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Form preview Texas order emergency protecti... Victim s Name only if different from Applicant Officer/Applicant s Signature Victim s Signature only if different from applicant Agency Name Agency Address City/State/Zip Agency Phone Number PO No. THE STATE OF TEXAS VS DEFENDANT IN THE JUSTICE COURT OF BELL COUNTY TEXAS PRECINCT PLACE MAGISTRATE S ORDER FOR EMERGENCY PROTECTION On this date pursuant to Article 17. STATEMENT OF SERVICE I the undersigned hereby state that I gave a copy of the Magistrate s Order for Emergency Protection attached hereto to the named above at A. M. /P. M. on the day of 2. Name Title MAGISTRATE S PROTECTIVE ORDER DATA ENTRY FORM FOR TEXAS CRIME INFORMATION CENTER TCIC The following two pages data entry form must be filled out in order to process your requested Magistrate s Order. That this order shall supersede any existing court order granting possession of or access to a child to the degree that a condition of this order conflicts with the existing order That it might be in the best interest of a victim in this case to seek a Protective Order through the Family Protection Program Legal Aid of Central Texas prior to the expiration of this Magistrate s Order for Emergency Protection. Date requested 2. 292 of the Texas Code of Criminal Procedure the Court on its own motion on the request of the APPLICANT a person with standing under Article 17. 292 Code of Criminal Procedure to make such request As a matter of law after the Court s finding that the Defendant has been arrested for an offense that also involves Serious bodily injury to the victim or The use or exhibition of a deadly weapon during the commission of the assault heard an application for a Magistrate s Order for Emergency Protection. The Defendant is this date served with a copy of this Order in open court. 004 of the Family Code or section 22. 01 of the Penal Code or harassment by stalking for which the Defendant has been arrested The guardian of a victim of an offense involving family violence or harassment by stalking for which the listed Defendant has been arrested A peace officer An attorney representing the State of Texas on the magistrate s own motion I am requesting that a Magistrate s Order for Emergency Protection be issued to and against the above named Defendant in open court and that the order include such conditions as may be authorized by Article 17. IT IS THEREFORE ORDERED that an Order for Emergency Protection be issued on behalf of the following person s and the above-named Defendant be and is hereby prohibited from check all that apply Committing an act of family violence as defined by Section 71. 004 of the Texas Family Code harassment by stalking Communicating directly or indirectly in a threatening or harassing manner with any family or household members listed in this Order protected by this order Going to or within 1000 feet of the current or future RESIDENCE of a member of the family or household or of the person protected under this Order or other protected individuals located at member of the family or household or of the person protected under this Order located at Bell County Texas where a CHILD protected by this Order resides located at Possessing a firearm The Court also finds that the Defendant is hereby prohibited from going to or within 1 000 feet of any location at which the protected party parties and /or any child protected by this order may reside TEMPORARILY OR PERMANENTLY or place of employment of any such persons described herein for the safety of any person or persons protected by this order.
Form preview Restraining order form 2012 WV-110 Clerk stamps date here when form is filed. Temporary Restraining Order Petitioner Employer a. Name Lawyer for Petitioner if any for this case State Bar No. Firm Name b. An Emergency Protective Order Form EPO-001 that is in effect between the same parties and is more restrictive than other restraining orders takes precedence over all other restraining orders. After You Have Been Served With a Restraining Order Obey all the orders. Read Form WV-120-INFO How Can I Respond to a Petition for Orders to Stop Workplace Violence to learn how to respond to this Order. Pen. Code 13710 b. Conflicting Orders A protective order issued in a criminal case on Form CR-161 takes precedence in enforcement over any conflicting civil court order. Pen. Code 136. 2 e 2. Any nonconflicting terms of the civil restraining order remain in full force. The court will require you to prove that you did so. Notice Regarding Nonappearance at Hearing and Service of Order If you have been personally served with this Temporary Restraining Order and Form WV-109 Notice of Court Hearing but you do not appear at the hearing either in person or by a lawyer and a restraining order that is the same as this you by mail at the address in item 3. You may use Form WV-800 Proof of Firearms Turned In or Sold for the receipt. c. The court has received information that you own or possess a firearm. Other Orders Additional orders are attached at the end of this Order on Attachment 9. 10 Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Orders System CARPOS through the California Law Enforcement Telecommunications System CLETS. 10 Mandatory Entry of Order Into CARPOS Through CLETS This Order must be entered into the California Restraining and Protective Orders System CARPOS through the California Law Enforcement Telecommunications System CLETS. Check one The clerk will enter this Order and its proof-of-service form into CLETS. into CLETS. By the close of business on the date that this Order is made the employer or the employer s lawyer should deliver a copy of the Order and its proof-of-service form to the law enforcement agencies listed below to enter into CLETS Name of Law Enforcement Agency Address City State Zip Additional law enforcement agencies are listed at the end of this Order on Attachment 10. Address If you have a lawyer give your lawyer s information* Address Fill in court name and street address State Fax City Telephone Superior Court of California County of Zip E-Mail Address Employee Protected Person Court fills in case number when form is filed* Full Name Case Number Respondent Restrained Person Description Sex M F Height Hair Color Home Address if known Weight Eye Color Date of Birth Age Race Relationship to Employee Additional Protected Persons In addition to the employee the following family or household members or other employees are protected by the temporary orders indicated below Age Household Member Relation to Employee Yes No Expiration Date This Order expires at the end of the hearing scheduled for the date and time below Date Time a*m* p*m* This is a Court Order.

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