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| oSHERGENCY ORDER OF are erate SPSS COUN |
PROTECTION
Case No. Pozo
Court Phone Number ( )
Petitioner
Additional Petitioner Information
Name(s) and mee minor family member(s)
~ = .
Wo di AA lacs . UVic We Oe ae
First Middle
Last t £ uy
and/or on behalf of minor family member(s)
vs. Defendant Identifiers
Defendant
7
EYES HAIR | DISTINGUISHING FEATURES
dhetou Qo\ MMe CohQ Tee Khe
Middle Last fr [ Al
Relationship to Petitioner: [DRIVERS LICENSE # | STATE] EXPIRES
Defendant's Address (Street addr , City, State, Zip —|
Code) ie =. eA ne = Other
(Clerk’s File Stamp Below)
A. CAUTION:
CT] Weapon Involved - Type:
OO Weapon Present on Property
0 unknown if Weapon Present
B. THE COURT FINDS:
1) That it has jurisdiction over the parties and subject matter.
2) That the Defendant has been or will be Provided with reasonable notice and
opportunity to be heard.
3) That an Emergency Ex Parte Order is necessary to protect the Petitioner(s) pursuant
to the Protection from Domestic Abuse Act (22 O.S. §60.1, et seq.).
4) Additional findings and terms of this Order follow on succeeding pages.
oO Hearing Ordered: The Court Orders the Defendant and Petitioner to appear in the District
Court of the above named County on the _.f “day of A onl 2022
at Os Chien before Judge __Wc\\ _in Courtroom a2 .
Emergency Ex Parte Order of Protection - AOC Form ~ Revised November 1, 2019IF DEFENDANT FAILS TO APPEAR AT THE HEARING, THIS ORDER MAY BECOME A
FINAL PROTECTIVE ORDER WITHOUT FURTHER NOTICE, AND OTHER RELIEF MAY
BE GRANTED.
Validity: This Order shall have statewide and nationwide validity unless specifically modified
or terminated by a judge of the district courts (22 O.S. §60.7). This Order shall be enforced,
even without registration or filing, by the courts of any state, the District of Columbia, any U.S.
Territory, or Indian Tribe (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). Duration: This
Emergency Order shall remain in effect until after the full hearing is conducted
C. THE COURT FURTHER ORDERS THE FOLLOWING RELIEF (as specifically marked
in check boxes below):
fay Defendant is prohibited from attempting or having ANY CONTACT whatsoever with
the Petitioner, hereinafter “protected person,” either in person, through others or by
telephone, mail, electronic means, or any other manner, at any time or place unless
specifically authorized by the Court.
OS Detendant is prohibited from injuring, abusing, sexually assaulting, molesting,
harassing, stalking, threatening, or otherwise interfering with the protected person(s),
and from use, attempted use or threatened use of physical force against the protected
person(s) that would reasonably be expected to cause bodily injury.
(3) Defendant is prohibited from engaging in other conduct that would place the protected
person(s) in reasonable fear of bodily injury to the protected person(s) or the protected
person(s) household members or relatives.
47 Defendant is ordered to leave and remain away from the residence located at:
11> E EL. , A\WHs , Oklahoma, on or
before the ~ day of \w (A, 20— at_~ a.m./p.m., and take no
action to change utilities or telephone sérvice.
Os.ayt this Order is served upon Defendant at the residence to be vacated, Law
Enforcement Officers shall remain at the residence until Defendant removes
necessary clothing and personal effects and leaves the premises.
Osby this Order is served upon Defendant at a location other than the residence to be
vacated, Law Enforcement Officers shall accompany the Defendant to the residence
and remain in attendance until Defendant removes necessary clothing and personal
effects and leaves the premises. Defendant is ordered NOT to go to the residence to
remove necessary clothing and personal effects unless Law Enforcement Officers are
present as stated in this paragraph.
Emergency Ex Parte Order of Protection - AOC Form — Revised November 1, 2019 Page
2 of 4Oe)
O7)
Os)
Og)
Law Enforcement Officers shall accompany the Petitioner (ie. provide a “civil
standby’) to the current or recent past residence to remove necessary clothing and
Personal effects, and remain in attendance until Petitioner leaves the Premises. Such
tesidence is located at the following address:
Defendant who is a minor, is ordered to leave the residence located at
(address, city, state) and shall be immediately placed in custody of
pursuant to 10A O.S. §2-2-101(A)), anda Preliminary inquiry in a juvenile Proceeding
is hereby ordered to determine whether further court action pursuant to the Oklahoma
Juvenile Code should be taken against the juvenile defendant. Note: Pursuant to 22 0.8.
§60.4(B)(1), the Court shall order a full hearing on this protective order within 72 hours.
Circle Age of Minor Defendant: 13 14 15 16 17
There is an existing visitation order, and in order to protect from threats of abuse or
physical violence by the Defendant or a threat to violate a custody order, the Court
suspends or modifies child visitation as follows:
a.CJAl visitation is suspended until another Court assumes jurisdiction and modifies.
Note: Pursuant to 22 O.S. §60. 4(B)(2), the Court may order a full hearing on this protective order within
72 hours.
b.OAll visitation must be supervised, and in the Presence of the following
supervisor: .
c.C]Pickup/Delivery of child(ren) for visitation shall be by/at:
d. other:
Exclusive care and custody of certain animal(s) is awarded to the Petitioner.
Defendant is ordered to have no contact with said animal(s) and is forbidden from taking,
harming or disposing of said animal(s). (Identify animal(s)):
O10) Defendant shall immediately surrender all firearms and other dangerous weapons
within the Defendant's possession or control and any concealed carry license to
011) IT iS FURTHER ORDERED:
Emergency Ex Parte Order of Protection - AOC F ‘orm — Revised November 1, 2019 Page
3 of 4D. WARNINGS TO DEFENDANT AND PROTECTED PERSON(S):
1. The filing or non-filing of criminal charges and the Prosecution of the case shall not
be determined by a person who is Protected by the Protective order, but shall be
determined by the Prosecutor.
3. A Final Protective Order, granted after notice and hearing, will be in effect for five
(5) years unless extended, modified, vacated or rescinded by the court
4. A violation of the order is punishable by a fine of up to One Thousand Dollars
($1,000.00) or imprisonment for up to one (1) year in the county Jail, or by both such
fine and imprisonment. A violation of the order which causes injury is punishable
by imprisonment for twenty (20) days to one (1) year in the county jail or a fine of up
to Five Thousand Dollars ($5,000.00), or by both such fine and imprisonment.
Additional offenses and penalties are provided in federal and state law, including 22
O.S. §60.6.
5. Possession of a firearm or ammunition by a defendant while an order is in effect
may subject the defendant to prosecution for a violation of federal law even if the
order does not specifically prohibit the defendant from possession of a firearm or
ammunition.
6. Any person who knowingly and willfully presents any false or materially altered
protective order to any law enforcement officer to effect an arrest of any person
shall, upon conviction, be guilty of a felony punishable by imprisonment in the
custody of the Department of Corrections for a period not to exceed two (2) years,
or by a fine not exceeding $5,000.00, and shall in addition be liable for any civil
damages to the Defendant (22 0.S. §60.9(E)).
7. This Order complies with the Violence Against Women Act’s full faith and credit
provision (18 U.S.C. §2265) and this Order is enforceable throughout Oklahoma and
in all 50 states, U.S. territories, Tribal Land and the District of Columbia.
Dated this_ 622 day of Prerc\ 20_A
JUDGE OF THE DIS¥RICT COURT
Emergency Ex Parte Order of Protection - AOC Form — Revised November 1, 2019 Page
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