IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF _________________
Petitioner (your full name), vs.
(date of birth)
Respondent (full name),
(date of birth).
) ) ) ) ) ) ) )
Case No. ORDER AFTER HEARING 21 Day or 5 Day Hearing, After Notice Exceptional Circumstances Hearing Modification Renewal Hearing (Family Abuse Prevention Act) , 20 . RESPONDENT Appeared in person or by telephone/video Was served a copy of this Order in court today Did not appear Attorney: OSB#
This matter came before the Court on PETITIONER Appeared in person or by telephone/video Was served a copy of this Order in court today Did not appear Attorney: OSB# FINDINGS:
Having heard the testimony, IT IS HEREBY ORDERED THAT THE RESTRAINING ORDER OBTAINED BY PETITIONER ON , 20 _______ IS: DISMISSED in its entirety. CONTINUED in its entirety. RENEWED in its entirety. The renewed restraining order expires on: CONTINUED/RENEWED but MODIFIED/AMENDED as follows:
(date).
The renewed restraining order expires on:
(date).
IMPORTANT: Except as modified or amended, all other portions of the Restraining Order remain in effect.
SECURITY AMOUNT for VIOLATION OF THIS ORDER IS $5,000 unless a different amount is specified here: OTHER SECURITY AMOUNT: $
ORDER AFTER HEARING (Family Abuse Prevention Act) Page 1 of 2
(FAPA 6/08)
CERTIFICATES OF COMPLIANCE WITH THE VIOLENCE AGAINST WOMEN ACT Judge's Initials FIREARMS PROHIBITION: If this box is checked and initialed by the Judge, this Order (or the original Order that is being continued/amended) prohibits (prevents) Respondent from possessing FIREARMS or AMMUNITION and it is unlawful for Respondent to do so under state law. [OJIN Event Code: FQOR] FIREARMS NOTIFICATION under 42 U.S.C. 3796gg(4)(e): As a result of this Order After Hearing, it MAY be unlawful for Respondent to possess, receive, ship, transport or purchase a FIREARM or AMMUNITION under federal law pursuant to 18 U.S.C. 922 (g)(8) or (9). This Order MAY also negatively affect Respondent's ability to serve in the Armed Forces of the United States as defined in ORS 348.282 or to be employed in law enforcement. [OJIN Event Code: NOGR]
NOTICE TO RESPONDENT: If you have questions about whether federal or state laws make it illegal for you to possess or purchase a firearm, and/or about whether this Order will affect your ability to serve in the military or be employed in law enforcement, you should consult an attorney.
FIREARMS CERTIFICATION (BRADY): This Order After Hearing meets the requirements of federal law as set out below and THEREFORE subjects the Respondent to federal prosecution for possession, receipt, shipping, transportation, or purchase of firearms or ammunition while it is in effect. [OJIN Event Code: ORBY] Relationship: The person protected by this Order After Hearing is an "intimate partner" of the Respondent within the meaning of 18 U.S.C. §921(A)(32) because the Petitioner is: (Check at least one) The spouse or former spouse of the Respondent. The parent of Respondent's child. A person who does or did cohabit (live in a sexually intimate relationship) with the Respondent. Notice and Opportunity to Participate: The Order After Hearing was issued after hearing of which the Respondent received actual notice and at which the Respondent had the opportunity to participate. Terms of Order: The Order After Hearing restrains Respondent from threatening Petitioner or Petitioner's child(ren), or engaging in other conduct that would place Petitioner in reasonable fear of bodily injury to Petitioner or Petitioner's child(ren). AND The Court finds that Respondent represents a credible threat to the physical safety of Petitioner or Petitioner's child(ren). FULL FAITH AND CREDIT PROVISIONS: This protective order meets all full faith and credit requirements of the Violence Against Women Act, 18 U.S.C. 2265 (2002). This Court has jurisdiction over the parties and the subject matter. The Respondent was or is being afforded notice and timely opportunity to be heard as provided by Oregon law. This Order is valid and entitled to enforcement in this and all other jurisdictions. Dated: JUDGE
ORDER AFTER HEARING (Family Abuse Prevention Act) Page 2 of 2
(FAPA 6/08)