Fill and Sign the La Restraining Form

____________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______ , LOUISIANA ____________ : DOCKET NO. ______ _________________________________________________________________ JUDGMENT ON RULE This cause came for hearing on the ___ day of ______ 20 ___ . Present: ____________ , attorney for Plaintiff, ____________ , hereby waiving her appearance; and ____________ , attorney for Defendant, ____________ , hereby waiving his appearance. The Court, considering the pleadings filed herein, and upon consent of the parties hereto, for the reasons orally assigned: IT IS ORDERED, ADJUDGED AND DECREED that a restraining order be issued herein, without bond, directed to Defendant, ____________ , restraining, enjoining and prohibiting him from in any manner threatening, harassing or inflicting bodily harm upon Plaintiff, ____________ , at her home, her place of employment, her place of recreation, or at any other place, without bond. IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the costs of these proceedings shall be divided equally between the parties. JUDGMENT READ, RENDERED AND SIGNED at ____________ , ______ Parish, Louisiana, this ____ day of ______ 20 ___ . __________________________________ JUDGE APPROVED AS TO FORM: _________________________ ____________ ____________ ______ , LA ______ ( ___ ) ______ Attorney for Plaintiff _________________________ ____________ Attorney for Defendant