Superior Court of Washington, County of _______________
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 1 of 9
In re parentage / parenting and support:
Petitioner (person who started this case) :
And Respondent/s (other party/parties) :
No.
Motion for Immediate Restraining Order
(Ex Parte)
(MTSC)
Motion for Immediate Restraining Order (Ex Parte)
Use this form in parentage cases only. For marriage/domestic partnership cases,
use form FL Divorce 221. For non-parent custody cases, use form FL Non-
Parent 421.
To both parties:
Deadline! Your papers must be filed and served by the deadline in your county’s Local Court Rules, or by the
State Court Rules if there is no local rule. Court Rules and forms are online at www.courts.wa.gov .
If you want the court to consider your side, you must :
File your original documents with the Superior Court Clerk; AND
Give the Judge/Commissioner a copy of your papers (if required by your county’s Local Court Rules); AND
Have a copy of your papers served on all other parties or their lawyers; AND
Go to the hearing.
The court may not allow you to testify at the motion hearing. Read your county’s Local Court Rules, if any.
Bring proposed orders to the hearing.
To the person filing this motion:
You must ask the court to sign the Immediate Restraining Order (Ex Parte) and Hearing Notice (FL Parentage
322). This Order may be signed “ex parte” (without the other party there). Contact the Superior Court Clerk’s
office for the procedure in your county. You must have this Motion and the Immediate Restraining Order
personally served (by someone else) on the restrained person.
To the person receiving this motion:
If you do not agree with the requests in this motion, file a statement (using form FL All Family 135, Declaration )
explaining why the court should not approve those requests. You may file other written proof supporting your
side, and propose your own Parenting Plan, Residential Schedule, or Child Support Worksheets .
If the court grants an Immediate Restraining Order without notice to you, you can file a motion to change or
terminate it before the hearing date. (Civil Rule 65(b).) There is no pattern form for that motion.
1. My name is: . I am asking the court for an
Immediate Restraining Order against (name/s):
.
I want these children under 18 to be protected by the order :
Child’s name Age Child’s name Age
1. 4.
2. 5.
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 2 of 9
3. 6.
2. I ask the court to approve an Immediate Restraining Order to protect me and/or my children.
Without this Order, my children or I could be hurt or suffer damage or loss immediately.
This harm could be irreparable. (Explain how you or your children could be harmed beyond
repair):
(If you need additional space use the Declaration form FL All Family 135.)
3. Notice (check one):
I should not have to notify the other parties in advance that I am filing this Motion
because my children or I could be harmed beyond repair if I gave any advance notice.
(Explain why the harm could happen before a hearing could be held with notice to the
other parties.)
I have notified the other parties that I am asking for an Immediate Restraining Order .
(Describe anything done to give the other parties or their lawyers notice of this
Motion):
4. Court hearing request
I ask the court to approve an Immediate Restraining Order now, and hold a hearing within
14 days to consider all of my requests for temporary orders listed below. I will have the
other parties served with notice of the hearing so the court can hear their sides.
Other:
5. Active duty military
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 3 of 9
(The federal Servicemembers Civil Relief Act covers:
Army, Navy, Air Force, Marine Corps, and Coast Guard members on active duty;
National Guard members under a call to active service for more than 30 days in a row; and
commissioned corps of the Public Health Service and NOAA.
The state Service Members’ Civil Relief Act covers Washington state residents who are National Guard or
Reserve members under a call to active service for more than 30 days in a row, and their dependents.)
None of the other parties are covered by the state or federal Service Members Civil
Relief Acts.
(Name):
is covered by the state federal Service Members Civil Relief Act.
For persons covered only by the state act – Military duty may keep the service
member or dependent from responding or coming to the hearing on this motion. I
ask the court to approve temporary orders even if the covered person asks for a
stay or doesn’t respond. It would be very unfair (a manifest injustice) not to make
temporary orders now because:
I ask the Court to approve these orders immediately (check all that
apply):
6. Do not disturb
No request.
Order (name/s): not to disturb
my peace or the peace of any child listed in 1 .
7. Stay away
No request.
Order (name/s): n ot to go onto the
grounds of or enter my home, workplace, or school, and the daycare or school of any
child listed in 1 .
Also, not knowingly to go or stay within feet of my home, workplace or
school, or the daycare or school of any child listed in 1 .
8. Do not hurt or threaten
No request.
Order (name/s): not to:
Assault, harass, stalk or molest me or any child listed in 1 ; or
Use, try to use, or threaten to use physical force
against me or the children that would reasonably be
expected to cause bodily injury.
Warning! If the court extends this order after a full hearing and the parties are intimate partners, the
court must consider if weapons restrictions are required by state law; f ederal law may also prohibit the
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 4 of 9
Restrained Person from possessing firearms or ammunition.
The Restrained Person and I are intimate partners because (check all that apply) :
we are current or former spouses or domestic partners.
we are parents of a child-in-common.
we live/d together as part of a dating relationship.
