Part 1 · General Provisions
Rule 10.03. Standard Criminal Protection Order Forms, and Standard Civil Stalking Protection Order or Civil Sexually Oriented Offense Protection Order Forms
(A) Distribution of packet for civil stalking protection order or civil sexually oriented offense protection order proceedings A court of common pleas shall distribute, upon request, a forms packet for use in civil stalking protection order or civil sexually oriented offense protection order proceedings pursuant to R.C. 2903.214. The packet shall include, at a minimum, forms and instructions that are substantially similar to "Forms 10.03-D, 10.03-E, and 10.03-G."
(B) Civil stalking protection order or civil sexually oriented offense protection order form and protection order warning In every case in which a court of common pleas issues an ex parte or full hearing civil stalking protection order or a civil sexually oriented offense protection order pursuant to R.C. 2903.214, it shall use the applicable form that is substantially similar to "Form 10.03- E or 10.03-F" and include a cover sheet that is substantially similar to "Form 10-C" and send a completed form that is substantially similar to "Form 10-A" and copy of the order to the local law enforcement agency for entry of the order into the "National Crime Information Center Protection Order File."
(C) Criminal protection order form and protection order warning In every case in which a court issues an ex parte or full hearing criminal protection order pursuant to R.C. 2903.213, it shall use a form that is substantially similar to "Form 10.03- B" and include a cover sheet that is substantially similar to "Form 10-C" and send a completed form that is substantially similar to "Form 10-A" and copy of the order to the local law enforcement agency for entry of the order into the "National Crime Information Center Protection Order File."
(D) Notice of deadly weapons surrender In every case in which a court orders the respondent to surrender deadly weapons into the protective custody of law enforcement, it shall enter into the docket a form that is substantially similar to "Form 10-F."
(E) Post-conviction no contact order In every case in which a sentencing court imposes community control sanctions that prohibit contact as part of a sentence for a misdemeanor or felony offense for the purpose of preventing violent or threatening acts or harassment against, sexual violence, or contact or communication with or physical proximity to a victim, regardless of the family or household member relationship to the Defendant, it shall use a form that is substantially similar to "Form 10-G" and send to the local law enforcement agency a completed form that is substantially similar to "Form 10-A" and a copy of the order for entry in of the order into the "National Crime Information Center Protection Order File."
(F) Remote access exception A court of common pleas shall not make available through remote access pursuant to Sup.R.
44 through 47 any record of a civil protection order case that is likely to reveal the identity or location of a petitioner or another party to be protected or could be protected by a protection order. FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) Amended: April 15, 2021 Discard all previous versions of this form IN THE Order of Protection Per R.C. 2903.213(G)(3), this Order is indexed at LAW ENFORCEMENT AGENCY WHERE INDEXED OHIO ( ) - PHONE NUMBER STATE OF OHIO/ CITY OF V. DEFENDANT ALLEGED VICTIM: First Middle Last v. DEFENDANT: First Middle Last Address where Defendant can be found: WARNING TO LAW ENFORCEMENT: DEFENDANT HAS FIREARMS ACCESS – PROCEED WITH CAUTION Ex Parte CRPO Granted: / CRPO Granted: / Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this Order enforcement. THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and the Defendant was provided with reasonable notice and opportunity to be heard within the time required by Ohio law. THE COURT HEREBY ORDERS: That the above named Defendant be restrained from committing acts of abuse or threats of abuse against the Alleged Victim and other