Doe et al v reed washington secretary of state et al form
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Or for Protection – Stalking - Resp Under 18 (ORSTK18) – Page 1 of 4
ST -05.0500 ( 07/2019 ) RCW 7.92.100, RCW 9.41.800
Court of Washington
For
_____________________________ __________
Minor Petitioner (protected person), (DOB)
vs.
_____________________________ __________
Minor Respondent (restrained person). (DOB)
No .
Order for Protection -
Respondent Under Age 18 –
Stalking (ORSTK18 )
Court Address ____________________
_________________________________
Telephone Number: ( )
(Clerk’s action required)
[ ] School notification required
Respondent’s Distinguishing Features :
_______________________ _______________
______________________________________
Caution :
Access to weapons : [ ] yes [ ] no [ ] unknown
Sex Race Hair
Height W eight Eyes
Notice of this hearing was served on the respondent and the respondent’s parent or legal
custodian by [ ] personal service [ ] service by publication per to court order [ ] service by
mail per court order [ ] other .
Based upon the petition, testimony, and case record, the court finds that the respondent
committed stalking conduct. The court considered the severity of the act, any continuing
physical danger or emotional distress to the petitioner, and the expense difficulty and
educational disruption that would be caused by a transfer of the respondent to another school.
It is ordered t hat :
[ ] No -Contact : Respondent is restrained from having any contact, including nonphysical
contact, with the protected person directly, indirectly, or through third parties regardless of
whether those third parties know of the order , except for mailin g or service of process of
court documents by a 3 rd party or contact by respondent’s lawyer/s.
[ ] Surveillance : Respondent is prohibited from keeping the protected person under
surveillance, including electronic surveillance.
Additional no contact provisions are on the next page.
This Order for Protection - Stalking order is effective until :
Or for Protection – Stalking - Resp Under 18 (ORSTK18) – Page 2 of 4
ST -05.0500 ( 07/2019 ) RCW 7.92.100, RCW 9.41.800
[ ] Exclude from places : Respondent is excluded from the protected person’s
[ ] residence [ ] workplace [ ] school [ ] day care.
[ ] Stay Away : Respondent is prohibited from knowingly coming within or knowingly
remaining within ____________ (distance) of protected person’s [ ] residence
[ ] workplace [ ] school [ ] day care.
[ ] other: ____________________________________________________.
[ ] The address is confidential [ ] Petitioner waives confidentiality of the protected
person’s address which is:
[ ] School Transfer : Respondent is restrained from attending ___________________
school at _________________________________________ __________ (address)
attended by the protected person and the respondent is ordered to transfer to a different
school.
[ ] Evaluation : Respondent shall submit to a [ ] mental health [ ] chemical dependency
evaluation by _____________________________ ____________ at respondent’s
expense.
[ ] Pay Fees and Costs : Judgment 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 must fill out and file a completed form WPF 3.030, 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 ST 3.030 must be
completed and filed.
[ ] Prohibit Weapons and Order Surrender
The respondent must:
not access, possess or obtain any firearm, other dangerous weapon, 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 u se a firearm or other dangerous weapon in
a felony; or
[ ] is ineligible to possess a firearm under RCW 9.41.040.
Or for Protection – Stalking - Resp Under 18 (ORSTK18) – Page 3 of 4
ST -05.0500 ( 07/2019 ) RCW 7.92.100, RCW 9.41.800
[ ] may issue the orders referred to above because the court finds by a preponderance of
evidence, the respondent :
[ ] presents a seriou s and imminent 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 inel igible to possess a firearm under RCW 9.41.040.
Warning to the Respondent : A knowing violation of this stalking protection order is a
criminal offense under chapter 26.50 RCW and will subject a violator to arrest. You can be
arrested even if any person protected by the order invites or allows you to violate the order’s
prohibitions . You have the sole responsibility to avoid or refrain from violating the order’s
provisions. Only the court can change the order.
A knowing violation of this order is punish able under RCW 26.50.110.
Full Faith and Credit: This order is issued to prevent stalking conduct. The court has
jurisdiction over the parties, the minors and the subject matter. This order is issued in
accordance with the Full Faith and Credit provisio ns of VAWA. 18 U.S.C. § 2265.
Washington Crime Information Center (WACIC) Data Entry
It is 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
[ ] Respondent [ ] Respondent’s parent or legal custodian appeared and was/were informed
of this this order; further service is not required.
[ ] Respondent [ ] Respondent’s Parent/Legal Custodian (Name/s)
___________________________ ________ shall be personally served with a copy of this
order. The server shall promptly complete and return to this court proof of service.
Service shall be by the following means:
[ ] 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 She riff’s Office
[ ] Police Department, where Respondent lives .
Or
[ ] Petitioner shall serve this order by [ ] mail [ ] publication as previously ordered.
Or
[ ] (Only if surrender of weapons not ordered ) Petitioner has made private arrangements
for service of this order. Petitioner may use the services of a legal process service, the
law enforcement agency having jurisdiction where the respondent resides, or a person
over 18 who is not a party to this case.
Or for Protection – Stalking - Resp Under 18 (ORSTK18) – Page 4 of 4
ST -05.0500 ( 07/2019 ) RCW 7.92.100, RCW 9.41.800
This order is in effect until the exp iration date on page one .
If the duration of this order exceeds one year, the court finds that Respondent is likely to
resume stalking of the petitioner when the order expires.
Other:
.
Dated : _________________at ______ a.m./p.m.
Judge/Court Comm issioner
I acknowledge receipt of a copy of this Order:
Signature of Respondent/Respondent’s Lawyer WSBA 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 certain 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 petitioner’s lawy er must complete a Law Enforcement Information Sheet (LEIS)
and include addresses for the minor and the parent or legal custodian.
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