Fill and Sign the No Contact Order Fill Online Printable Fillable Blank Form

HHarassment No-Contact Order (ORAH) (NOCON) - Page 1 of 2 WPF CR 84.0430 ( 07 /201 9)RCW 9A.46.040, .080 , RCW 26.50.110 Superior Court of Washington County of Sta te of W ashington , 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 , di rectly or indirectly, contact, intimidat e, threaten, or otherwise interfer e with the protected person(s) , or mak e any attempt to engage in such conduct. [ ] stay away from the protected person(s)’s [ ] home [ ] school [ ] business [ ] place of employ ment [ ] other location: [ ] other: ________________________________ ________________________________ _________ ________________________________ ________________________________ __________ . 3 Firearms , Dangerous Weapons, and Concealed Pistol License, Defendant : [ ] do not access, obtain , or possess a firearm, other dangerous weapon or concealed pistol license. (RCW 9.41.800. ) [ ] shall immedi ately surrender all firearms and other dangerous weapons within the defendant’s possession or control , and any concealed pistol license s, to the local law enforcement agency : _______________________________________ 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 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: Viol ation of this order is a criminal offense under chapter 9A.46 RCW and under RCW 26.50.110, HHarassment No-Contact Order (ORAH) (NOCON) - Page 2 of 2 WPF CR 84.0430 ( 07 /201 9)RCW 9A.46.040, .080 , 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. Yo u have the sole responsibility to avoid or refrain from violating the order’s provisions. Only the court can change the order . Additional Order 5. Washington Crime Information Center (WACIC) Data Entry 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 to W ACIC. 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 Engl ish into that language. Signe d at ( City) _________________________, ( State) ____________, on ( Date) __________________ . Interpreter: _______________________________ Print name: _________________________________