Fill and Sign the Court Received the Moving Partys Motion for an Order Form

Order Modifying/Terminating Order for Protection - Harassment (ORMTOA) - Page 1 of 2 UH -09.0200 ( 07/2019 ) - RCW 10.14.180 Court of Washington For Petitioner vs. Respondent NO . Order Modifying/Terminating Order for Protection – Harassment (ORMTOA) (Clerk’s action required) Order The MOVING PARTY (requester) is the : [ ] Petitioner [ ] Responde nt. The court received the moving party’s motion for an order to modify/terminate the terms and conditions of the following order: [ ] Temporary Order for Protection, filed on [date]. [ ] Order for Protection, filed on [date]. [ ] ___________ __________________________, filed on [date]. The court finds that: [ ] this is the Respondent’s only motion to modify or terminate filed during the current 12 month period following entry of the order; and the order referenced above shall be: [ ] terminated . [ ] continued in effect but modified as follows: Order Modifying/Terminating Order for Protection - Harassment (ORMTOA) - Page 2 of 2 UH -09.0200 ( 07/2019 ) - RCW 10.14.180 [ ] This order is a temporary modification. It will be effective until the hearing scheduled below. [ ] The parties are directed to appear for a hearing on ____________________ _ (date) , at _____ a.m./p.m., at __________________________________________ _ (location), _________________________________ (judge/department/docket). Washington Crime Information Center (WACIC) Data Entry It is ordered that the clerk of the court shall f orward a copy of this order on or before the next judicial day to: [ ] ___________________________ County Sheriff’s Office [ ] _____________________ Police Department where petitioner lives which shall enter it into W ACIC. Service [ ] The clerk of cou rt shall also forward a copy of this order on or before the next judicial day to: [ ] ____________________ County Sheriff’s Office [ ] __________________ Police Department where the other party lives which shall personally serve _________________________ (name) with a copy of this order and shall promptly complete and return to this court proof of service. [ ] The moving party (requester) shall make arrangements for service of this order on the other party. The moving party shall use either a • legal pr ocess server • the Law Enforcement agency where the other party lives, or • a person over the age of 18 that is not a party in this case. The server shall complete and return proof of service to the court. [ ] The other party appeared and was informed o f the order by the court; further service is not required. Dated: at a.m./p.m. Judge/Pro Tem/Commissioner I acknowledge receipt of a copy of this Order: I acknowledge receipt of a copy of this Order: ________________________________ ______ Moving Party (requester) Date Non -movin g party Date