Protection Order 
Amended    Renewed 
Domestic Violence (I.C. § 39-6304)
Malicious harassment, stalking, telephone harassment (I.C. § 18-7907)	
Case No: ______________________  
Court ___________ Judicial District 
County ___________________                              State Idaho	
	PETITIONER					  Petitioner Identifiers

 
First		             Middle		        Last

Protected Person(s):
 Petitioner  
 Minor family member(s): (list name and DOB)
_______________________________________
_______________________________________	         Date of Birth (DOB) of Petitioner

 Other Protected Person(s): (list name and DOB)

_______________________________________
_______________________________________	
RESPONDENT
First		             Middle		       Last

_________________________________________________
Respondent’s Address
___________________________________________
Relationship to Protected Person(s):
Check all that apply
 spouse;	
 former spouse;	

 living together;	
 previously living together;	

 child in common;	
 intimate partner;	

  parent;     related by blood, adoption or marriage;
  are in, or  have been in, a dating relationship;
  other: 							RESPONDENT IDENTIFIERS

SEX	
 RACE	
DOB	
HT	
 WT	

	

	

EYES	
 HAIR	
DISTINGUISHING FEATURES	

	

DRIVERS  LICENSE #	
STATE	

	

CAUTION:    Weapon Alleged to be Involved	

20

                   

 This order shall be effective until			     	        at 11:59 P.M. /unless terminated earlier by another court order. 

WARNINGS: This order meets all “full faith and credit” requirements of the VAWA, 18 U.S.C. § 2265 (1994) upon notice of the Respondent. This court has jurisdiction over the parties and the subject matter; the Respondent has been or will be afforded notice and a timely opportunity to be heard as provided by the laws of this jurisdiction. This order is valid and entitled to enforcement in each jurisdiction throughout the 50 states of the United States, the District of Columbia, all tribal lands, and all U.S. territories, commonwealths, and possessions and shall be enforced as if it were an order of that jurisdiction.
	As a result of this order, it may be unlawful for the Respondent to purchase or possess a firearm, including a rifle, pistol, or revolver, or ammunition pursuant to federal law under 18 U.S.C. § 922(g)(8). If you have any questions whether these laws make it illegal for the Respondent to possess or purchase a firearm, you should consult an attorney.
	Violation of any provision of this order by the Respondent, after actual notice of its terms, is a misdemeanor and may result in arrest and sentencing for up to one year in jail and a $5,000 fine, even if the Protected Person(s) consents to the violation. Only the Court can change this order. 

The Respondent was served and provided notice of hearing.
Petitioner Appeared:	 Yes	 No	Represented by:  						
Respondent Appeared:	 Yes	 No	Represented by:  						

 The Respondent agreed to entry of a protection order.
 The Court found, after a hearing, that a protection order should be issued.
 The Court finds that the original Petitioner is the abuser and the original Respondent is the victim of domestic violence. The Petitioner shall be the Respondent and the Respondent shall be the Petitioner.    

THE COURT ORDERS:
1.	Personal Conduct Order.  
	The Respondent shall not contact or attempt to contact the protected person(s) in any manner, including in person or through another person, or in writing or through any electronic means, including telephone, email, text, through social networking, or facsimile. The Respondent shall not harass; stalk; threaten; use, attempt to use or threaten use of physical force; or engage in any other conduct that would place the protected person(s) in reasonable fear of bodily injury. However, the Respondent may participate in legal proceedings involving the protected person(s) and may communicate through attorneys about legal issues involving the protected person(s).

	PROTECTED PERSON(S):
[01]	  Petitioner					
	  Minor family members				 
[02]	  Family or other household members
	  Other Protected Person(s)

    [05]	  THERE ARE NO EXCEPTIONS TO THIS ORDER. 

