Fill and Sign the Stalking Washington State Courts Form

Tem p. Prot. Or/Nt of Hrg - Stalking - Resp. Under 18 (TMSTK18) - Page 1 of 3 ST -05.0300 ( 07/2019 ) RCW 7.92.100, .140, RCW 9.41.800 COURT OF WASHINGTON FOR Minor Petitioner (person protected), DOB vs. Minor Respondent (person restrained). DOB No . Temporary Protection Order and Notice of Hearing – Stalking - Respondent Under Age 18 (TMSTK18 ) (Clerk’s action re quired ) Next Hearing Date and Time : ______________________________ At : ______________________________ Respondent’s Distinguishing Features : ______________________________________ ______________________________________ Caution : Access to weapons : [ ] yes [ ] no [ ] unknown Sex Race Hair Height W eight Eyes [ ] _________________________________________ (Name) is a responsible and proper person to be appointed and is appointed guardian ad litem of respondent in this proceeding. The court has jurisdiction over the parties and the subject matter. The respondent will be served notice of his or her opportunity to be heard at the scheduled hearing. Based upon the petition and case files, the court finds that: 1 ) the respondent commi tted stalking conduct and that irreparable injury will result to the protected minor if this order is not issued immediately without prior notice. 2) The court considered the severity of the act, any continuing physical danger or emotional distress to the petitioner, and the expense difficulty and educational disruption that would be caused by a transfer of the respondent to another school. The court orders that : [ ] No -Contact : Respondent is restrained from having any contact, including nonphysical con tact, with the protected person directly, indirectly, or through third parties regardless of whether those third parties know of the order , except for mailing or service of process of court documents by a 3rd party or contact by respondent’s lawyer/s. Add itional no -contact provisions are on the next page. The terms of this order shall be effective until : the end of the hearing, noted above . Tem p. Prot. Or/Nt of Hrg - Stalking - Resp. Under 18 (TMSTK18) - Page 2 of 3 ST -05.0300 ( 07/2019 ) RCW 7.92.100, .140, RCW 9.41.800 [ ] Surveillance : Respondent is prohibited from keeping the protected person under surveillance, including electronic surveillance. [ ] Exclude fro m places : Respondent is excluded from the protected person’s [ ] residence [ ] workplace [ ] school [ ] day care. [ ] Stay Away : Respondent is prohibited from knowingly coming within or knowingly remaining within _____________ (distance) of th e protected person’s residence [ ] workplace [ ] school [ ] day care [ ] other:_____________________________________________________. [ ] The address is confidential. [ ] Petitioner waives confidentiality of the protected per son’s address which is: [ ] School Transfer : Respondent is restrained from attending ______________________ school at ______________________________________________________ (address) attended by the protected person and respondent is ordered to transf er to a different school. [ ] Surrender of Weapons Order The court finds that: [ ] irreparable injury could result if the order to surrender weapons is not issued . [ ] respondent’s possession of a firearm or other dangerous weapon presents a se rious and imminent threat to public health or safety or the health or safety of any individual. The Respondent must comply with the Order to Surrender Weapons Issued Without Notice filed separately , which states: [ ] respondent shall immediately surre nder all firearms , other dangerous weapons , and any concealed pistol license s. (Note: Also use for m number All Cases 02 -030 .)  The respondent is directed to appear and show cause why the court should not enter an order for protection effective for one yea r or more and order the relief requested by the petitioner or other relief the court deems proper, which may include payment of costs.  Failure to appear at the hearing or to otherwise respond will result in the court issuing an order for protection – sta lking pursuant to RCW Title 7.92, effective for a minimum of one year from the date of the hearing . The next hearing date and time is shown below the caption on page one .  The respondent may petition the court to modify or terminate the order if the respon dent does not receive actual prior notice of the hearing and if the respondent alleges a meritorious defense to the order or that the order or its remedy is not authorized by this chapter . Warning to the Respondent : A knowing violation of this stalking p rotection order is a criminal offense under chapter 26.50 RCW and will subject you 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 avo id or refrain from violating the order’s provisions. Only the court can change the order. Tem p. Prot. Or/Nt of Hrg - Stalking - Resp. Under 18 (TMSTK18) - Page 3 of 3 ST -05.0300 ( 07/2019 ) RCW 7.92.100, .140, RCW 9.41.800 A knowing violation of this order is punishable under RCW 26.50.110. 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. Washington Crime Information Center (WACIC) Data Entry It is further ordered that the clerk of court shall forward a copy of this order , and any order to surrender weapons, on or be fore the next judicial day to the : _____________________________________ [ ] County Sheriff’s Office [ ] Police Department where petitioner lives which shall enter it into WACIC. Service The Resp ondent and the Respondent’s parent or legal custodian (name/s) _____________________________________________________________ ______ shall be personally served with a copy of the petition and this order. The server shall promptly complete and return to thi s court proof of service. [ ] The clerk of court shall also electronically forward a copy of this order , and any order to surrender weapons , on or before the next judicial day to _________________________________________ [ ] County Sheriff’s Office [ ] Police Department where respondent lives . [ ] (Only if surrender of weapons not ordered ) Petitioner shall make private arrangements for service of this order. This order is in effect until the next hearing date and time shown below the caption on page one . Dated : at ______ a.m./p.m. Judge/Commissioner I acknowledge receipt of a copy of this Order: Signature of Respondent/Lawyer WSBA No. Print Name Date Signature of Petitioner/Lawyer WSBA No. Print Name Date Petitioner or petitioner’s lawyer must complete a Law Enforcement Informatio n Sheet (LEIS) and include addresses for the minor and the parent or legal custodian.