protected persons named in this Order. Additional terms of this Order are set forth below. WARNING TO DEFENDANT: See the warning page attached to the front of this Order. [Page 2 of 5 Form 10.03-B] FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) Amended: April 15, 2021 Discard all previous versions of this form This matter came before the Court on CRPO hearing on Alleged Victim's Motion for a Criminal Protection Order. The Court finds that the Motion of the Alleged Victim for a Criminal Protection Order is well-taken. The Court finds that the safety and protection of the Alleged Victim and protected persons named in this Order may be impaired unless the Court acts. The following orders are designed to ensure the safety and protection of the protected persons named in this Order and are issued to the Defendant as pretrial conditions, in addition to any bail under Crim.R. 46. The Court also finds: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Additional findings on a separate page are included and attached herein. DEFENDANT SHALL NOT ABUSE, harm, attempt to harm, threaten, follow, stalk, harass, force sexual relations upon, or commit sexually oriented offenses against the protected persons named in this Order. [NCIC 01 and 02] ALL OF THE PROVISIONS CHECKED BELOW ALSO APPLY TO DEFENDANT 1. DEFENDANT SHALL NOT ENTER the residence, school, business, place of employment, day care centers, or child care providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at those locations. Defendant may not violate this Order permission of a protected person . [NCIC 04] 2. DEFENDANT SHALL NOT INTERFERE with the protected persons' right to occupy any residence by canceling utilities or insurance or interrupting telephone service, mail delivery, or the delivery of any other documents or items. [NCIC 03] 3. DEFENDANT SHALL SURRENDER all keys and garage door openers to the following residence at the earliest possible opportunity after service of this Order to the law enforcement agency that serves the Defendant with this Order or as follows: 4. DEFENDANT SHALL STAY AWAY FROM THE PROTECTED PERSONS NAMED IN THIS ORDER, and shall not be present within 500 feet or [Page 3 of 5 Form 10.03-B] FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) Amended: April 15, 2021 Discard all previous versions of this form wherever those protected persons may be found, or any place the Defendant knows or should know the protected persons are likely to be, even with the protected persons' permission accidentally comes in contact with protected persons in any public or private place, Defendant must depart immediately . This Order includes encounters on public and private roads, highways, and thoroughfares. [NCIC 04] 5. DEFENDANT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY, COMPANION ANIMALS, OR PETS owned or possessed by the protected persons named in this Order. 6. THE ALLEGED VICTIM IS AUTHORIZED TO REMOVE THE FOLLOWING COMPANION ANIMALS OR PETS owned by Alleged Victim from the possession of the Defendant: Exchange of the listed companion animals or pets shall take place as follows: 7. DEFENDANT SHALL NOT INITIATE OR HAVE ANY CONTACT this Order at their residences, businesses, places of employment, schools, day care centers, or child care providers. Contact includes, but is not limited to, landline, cordless, cellular or digital telephone; text; instant messaging; fax; e-mail; voicemail; delivery service; social media; blogging; writings; electronic communications; posting a message; or communications by any other means directly or through another person. Defendant may not violate this Order person . [NCIC 05] 8. DEFENDANT SHALL NOT use any form of electronic surveillance on protected persons. 9. DEFENDANT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON this Order. 10. DEFENDANT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON while the Order remains in effect for the safety and protection of the protected persons named in this Order. Furthermore, Defendant may be subject to firearms and ammunition restrictions pursuant to 18 U.S.C. 922(g)(1) through (9), 18 U.S.C. 922(n), or R.C. 2923.13. [NCIC 07] DEFENDANT IS EXCEPTED only for official use pursuant to 18 U.S.C. 925(a)(1), if no other firearms and ammunition prohibitions apply. 