Case Number:
Criminal Protective Order
5
a.
A criminal protective order on Form CR-160, Criminal Protective Order—Domestic Violence, is in effect.
Case Number:
County:
Expiration Date:
b.
No information has been provided to the judge about a criminal protective order.
To the person in
2
The court has granted the temporary orders checked below. If you do not obey these orders,
you can be arrested and charged with a crime. You may be sent to jail for up to one year, pay a
fine of up to $1,000, or both.
Personal Conduct Orders
6
Not requested
Denied until the hearing
Granted as follows:
persons in
3
:
1
a.
You must not do the following things to the person in
and
Harass, attack, strike, threaten, assault (sexually or otherwise), hit, follow, stalk, molest, destroy personal
property, disturb the peace, keep under surveillance, impersonate (on the Internet, electronically or other-
wise), or block movements
Contact, either directly or indirectly, in any way, including but not limited to, by telephone, mail, e-mail
or other electronic means
1
Take any action, directly or through others, to obtain the addresses or locations of the persons in
and
3
. (If this item is not checked, the court has found good cause not to make this order.)
b.
Peaceful written contact through a lawyer or process server or another person for service of Form DV-120
(Response to Request for Domestic Violence Restraining Order) or other legal papers related to a court case is
allowed and does not violate this order.
c.
Exceptions: Brief and peaceful contact with the person in
, and peaceful contact with children in
,
1
3
as required for court-ordered visitation of children, is allowed unless a criminal protective order says
otherwise.
Stay-Away Order
7
Not requested
Denied until the hearing
Granted as follows:
You must stay at least (specify):
a.
yards away from (check all that apply):
The person in
1
1
School of person in
The persons in
3
The children’s school or child care
1
Home of person in
Other (specify):
The job or workplace of person in
1
Vehicle of person in
1
Exceptions: Brief and peaceful contact with the person in
1
, and peaceful contact with children in
, as
3
b.
required for court-ordered visitation of children, is allowed unless a criminal protective order says
otherwise.
Move-Out Order
8
Not requested
Denied until the hearing
Granted as follows:
You must take only personal clothing and belongings needed until the hearing and move out immediately from
(address):
This is a Court Order.
Temporary Restraining Order
Revised July 1, 2014
DV-110,
Page 2 of 6
(CLETS—TRO)
(Domestic Violence Prevention)