	  	THERE ARE EXCEPTIONS ORDERED AS FOLLOWS:
		contact by telephone/electronic means to arrange visitation of the child/ren
	contact by telephone/electronic means between 	         .m. and 	        	 .m.  on 							for the following purposes:  							
	to participate in court ordered mediation
	to respond to an emergency involving your natural or adopted child/ren
	other: 													

2.  Stay-Away Order. 
Respondent shall not, EVEN IF INVITED BY THE PROTECTED PERSON(S), knowingly remain 
within 		 feet of the Protected Person(s), or

	  go within 		 feet of: 
 Protected Person’s residence at 																							
[04]	 Protected Person’s school campus or work place at 																			
 Protected Person’s child/ren’s school campus or work place at 																		
 Other:  												
															
3.  Move-out Order and Law enforcement assistance.   Does Not Apply
[03]	 Respondent is ordered to move from the residence at 										 immediately upon service of this order and take from the residence only items needed for employment and necessary personal effects (at peace officer’s discretion).
Law enforcement officers are ordered to:
	Remove the Respondent from the residence listed above upon service of this order.
	Place the Protected Person in possession of the residence at 																	
   Supervise the removal of  Protected Person’s  Respondent’s items needed for employment and necessary personal effects (at peace officer’s discretion) from the residence. 
Peace officers are instructed to enforce this Court order by all necessary means, including arrest.

4.	Child custody.   Does Not Apply
[09]	 Respondent shall NOT have the child/ren until further order of the Court
	OR
Custody of the minor child/ren is awarded: 
[06]        as provided in the existing child custody order/divorce decree (Case #, County, Judge, Date Entered): 														
 as follows:
Name of Child    (first, middle initial, last)	 Birth Date	 Sex	Custody Awarded To	

				

 Protected Person     Respondent
	
 shall have the child/ren as follows (list days, times and conditions): 					
																																								
	supervised by:											
	neutral drop off/pick up location: 								
	child/ren to be transported by: 								
 Neither party shall remove the child/ren from 								
 Other: 													

5.  Conflicting Orders.  
If any term of another civil or criminal order conflicts with any term of this order you must follow the more restrictive term.  Dismissal of any other order will not result in a dismissal of this order.

6.	Change in address. 
The parties shall, at all times, keep the Court informed of their current mailing addresses.

7.	Treatment/Counseling. 
	Within 		 days of this order, Respondent shall report to 										 and participate and complete all scheduled treatment or counseling.  A written report shall be submitted to the Court within 		 days of this order.

8.	Future Service.
	Petitioner has waived the right to personal service and agreed that all future notices of hearing, orders, or modifications may be served by certified mail.  
	Respondent has waived the right to personal service and agreed that all future notices of hearing, orders, or modifications may be served by certified mail.

9.	Other:  													
[07]		  														
[08]	 														
	 	
10. Order to clerk. 
	It is further ordered that the clerk of the court shall forward a copy of this order to the Sheriff’s Office in the county in which this order was originally issued, or  					        , for immediate entry into record systems and to facilitate service in the jurisdiction in which the Respondent resides, if not previously served. The clerk shall deliver or mail a copy of this order to the Petitioner.

Date: 							Signed:						
									              Judge
NOTICE:  
It is a misdemeanor under Idaho Code § 39-6312 for the Respondent, after notice of this order, to violate the provisions of this order.  Further, it is a crime under Idaho Code §18-204 for any person to aid and abet a crime, or, not being present, to advise and encourage a crime.  In addition, under Idaho Code §18-304, any person who counsels, aids, solicits or incites another to commit a misdemeanor is guilty of a misdemeanor.  Therefore, it may be a crime for any person to encourage or invite contact between the Respondent and the Petitioner, except such contact as is expressly permitted by the above order.  

I have received a copy of this order, advisory notice, and warning.

Signed: 							Date:						
		             Petitioner

Signed: 							Date:						
		           Respondent

ATTENTION:  Keep a copy of this order in your possession at all times in order to assist peace officers.  Immediately report any violation of this order to law enforcement.