11. DEFENDANT SHALL TURN OVER ALL DEADLY WEAPONS to the law enforcement agency that serves Defendant with this Order no later than Any law enforcement agency is authorized to accept possession of deadly weapons pursuant to this paragraph and hold them in protective custody for the duration of this Order. [NCIC 07] Law enforcement shall immediately notify the Court upon receiving Defendant's deadly weapons for protective custody as set forth in this Order. Upon the expiration or termination of this Order and if a civil protection order has not been issued arising out of the same activities as those that were the basis of the complaint filed in this action, Defendant may [Page 4 of 5 Form 10.03-B] FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) Amended: April 15, 2021 Discard all previous versions of this form reclaim any deadly weapons held in protective custody by law enforcement pursuant to this Order unless Defendant is otherwise disqualified as verified by a check of the NCIC protection order file. 12. DEFENDANT'S CONCEALED CARRY WEAPON LICENSE 13. DEFENDANT SHALL NOT USE OR POSSESS 14. IT IS FURTHER ORDERED: [NCIC 08] 15. IT IS FURTHER ORDERED a copy of this Order shall be delivered to the Defendant on the same day that the Order is entered. 16. THIS ORDER IS EFFECTIVE until the occurrence of one of the following: (1) it is modified by this Court; or (2) the criminal proceeding arising out of the complaint upon which these orders were issued is disposed by this Court or by the court of common pleas to which the Defendant is bound over for prosecution; or (3) a court issues a Civil Stalking Protection Order (CSPO) or Civil Sexually Oriented Offense Protection Order (CSOOPO) arising out of the same activities as those that were the basis of the complaint filed in this action pursuant to R.C. 2903.213(B). IT IS SO ORDERED. MAGISTRATE DATE EX PARTE CRPO MAGISTRATE DATE CRPO NOTICE TO DEFENDANT NO PERSON PROTECTED BY THIS ORDER CAN GIVE YOU LEGAL PERMISSION TO CHANGE OR VIOLATE THE TERMS OF THIS ORDER. IF YOU VIOLATE ANY TERMS OF THIS ORDER, EVEN WITH THE PROTECTED PERSON'S PERMISSION, YOU MAY BE ARRESTED. ONLY THE COURT CAN CHANGE THIS ORDER. YOU ACT AT YOUR OWN RISK IF YOU DISREGARD THIS WARNING. NOTES: By its own definitions [see R.C. 2903.213(A)], this statute does not apply to a complaint that involves a person who is a family or household member. In those cases where the Alleged Victim is a family or household member of the Defendant, use the Domestic Violence Temporary Protection Order ("DVTPO") form and under R.C. 2919.26, and/or Domestic Violence Civil Protection Order ("DVCPO") forms and 3113.31. [Page 5 of 5 Form 10.03-B] FORM 10.03-B: CRIMINAL PROTECTION ORDER (CRPO) Amended: April 15, 2021 Discard all previous versions of this form A HEARING on this Order shall be held before Judge/Magistrate ________________________ on / / at a.m. p.m., at the following location: Service acknowledged: DEFENDANT WAIVER OF HEARING I HAVE BEEN ADVISED OF MY RIGHT TO A HEARING ON THE MOTION FOR A CRIMINAL PROTECTION ORDER AND HEREBY KNOWINGLY AND VOLUNTARILY WAIVE THE HEARING ON THE MOTION AND AGREE TO BE BOUND BY THE TERMS OF THIS ORDER. DEFENDANT FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER Amended: April 15, 2021 Discard all previous versions of this form IN THE COURT OF COMMON PLEAS Petitioner Address (Safe mailing address) City, State, Zip Code Date of Birth: / / v. Respondent Address (If home address unknown, may be work address) City, State, Zip Code Date of Birth: / / IF YOU ARE ASKING YOUR ADDRESS TO BE KEPT CONFIDENTIAL, PLEASE PUT A MAILING ADDRESS WHERE YOU CAN SAFELY RECEIVE MAIL. IF YOU ARE A PARTICIPANT IN THE SECRETARY OF STATE'S ADDRESS CONFIDENTIALITY PROGRAM, PLEASE USE THE P.O. BOX ADDRESS GIVEN TO YOU. THIS FORM IS A PUBLIC RECORD. 1.
I need or a witness needs a foreign language interpreter in or an American Sign Language interpreter per Sup.R. 88. 2.
