Fill and Sign the Sexual Assault Form

Court of Washington for No . Plaintiff vs. Defendant SID: If no SID, use DOB: Sexual Assault Protection Order (Criminal/Misdemeanor) (ORSXP) (JIS order code: SXP) Pretrial Post conviction Clerk’s action required 1. The court finds that the defendant has been charged with, arrested for, or convicted of a sex offense as defined in RCW 9.94A.030, a violation of RCW 9A.44.096, a violation of RCW 9.68A.090, or a gross misdemeanor that is, under chapter 9A.28 RCW, a criminal attempt, criminal solicitation, or criminal conspiracy to commit an offense that is classified as a sex offense under RCW 9.94A.030. Additional findings are made on page two. 2. This Sexual Assault Protection Order is entered pursuant to RCW 7.90.150. This order protects: ___________________________________________________________________________________. (Write protected person’s name or if minor you may use initials and DOB. RCW 7.69A.030, 10.52.100, 10.97.130.) It Is Ordered: This Pretrial Sexual Assault Protection Order Expires on: . This Pretrial Sexual Assault Protection Order Expires Two Years From Today’s Date: . This Post Conviction Sexual Assault Protection Order Expires on: . This Post Conviction Sexual Assault Protection Order Expires Two Years From Today’s Date: . (A final sexual assault protection order entered in conjunction with a criminal prosecution shall remain in effect for a period of two years following the expiration of any sentence of imprisonment and subsequent period of community supervision, conditional release, probation, or parole.) Defendant: A. do not contact the protected person(s) directly, indirectly, in person or through others whether or not the others know of the order. B. do not knowingly come within or stay within _______________ (distance) of the protected person(s)’s residence school workplace other: ________________________ __________________________________________________________________________________. Additional orders on page two. Warnings : Violation of this order is a criminal offense under chapter 26.50 RCW and will subject a violator to arrest . You can be arrested even if any person protected by the order invites or allows 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. Cause No.: _________________________ S exual Assault Protection Order (ORSXP) - Page 1 of 2 CrRLJ 07.0970 - (06/2014) RCW 7.90.150 (Pretrial) It is Further Ordered: Defendant is prohibited from o btaining or possessing a firearm, other dangerous weapon or concealed pistol license. T he defendant shall immediately surrender all firearms and other dangerous weapons within the defendant’s possession or control and any concealed pistol license to: ____________________________________________________________ [name/law enforcement agency]. These pretrial orders are based on the court’s finding that 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. RCW 9.41.800(4). The court finds that the defendant’s relationship to a person protected by this order is: spouse or former spouse current or former domestic partner parent of a child in common current or former cohabitant as part of a dating relationship. (It is unclear whether the court can order under RCW 7.90.150 the restraints necessary to qualify for mandatory surrender of weapons under RCW 9.41.800(3). If the court determines it can make the necessary findings, additional findings and orders may be attached.) This order is issued in accordance with Full Faith and Credit provisions of the Violence Against Women Act. Federal penalties may apply. WACIC Data Entry It is further 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 into the Washington Crime Information Center. Done in open court in the presence of the defendant this date:_________________________. Judge Print Name: Deputy Prosecuting Attorney Attorney for Defendant Defendant WSBA No. WSBA No. Print Name: Print Name: S exual Assault Protection Order (ORSXP) - Page 2 of 2 CrRLJ 07.0970 - (06/2014) RCW 7.90.150 A Law Enforcement Information Sheet (LEIS) must be completed.