Fill and Sign the No Contact Order Form

No-Contact Order (CORNC ) - Page 1 of 2 WPF CR 08.0660 (07/2019 ) RCW 9.94A.637( 6), 26.50.110 Superior Court of Washington County of Sta te of W ashington , Plaintiff, ________ ________________________ Protected Person vs. _____ ____________________________ Defendant. DOB Civil Case No. : ____________ _______ No-Contact Order (Reissued Pursuant to a Certificate and Order of Discharge) (CORNC) Criminal Case No. : _____________________ [ ] Clerk’s action required Expiration date on page 2. The defendant filed a motion for a Certificate and Order of Discharge and Petition for Issuance of a Separate No -Contact Order. The c ourt considered the defendant’s motion , petition, if any, any supporting material and relevant court records and found that the defendant satisfied the requirements for discharge under RCW 9.94A.637 . The court further fo und that the defendant paid the appropriate filing fee associated with reissuance of the no -contact order under a civil cause number , or the filing fee has been waived . Therefore, the court reissues the no -contact order for the remaining term and under the same conditions as contained in the judgment and sentence that is discharged in the criminal case number listed in the caption. The court orders that t he defendant : [ ] shall not have contact with ______ ________________ ___________________________ (nam e of protected person (s) ) including, but not limited to, personal, verbal, telephonic, written or co ntact through a third party. [ ] is excluded or prohibited from coming within ____ ________ (distance) of: [ ] __________ __________________________ _______ (name of protected person(s)) ’s [ ] home/ residence [ ] work place [ ] school [ ] (other location(s)) ____ _______________________ _______________________________________________________________________ , or [ ] other location: _________________________ __________ _______________________ . [ ] other: ________________________________ ________________________________ _____ ________________________________ ________________________________ __________ . This order may be enforced under chapter 26.50 RCW . RCW 9.94A.637( 6). Violation of this order is a criminal offense and will subject the violator to arrest. RCW 26.50.110 No-Contact Order (CORNC ) - Page 2 of 2 WPF CR 08.0660 (07/2019 ) RCW 9.94A.637( 6), 26.50.110 Warnings to the Respondent : A violation of this order with actual notice of its terms is a criminal offense under chapter 26.50 RCW and will subject you to arrest . If the violation of the protection order involves travel across a state line or the boundary of a tribal jurisdiction, or involves conduct within the special maritime and territorial jurisdiction of the United States, which includes tribal lands, you may be subject to criminal prosecution in federal court under 18 U.S.C. §§ 2261, 2261A, or 2262. A violation of this order is a gross misdemeanor unless one of the following conditions apply: Any assault that is a violation of this order and that does not amount to assault in the first degree or second degree under RCW 9A.36.011 or 9A.36.021 is a class C felony. Any conduct i n violation of this order that is reckless and creates a substantial risk of death or serious physical injury to another person is a class C felony. Also, a violation of this order is a class C felony if you have at least two previous convictions for viol ating a protection order issued under Titles 7, 10, 26 or 74 RCW . If you are convicted of an offense of domestic violence, you will be forbidden for life from possessing a firearm or ammunition. 18 U.S.C. § 922(g)(9); RCW 9.41.040. You Can Be Arrested Eve n if the Person(s) Protected by this Order Invite or Allow 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 upon written application. Pursuant to 18 U.S.C. § 2265, a court in any of the 50 states, the District of Columbia, Puerto Rico, any United States territory, and any tribal land within the United States shall accord full faith and credit to the order. The court directs the clerk of the court : To file this n o-contact order under the civil cause number. To mail a copy of this order to the person (s) protected by this order , if the clerk has an address, or forward a copy of this order to the prosecuting attorney who shall mail a copy o f this order to the last known address of the protected person. The reasons for the change are contained in the first paragraph of this order. The clerk of the court is further ordered to 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 enforcemen t to list outstanding warrants. This order and the case number of the discharged judgment and sentence shall be linked in the criminal intelligence informati on system for purposes of enforcing the no -contact order. Service Defendant appeared in court or s igned below. Further service is not required. This No -Contact Order Expires On ________________________________ _ (The balance of the original term of ____ years, not exceed ing the maximum statutory sentence) . Dated :____________________________ __________________________________________ ___ JUDGE/ Print Name: I acknowledge receipt of a copy of this order: _________________________ _________________________ _________________________ Deputy Prosecuting Attorney Defendant Attorney for Defendant W SBA No. Print Name: W SBA No. Print Name: Print Name: The defendant must complete a Law Enforcement Information Sheet (LEIS) .