I want do not want an ex parte (emergency) protection order Petitioner further requests a full hearing trial be scheduled, even if the granted, denied, or not requested. 3. Who needs protection? Me My minor children A family or household member who is not a minor child Other 4. I have listed below all family or household members who need protection, other than me or the person for whom I am filing the Petition. (Leave blank if you are members.) [Page 2 of 5 Form 10.03-D] FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER Amended: April 15, 2021 Discard all previous versions of this form NAME DATE OF BIRTH / / / / / / / / / / 5. Petitioner requests a Civil Stalking Protection Order. You must describe two or more incidents closely related in time that made you believe that Respondent will cause you physical harm or cause (or has caused) you mental distress. When did they happen (if you do not know exact dates, give approximate dates)? If you need more space, attach an additional page. 6. Petitioner requests a Civil Sexually Oriented Offense Protection Order. You must describe what Respondent did to you or the persons named in this Petition as fully as possible. You do not need to prove a pattern of conduct. One act may be enough. If you need more space, attach an additional page. 7. Petitioner further requests the Court grant relief under R.C. 2903.214 for Petitioner and the family or persons named in this Petition by granting a Civil Stalking Protection Order or Civil Sexually Oriented Offense Protection Order that:
(a) Directs Respondent to not abuse attempting to harm, threatening, following, stalking, harassing, contacting, forcing sexual relations upon them, or by committing sexually oriented offenses against them.
(b) Directs Respondent to not enter the residence, school, business, place of employment, child care providers, or day care centers of Petitioner and persons named in this Petition, including the buildings, grounds, and parking lots at those locations.
(c) Directs Respondent not to interfere with Petitioner's right to occupy the residence including, but not limited to canceling any utilities or insurance or interrupting phone service, mail delivery, or the delivery of any other documents or items. [Page 3 of 5 Form 10.03-D] FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER Amended: April 15, 2021 Discard all previous versions of this form
(d) Directs Respondent not to remove, damage, hide, or dispose of any property, companion animals, or pets owned or possessed by Petitioner and persons named in this Petition .
(e) Grants Petitioner permission to take Petitioner's companion animals or pets, as described below, away from the possession of Respondent.
(f) Directs Respondent not to possess, use, carry, or obtain any deadly weapon, firearms, and ammunition.
(g) Directs Respondent to be electronically monitored, because Respondent's conduct, as explained below, puts the health, welfare, or safety of Petitioner and the persons named in this Petition at risk. Also, as explained below, Respondent continues to present a danger to Petitioner and the persons named in this Petition. additional page.
(h) Includes the following additional provisions: 8. Petitioner further requests that the Court not issue any mutual protection orders or other orders against Petitioner unless all of the conditions of R.C. 2903.214(E)(3) are met. 9. Petitioner further requests that if Petitioner has a victim advocate, the Court permit the victim advocate to accompany Petitioner at all stages of these proceedings as required by R.C. 2903.214(L). 10. Petitioner further requests that the Court grant such other relief designed to ensure the safety and protection of Petitioner and persons named in this Petition. 11. Petitioner has listed court cases (including divorce, custody, visitation, children service case; pending criminal case or conviction for felonious assault, aggravated assault, assault, aggravated menacing, menacing by stalking, menacing, aggravated trespass; animal cruelty; sexually oriented offenses; no contact order; stay away order, and other protection order) and other legal matters involving Respondent, that may relate to this case: CASE NAME CASE NUMBER COURT/COUNTY RESULT OF CASE I swear or affirm that the answers above are true, complete, and accurate to the best of my knowledge. I understand that making false statements in this document may result in a contempt of court finding against me which could result in a jail sentence and fine, and may also subject me to criminal penalties for perjury under R.C. 2921.11. SIGNATURE OF PETITIONER [Page 4 of 5 Form 