Fill and Sign the Harassment Order Form

Superior Court of Washington County of State of Washington , Plaintiff, vs. _____________________________________, Defendant. SID: No . Harassment No-Contact Order (clj = NOCON) (superior cts = ORAH) (Order screen = HNO) Pretrial Post conviction Clerk’s action required This Harassment No-Contact Order is entered pursuant to chapter 9A.46 RCW. 1. Protected Person’s Identifiers : Defendant’s Identifiers : _________________________________ Name (First, Middle, Last) _________________________________ DOB Gender Race If a protected person’s identifiers are not listed, complete a Law Enforcement Information Sheet (LEIS). Date of Birth Gender Race 2. Defendant : do not, directly or indirectly, contact, intimidate, threaten, or otherwise interfere with the protected person(s), or make any attempt to engage in such conduct. stay away from the protected person(s)’s home school business place of employment other location: other: _________________________________________________________________________ __________________________________________________________________________ . 3 Firearms and Weapons, Defendant : (Post Conviction) do not obtain or possess a firearm, other dangerous weapon or concealed pistol license. (RCW 9.41.800.) The court makes the following mandatory findings pursuant to RCW 9.41.800: The defendant used, displayed, or threatened to use a firearm or other dangerous weapon in a felony. The defendant is ineligible to possess a firearm due to a prior conviction pursuant to RCW 9.41.040; or Possession of a firearm or other dangerous weapon by the defendant presents a serious and imminent threat to public health or safety, or to the health or safety of any individual. 4 . This no-contact order expires on _____________________________ _(date and time) . Warning: Violation of this order is a criminal offense under chapter 9A.46 RCW and under RCW 26.50.110, and will subject a violator to arrest. You can be arrested even if any person protected by this 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 . HH arassment No-Contact Order (ORAH) (NOCON) - Page 1 of 2 WPF CR 84.0430 (07/2013)RCW 9A.46.040, .080, Laws of 2013, ch. 84, §31 Additional Order It is ordered that the Clerk of the Court shall forward a copy of this order on or before the next judicial day to:_______________________________________ County Sheriff’s Office Police Department where the case is filed, which shall enter it in a computer-based criminal intelligence system available in this state used by law enforcement to list outstanding warrants. Dated: ______________________ Time ________ a.m./p.m. I acknowledge receipt of a copy of this order: ________________________________ Judge/ Pro Tem/Court Commissioner ___________________________ Defendant The protected person shall be provided with a certified copy of this order. I am a certified or registered interpreter or found by the court to be qualified to interpret in the _________________________________ language, which the defendant understands. I translated this order for the defendant from English into that language. Signed at (city) _________________________, (state) ____________, on (date) ___________________. Interpreter: _______________________________ print name: _________________________________ HH arassment No-Contact Order (ORAH) (NOCON) - Page 2 of 2 WPF CR 84.0430 (07/2013)RCW 9A.46.040, .080, Laws of 2013, ch. 84, §31