9. Surrender weapons
No request.
Order (name/s): to surrender any
firearms and other dangerous weapons that he/she possesses t o (check one):
t he police chief or sheriff. h is/her lawyer. other person (name): .
10. Protect children
No request.
Order (name/s): not to take the
children listed in 1 out of Washington State.
Order that the children listed in 1 will live with me until the hearing.
Other (specify):
11. Other immediate orders
No request.
(Specify):
I ask the court to approve these temporary orders at the hearing
(check all that apply):
12. Extend immediate orders
Extend the immediate orders I asked for above to stay in effect until the case is done.
13. Prohibit weapons and order surrender
No request.
Order (name/s): :
Not to possess or obtain any firearms, other dangerous weapons, or concealed pistol
license until the Order ends, and to
S urrender any firearms, other dangerous weapons, or concealed pistol license that
he/she possesses or controls t o (check one): t he police chief or county sheriff.
h is/her lawyer. other person (name): .
14. Care of children
No request.
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 5 of 9
Approve the Parenting Plan (form FL All Family 140) or Residential Schedule (form FL
Parentage 304) proposed by me (name):
.
Order (name): not to take the children out of
Washington State.
Appoint a person to investigate and report to the court about what is in the children’s
best interest, and order who will pay this person’s fees. This person should be a/n
(check one):
Guardian ad Litem (GAL) or Evaluator/Investigator as chosen by the court.
Guardian ad Litem (GAL).
Evaluator/Investigator.
(Name):
A Sexual Assault Allegation has been filed:
No residential time or decision making should be ordered until after the fact-finding
hearing.
I am a presumed parent. It is in the children’s best interests to order residential
time or decision making now.
Other:
15. Provide support
No request.
Order child support according to the Washington state child support schedule.
16. Pay fees and costs
No request.
Order (name): to:
Pay my lawyer’s fees for this case. Amount: $
Make payments to (name) :
Pay other professional fees and costs for this case. Amount: $
to (name):
for (purpose):
Based on the Sexual Assault Allegation, award lawyer’s fees consistent with RCW
26.09.140. Laws of 2017, ch. 234 §1(12).
Order (name): to:
Pay my lawyer’s fees for this case. Amount: $
Make payments to (name) :
17. Other temporary orders
No request.
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 6 of 9
(Specify):
Reasons for my requests
18. Why are you asking the court for the orders you checked above? ( Explain):
If you need additional space use the Declaration form FL All Family 135.
If you are asking for a parenting plan or residential schedule, also fill out the Information for
Temporary Parenting Plan , form FL All Family 139, and a proposed Parenting Plan , form
FL All Family 140, or Residential Schedule , form FL Parentage 304.
If you are asking for child support, also fill out the Child Support Worksheets and Financial
Declaration , form FL All Family 131, and file the required financial records. If you have
received public assistance for any child in this case, also fill out the Public Assistance
Declaration , form FL All Family 132.
If you are asking to prohibit weapons or order surrender, give your reasons at the end of
this section.
If you are asking to change an earlier temporary order, give the date of the earlier order
and explain how circumstances have changed since then.
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 7 of 9
Reasons for “Prohibit weapons and order surrender” request (check all that
apply):
(Name): has used, displayed, or threatened to use a firearm or other dangerous
weapon in a felony. (Describe):
(Name): previously committed an offense making him or her ineligible to possess
a firearm under RCW 9.41.040. (Describe):
(Name): ’s possession of firearm presents a serious and imminent threat (harm
that may happen immediately) to public health or safety, or to the health or safety
of any individual. (Describe):
Person asking for this order fills out below:
I declare under penalty of perjury under the laws of the state of Washington that the facts I have
provided on this form are true.
Signed at (city and state): Date:
Person asking for this order signs here Print name here
I agree to accept legal papers for this case at (check one):
my lawyer’s address, listed below.
the following address ( this does not have to be your home address):
street address or PO box city state zip
(Optional) email:
(If this address changes before the case ends, you must notify all parties and the court clerk in writing. You
may use the Notice of Address Change form (FL All Family 120). You must also update your Confidential
Information form (FL All Family 001 ) if this case involves parentage or child support.)
Lawyer (if any) fills out below:
Lawyer signs here Print name and WSBA No. Date
Lawyer’s street address or PO box city state zip
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 8 of 9
Email (if applicable):
Warning! Documents filed with the court are available for anyone to see unless they are sealed. Financial,
medical, and confidential reports, as described in General Rule 22, must be sealed so they can only be seen by
the court, the other party, and the lawyers in your case. Seal those documents by filing them separately, using a
Sealed cover sheet (form FL All Family 011, 012, or 013). You may ask for an order to seal other documents.
RCW 26.26.590, CR 65(b)
Mandatory Form (07/2017)
FL Parentage 321 Motion for Immediate
Restraining Order (Ex Parte)
p. 9 of 9
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