10.03-D] FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER Amended: April 15, 2021 Discard all previous versions of this form IF YOU DO NOT HAVE A LAWYER, PLEASE LEAVE THE INFORMATION BELOW BLANK. Signature of Petitioner's Attorney Name of Attorney Attorney's Address City, State, Zip Code [Page 5 of 5 Form 10.03-D] FORM 10.03-D: PETITION FOR CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER Amended: April 15, 2021 Discard all previous versions of this form THE COURT OF COMMON PLEAS Petitioner v. Respondent REQUEST FOR SERVICE TO THE CLERK OF COURT: Pursuant to Civ.R. 65.1(C)(2), please serve Respondent a copy of the Petition, and any other accompanying documents to the address below and as follows: Personal service Other (specify) Other (address): Personal Service Other (specify) SPECIAL INSTRUCTIONS TO SHERIFF: RETURN OF SERVICE Respondent was served on Officer and Badge Number Date CLERK'S CERTIFICATE OF MAILING Service of Process was sent by Attest: FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE Amended: April 15, 2021 Discard all previous versions of this form IN THE COURT OF COMMON PLEAS Order of Protection Per R.C. 2903.214(F)(3), this Order is indexed at OHIO LAW ENFORCEMENT AGENCY WHERE INDEXED ( ) - PHONE NUMBER PETITIONER: First Middle Last v. RESPONDENT: First Middle Last Relationship to Petitioner: Address where Respondent can be found: WARNING TO LAW ENFORCEMENT: RESPONDENT HAS FIREARMS ACCESS – PROCEED WITH CAUTION Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this Order for enforcement. THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and Respondent will be provided with reasonable notice and opportunity to be heard within the time required by Ohio law. THE COURT HEREBY ORDERS: That the above named Respondent be restrained from committing acts of abuse or threats of abuse against Petitioner and other protected persons named in this Order. Additional terms of this Order are set forth below. The terms of this Order shall be effective until WARNING TO RESPONDENT: See the warning page attached to the front of this Order. [Page 2 of 5 Form 10.03-E] FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE Amended: April 15, 2021 Discard all previous versions of this form This proceeding came on for an ex parte hearing on being present), upon the filing of a Petition by Petitioner for a oriented offense protection order against Respondent, pursuant to R.C. 2903.214. In accordance with R.C. 2903.214(D)(1), the Court held an ex parte hearing not later than the next day that the Court was in session after the Petition was filed. The Court finds that the protected persons herein are in immediate and present danger and, for good cause shown, the following temporary orders are necessary to protect the persons named in this Order. The Court also finds _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________________________________ Additional findings on a separate page are included and attached herein. RESPONDENT SHALL NOT ABUSE, harm, attempt to harm, threaten, follow, stalk, harass, force sexual relations upon, or commit sexually oriented offenses against the protected persons named in this Order. [NCIC 01 and 02] ALL OF THE PROVISIONS CHECKED BELOW ALSO APPLY TO RESPONDENT 1. RESPONDENT SHALL NOT ENTER or interfere with the residence, school, business, place of employment, day care centers, or child care providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at those locations. Respondent may not violate this Order even with the permission of a protected person [Page 3 of 5 Form 10.03-E] FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE Amended: April 15, 2021 Discard all previous versions of this form 2. RESPONDENT SHALL NOT INTERFERE with protected persons' right to occupy the residence including, but not limited to canceling utilities or insurance or interrupting telecommunication (e.g., telephone, internet, or cable) services, mail delivery, or the delivery of any other documents or items. 3. RESPONDENT SHALL SURRENDER all keys and garage door openers to the following residence: within 24 hours of service of this Order to the law enforcement agency that serves Respondent with this Order or as follows: 4. RESPONDENT SHALL STAY AWAY FROM PETITIONER Order, and not be present within 500 feet or those protected persons may be found, or any place Respondent knows or should know the protected persons are likely to be, even with a protected person's permission in contact with protected persons in any public or private place, Respondent must depart Order includes encounters on public and private roads, highways, and thoroughfares. [NCIC 04] 5. RESPONDENT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY, COMPANION ANIMALS, OR PETS owned or possessed by the protected persons named in this Order. 