Fill and Sign the Motion for Surrender of Weapons Form

Motion for Surrender of Weapons (Civil) (MT) - Page 1 of 3 WPF All Cases 02 -010 ( 07/2019 ) - RCW 9.41.800 Court of Washington For No . _____________________________ _________ Petitioner DOB vs. _____________________________ _________ Respondent DOB Motion for Surrender of Weapons (MT) Use this motion to ask the court for a weapons order when:  you did not ask the court for a weapons order as a part of your protection order or restraining order,  the final protection order or restraining o rder issued by the court did not include a weapons order. 1. I am protected by a civil protection order issued on _________________ (date) in this case: [ ] Domestic Violence, RCW 26.50 [ ] Anti -harassment, RCW 10.14 [ ] Sexual Assault, RCW 7.90 [ ] Stalking, RCW 7.92 [ ] Restraining Order, RCW 26.09, 26.10, 26.26 A, 26.26B 2. [ ] The court must issue an Order to Surrender Weapons because the order included provisions that the respondent:  is restrained from causing physical harm, bodily injur y, assault, including sexual assault, and from molesting, harassing, threatening, or stalking, the protected person/s;  had actual notice of the hearing and an opportunity to be heard ; and  represented a credible threat to the physical safety of the protec ted person/s; and  the respondent and the protected person are intimate partners because they are : [ ] current or former spouses or domestic partners . [ ] parents of a child -in-common . [ ] age 16 or older and are/were in a dating relationship, and are currently residing together or resided together in the past. [ ] age 16 or older and are/were in a dating relationship, but have never resided together. Or Motion for Surrender of Weapons (Civil) (MT) - Page 2 of 3 WPF All Cases 02 -010 ( 07/2019 ) - RCW 9.41.800 3. [ ] The restrained person (n ame) _______________________ : (check all that apply) [ ] has used, displayed, or threatened to use a firearm or other dangerous weapon in a felony. Describe this offense: . [ ] is ineligible to possess a firearm under the provisions of RCW 9.41.040. Describe this offense: . [ ] has possession of a firearm or other dangerous weapon which presents a serious and imminent threat to public health or safety, or to the health or safety of any individual. My concern for imminent threat is based on the following : . 4. Information about t he firearms or other dangerous weapon/s: What kind of firearm or other dangerous weapon? Where is it located? Motion for Surrender of Weapons (Civil) (MT) - Page 3 of 3 WPF All Cases 02 -010 ( 07/2019 ) - RCW 9.41.800 5. The restrained person and I are: [ ] Intimate Partners because we are (check all that apply ): [ ] current or former spouses or domestic partners, [ ] parents of a child -in-common, [ ] age 16 or older and are/were in a dating relationship, and are currently residing together or resided together in the past , [ ] age 16 or older and are/were in a dating relationship, but have neve r resided together. [ ] Family or household members because we are (check all that apply ): [ ] current or former adult cohabitants as roommates , [ ] adult in-laws , [ ] adults related by blood , [ ] parent and child, [ ] stepparent and stepchild , [ ] grand parent and grand child . 6. I request that the court:  Prohibit the restrained person from accessing, obtaining or possessing a ny firearm s or other dangerous weapon s.  Prohibit the restrained person from obtaining or possessing a concealed pistol licens e.  Require the restrained person to immediately surrender all firearm s, other dangerous weapon s, and any concealed pistol license s issued under RCW 9.41.070.  [ ] Order temporary surrender of a ll firearm s, other dangerous weapon s, and any concealed pistol license s issued under RCW 9.41.070 without notice to the restrained person because [ ] irreparable injury could result if an order is not issued until th e time for response has elapsed ; [ ] respondent’s possession of a firearm or other dangerous weapon p resents a serious and imminent threat to public health or safety or the health or safety of any individual. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed on : (date) at (place) , Washington.  Signature of Protected Person/Attorney WSBA No. Print Name Protected person or attorney, you must:  Schedule a hearing on the Motion for Order to Surrender Weapons.  Arrange to serve notice of the hearing on the other party.  File pro of of service in the court file prior to the hearing.