person, by telephone, through the mail, through electronic mail (e-mail), facsimile (fax), or through another person. IT IS FURTHER ORDERED that you stay away from the workplace of the employer, wherever situated within the State, including, but not limited to, the following specific workplace address(es): _________________________________________________ Town/City of __________________, County of ________________, State of _____________ Other: _____________________________________________________________________ Form B-25 Extended Order for Protection Against Harassment in the Workplace Page 2 of 4 ©2007 Nevada Supreme Court Revised July 27, 2007 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 IT IS FURTHER ORDERED that the following additional restrictions apply: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ IT IS FURTHER ORDERED that the Clerk of the Court shall transmit, by the end of the next business day after this Extended Order is issued, a copy of the Order, together with a copy of the Application, to the following law enforcement agencies: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ IT IS FURTHER ORDERED that the appropriate law enforcement agency/process server promptly attempt to serve this Order upon the Adverse Party, and to file with or mail to the Clerk of the Court proof of service by the end of the next business day after service is made. Service must be made pursuant to the Rules of Civil Procedure. NOTICE TO LAW ENFORCEMENT Any law enforcement officer, with or without a warrant, and whether or not a violation occurs in the presence of the officer, may arrest and take into custody the Adverse Party, when the law enforcement offi