6. PETITIONER IS AUTHORIZED TO REMOVE THE FOLLOWING COMPANION ANIMALS OR PETS owned by Petitioner, from the possession of Respondent: Exchange of the listed companion animals or pets shall take place as follows: 7. RESPONDENT SHALL NOT INITIATE OR HAVE ANY CONTACT this Order or their residences, businesses, places of employment, schools, day care centers, or child care providers. Contact includes, but is not limited to, landline, cordless, cellular or digital telephone; text; instant messaging; fax; e-mail; voicemail; delivery service; social media; blogging; writings; electronic communications; posting a message; or communications by any other means directly or through another person. Respondent may not violate this Order even with the permission of 8. RESPONDENT SHALL NOT use any form of electronic surveillance on protected persons. 9. RESPONDENT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON Order. 10. RESPONDENT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON while the Order remains in effect for the safety and protection of the protected persons named in this Order. Furthermore, Respondent may be subject to firearms and ammunition restrictions pursuant to 18 U.S.C. 922(g)(1) through (9), 18 U.S.C. 922(n), or R.C. 2923.13. [NCIC 07] RESPONDENT IS EXCEPTED only for official use pursuant to 18 U.S.C. 925(a)(1), if no other firearms and ammunition prohibitions apply. 11. RESPONDENT SHALL TURN OVER ALL DEADLY WEAPONS to the law enforcement agency that serves Respondent with this Order no later than as follows: [Page 4 of 5 Form 10.03-E] FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE Amended: April 15, 2021 Discard all previous versions of this form Any law enforcement agency is authorized to accept possession of deadly weapons pursuant to this paragraph and hold them in protective custody for the duration of this Order. [NCIC 07] Law enforcement shall immediately notify the Court upon receiving Respondent's deadly weapons for protective custody as set forth in this Order. Upon the expiration or termination of this Order and if a full hearing order is not granted, Respondent may reclaim any deadly weapons held in protective custody by law enforcement pursuant to this Order unless Respondent is otherwise disqualified as verified by a check of the NCIC protection order file. 12. RESPONDENT'S CONCEALED CARRY WEAPON LICENSE 13. IT IS FURTHER ORDERED: [NCIC 08] 14. ALL DISCOVERY SHALL STRICTLY COMPLY 15. THE CLERK OF COURT SHALL CAUSE A COPY OF THE PETITION, THIS ORDER, AND ANY OTHER ACCOMPANYING DOCUMENTS to be served on Respondent as set forth in Civ.R. 65.1(C)(2). The Clerk of Court shall also provide copies of the Petition and certified copies of this Order to Petitioner upon request. 16. THIS ORDER DOES NOT EXPIRE because of a failure to serve notice of the full hearing upon Respondent before the date set for the full hearing or because the Court grants a continuance, as set forth in R.C. 2903.214(D)(2)(b). 17. IT IS FURTHER ORDERED NO COSTS OR FEES SHALL BE ASSESSED AGAINST PETITIONER filing, issuing, registering, modifying, enforcing, dismissing, withdrawing, serving, subpoenaing witnesses for, or obtaining a certified copy of this Order. This Order is granted without bond. IT IS SO ORDERED. JUDGE / MAGISTRATE NOTICE TO RESPONDENT NO PERSON PROTECTED BY THIS ORDER CAN GIVE YOU LEGAL PERMISSION TO CHANGE OR VIOLATE THE TERMS OF THIS ORDER. IF YOU VIOLATE ANY TERMS OF THIS ORDER EVEN WITH THE PROTECTED PERSON'S PERMISSION, YOU MAY BE HELD IN CONTEMPT OR ARRESTED. ONLY THE COURT CAN CHANGE THIS ORDER. YOU ACT AT YOUR OWN RISK IF YOU DISREGARD THIS WARNING. [Page 5 of 5 Form 10.03-E] FORM 10.03-E: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER EX PARTE Amended: April 15, 2021 Discard all previous versions of this form A FULL HEARING on this Order, and on all other issues raised by the Petition, shall be held before Judge or Magistrate on the day of , 20 at a.m. p.m. at the following location: On the day of the Full Hearing, come prepared to
