Fill and Sign the Court of Washington No Order for Protection Respondent Form

Order for Protection – Resp under 18 - Harassment (ORAH18) – Page 1 of 3 UH -05.0500 ( 07/2019 ) - RCW 10.14.040, .080, RCW 4.28.020, RCW 9.41.800 Court of Washington For _________________________________________ Minor (Protected person), _________________________________________ Petitioner, vs. _________________________________________ Minor Respondent. No. Order for Protection – Respondent Under Age 18 – Harassment (ORAH18) Court Address _________________________ _________________________________ Telephone Number: ( ) (Clerk’s action required) [ ] School notification required Warning to the Respondent: Willful disobedie nce of the terms of this order may be contempt of court and may subject you to detention under RCW 7.21.030(4). RCW 10.14.120. 1. [ ] Full Faith and Credit: This order is issued to prevent violent or threatening acts of harassment. The court has jur isdiction over the parties, the minors and the subject matter. This order is issued in accordance with the Full Faith and Credit provisions of VAWA. 18 U.S.C. § 2265. 2. Notice of this hearing was served on the respondent by [ ] personal service [ ] service by publication pursuant to court order [ ] other . 3. [ ] ____________________________________________ (name) [ ] is a responsible and proper person to be appointed and is appointed guardian ad litem of Respondent and [ ] is discharged when pr oof of service of this order on the guardian ad litem is filed in this case. Based upon the petition, testimony, and case record, the court finds that the respondent committed unlawful harassment, as defined in RCW 10.14.020 and .080, and was not acting pu rsuant to any statutory authority, and after considering the facts of the case, the severity of the alleged offense, any continuing physical danger or emotional distress to the minors to be protected, and the expense, difficulty, and educational disruption that would be caused by a transfer of the respondent to another school, It is therefore ordered that : [ ] No -Contact : Respondent is restrained from making any attempts to contact the protected person. [ ] Surveillance : Respondent is restrained from making any attempts to keep under surveillance the protected person. Order for Protection – Resp under 18 - Harassment (ORAH18) – Page 2 of 3 UH -05.0500 ( 07/2019 ) - RCW 10.14.040, .080, RCW 4.28.020, RCW 9.41.800 [ ] Stay Away : Respondent is restrained from entering or being within ________ (distance) of the protected person’s [ ] residence [ ] work place [ ] other: [ ] The address is confidential [ ] Petitioner waives confidentiality of the address which is: [ ] School Transfer : Respondent is restrained from attending ____________________ school at _____________________________________________________ (address) attended by the p rotected person and shall transfer to a different school. [ ] Other : ________________________________________________________________ _____________________________________________________________________ _________________________________________________ ____________________. [ ] Pay Fees and Costs : j udgment is granted against Respondent in favor of ___________________ in the amount of $ _______ for costs incurred in bringing the action and $ _________ for attorneys’ fees. Notice : Petitioner, you mus t fill out and file a completed form WPF UH 04.0700, Judgment Summary . The court has granted judgment against the respondent in the amount of $ __________ for administrative court costs and service fees. A Judgment Summary, form WPF UH 04.0700, must be c ompleted and filed. [ ] Prohibit Weapons and Order Surrender The respondent must:  not access, possess , or obtain any firearms, other dangerous weapons, or concealed pistol license s; and  comply with the Order to Surrender Weapons filed separately. Note : Also use form All Cases 02.050 . Findings – The court (check all that apply): [ ] must issue the orders referred to above because the court finds by clear and convincing evidence that the respondent: [ ] has used, displayed, or threatened to use a fi rearm or other dangerous weapon in a felony; or [ ] is ineligible to possess a firearm under RCW 9.41.040. [ ] may issue the orders referred to above because the court finds by a preponderance of evidence, the respondent : [ ] presents a serious and im minent threat to public health or safety, or the health or safety of any individual by possessing a firearm or other dangerous weapon; or [ ] has used, displayed, or threatened to use a firearm or other dangerous weapon in a felony; or [ ] is ineligible to possess a firearm under RCW 9.41.040. Order for Protection – Resp under 18 - Harassment (ORAH18) – Page 3 of 3 UH -05.0500 ( 07/2019 ) - RCW 10.14.040, .080, RCW 4.28.020, RCW 9.41.800 Washington Crime Information Center ( WACIC) Data Entry It is further ordered that the clerk of court shall forward a copy of this order , and any order to surrender weapons on or before the next judicial day to __ _______________________________________________ [ ] County Sheriff’s Office [ ] Police Department where Petitioner lives and shall enter it into WACIC. Service [ ] The clerk of court shall also electronically forward a copy of this order , and any order to surrender weapons , on or before the next judicial day to __________________________________________________ [ ] County Sheriff’s Office [ ] Police Department, where Respondent lives which shall personally serve the respondent with a copy of this ord er and shall promptly complete and return to this court proof of service. [ ] Respondent appeared and was informed of the order by the court; further service is not required. Or [ ] (Only if surrender of weapons not ordered ) Petitioner has made private arrangements for service of this order. If Respondent is age 14 or older, serve Respondent. If Respondent is under age 14, serve Respondent and Respondent’s guardian. Or [ ] Respondent did not appear. The restraint provisions in this order are the sa me as those in the temporary order. The court is satisfied that the respondent was personally served with the temporary order. Further service is not required. This Anti -harassment Protection Order expires on . If the duration of this order exceeds o ne year, the court finds that Respondent is likely to resume unlawful harassment of the petitioner when the order expires. Other: . Dated _______________ at ______ a.m./p.m. Judge/Court Commissioner I acknowledge receipt of a copy of this Order: Signature of Respondent/Respondent’s Lawyer W SBA No. Print Name Signature of Respondent’s Guardian ad Litem Print Name Signature of Petitioner/Petitioner’s Lawyer WSBA No. Print Name Petitioner : The law allows you to register for c ertain notifications regarding this protection order and its status. Visit www.RegisterVPO.com or call 1 -877 -242 -4055 for more information, or to sign up. If you feel that you are in danger, call 9 -1-1 immediately . Petitioner or Peti tioner’s lawyer must complete a Law Enforcement Information Sheet (LEIS) and include addresses for the respondent and the respondent’s guardian.