Petition For Protective Order - Oklahoma District Court, Aoc Form 67 - Order Of Protection Page 5
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ORDER OF PROTECTION
District Court of ___________ County
TULSA
State of Oklahoma
□
□
□
Amended Order
Emergency Order
Alias
Case No. PO-_______________
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Continued Order
Final Order
Court Phone Number (___)_____________
Petitioner
Additional Petitioner Information
__________________________________
Names and DOB of minor family member(s)
First
Middle
Last
__________________________________________
and/or on behalf of minor family member(s)
__________________________________________
__________________________________________
Defendant Identifiers
-VS-
Defendant(s)
SEX
RACE
DOB
HT
WT
__________________________________
First
Middle
Last
EYES
HAIR
DISTINGUISHING FEATURES
Relationship to Petitioner: __________________
Defendant’s Address:
DRIVERS LICENSE #
STATE
EXPIRES
Other
Self & Minor Child(ren)
Self Only
Minor Child(ren) Only
CAUTION:
(Clerk’s File Stamp Below)
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Weapon Involved-Type:
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Weapon Present on Property
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Unknown if Weapon Present
THE COURT FINDS:
That it has jurisdiction over the parties and subject
matter, and the Defendant has been or will be provided
with reasonable notice and opportunity to be heard.
Additional findings of this Order follow on succeeding pages.
THE COURT ORDERS:
The above named Defendant to not commit further acts or threats of abuse.
□
The Defendant and Petitioner must appear in the District Court of the above named County on the ___ day of
__________, 20___ at _____ AM/PM before Judge __________________, in Courtroom #_____.
Additional terms of this Order follow on succeeding pages.
The terms of this Order shall be effective until _____________, 20___ at ________ AM/PM
WARNINGS TO DEFENDANT:
This Order shall be enforced, even without registration, by the courts of any state, the District of Columbia,
any U.S. Territory, and may be enforced on tribal lands (18 U.S.C. §2265). Crossing state, territorial or tribal
boundaries to violate this Order may result in federal imprisonment (18 U.S.C. §2262).
Federal law provides penalties for possessing, transporting, shipping or receiving any firearm or ammunition
(18 U.S.C. §922(g)(8)) with penalty up to $250,000 fine and 10 years in prison.
Only the District Court can change this Order.
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