(1) tell the Court what happened, (2) bring with you any witnesses, evidence, and documentation to prove your case, and (3) be aware that the other party or party's attorney may ask you questions. If you do not have an attorney, you may ask for a brief continuance to obtain an attorney per R.C. 2903.214(D)(2)(a)(iii) or you may represent yourself. Parties do not have to give discovery, answer questions, or give information to the other party or the other party's lawyer unless ordered by judge or magistrate (Civ.R. 65.1(D)(2)). FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form IN THE COURT OF COMMON PLEAS Order of Protection Per R.C. 2903.214(F)(3), this Order is indexed at OHIO LAW ENFORCEMENT AGENCY WHERE INDEXED ( ) - PHONE NUMBER PETITIONER: First Middle Last v. RESPONDENT: First Middle Last Relationship to Petitioner: Address where Respondent can be found: WARNING TO LAW ENFORCEMENT: RESPONDENT HAS FIREARMS ACCESS – PROCEED WITH CAUTION Violence Against Women Act, 18 U.S.C. 2265, Federal Full Faith & Credit Declaration: Registration of this Order required for enforcement. THE COURT HEREBY FINDS: That it has jurisdiction over the parties and subject matter, and Respondent was provided with reasonable notice and opportunity to be heard within the time required by Ohio law. below. THE COURT HEREBY ORDERS: That the above named Respondent be restrained from committing acts of abuse or threats of abuse against Petitioner and other protected persons named in this Order. Additional terms of this Order are set forth below. The terms of this Order shall be effective until WARNING TO RESPONDENT: See the warning page attached to the front of this Order. [Page 2 of 6 Form 10.03-F] FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form This proceeding came on for a hearing on / / Protection Order Ex Parte or Civil Sexually Oriented Offense Protection Order Ex Parte issued on / / , all in accordance with R.C. 2903.214. The following individuals were present: The Court hereby makes the following findings of fact: Additional findings on a separate page are included and attached herein. The Court finds by a preponderance of the evidence that 1) Respondent has knowingly engaged in a pattern of conduct that caused Petitioner to believe that Respondent will cause physical harm or cause or has caused mental distress; and 2) the following orders are equitable, fair, and necessary to protect the persons named in this Order from stalking offenses. The Court finds by a preponderance of the evidence that 1) Petitioner or Petitioner's family or household members have been a victim of a sexually oriented offense as defined in R.C. 2950.01, committed by Respondent; and 2) the following orders are equitable, fair, and necessary to protect the persons named in this Order from sexually oriented offenses. The Court finds by clear and convincing evidence that 1) Petitioner or Petitioner's family or household members reasonably believed Respondent's conduct before the filing of the Petition endangered the health, welfare, or safety of Petitioner or Petitioner's family or household members; 2) Respondent presents a continuing danger to Petitioner or Petitioner's family or household members; and 3) the following orders are equitable, fair, and necessary to protect the persons named in this Order from experiencing a continuing danger. RESPONDENT SHALL NOT ABUSE, harm, attempt to harm, threaten, follow, stalk, harass, force sexual relations upon, or commit sexually oriented offenses against the protected persons named in this Order. [NCIC 01 and 02] [Page 3 of 6 Form 10.03-F] FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form ALL OF THE PROVISIONS CHECKED BELOW ALSO APPLY TO RESPONDENT 1. RESPONDENT SHALL NOT ENTER the residence, school, business, place of employment, day care centers, or child care providers of the protected persons named in this Order, including the buildings, grounds, and parking lots at those locations. Respondent may not violate this Order permission of a protected person . [NCIC 04] 2. RESPONDENT SHALL NOT INTERFERE including, but not limited to canceling utilities or insurance or interrupting telecommunication (e.g., telephone internet, or cable) services, mail delivery, or the delivery of any other documents or items. [NCIC 03] 3. RESPONDENT SHALL SURRENDER all keys and garage door openers to the following residence: within 24 hours of service of this Order to the law enforcement agency that serves Respondent with this Order or as follows: 4. RESPONDENT SHALL STAY AWAY FROM PETITIONER this Order, and not be present within 500 feet or persons wherever those protected persons may be found, or any place Respondent knows or should know the protected persons are likely to be, Respondent accidentally comes in contact with protected persons in any public or private place, Respondent must depart immediately . This Order includes encounters on public and private roads, highways, and thoroughfares. [NCIC 04] 5. RESPONDENT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY, COMPANION ANIMALS, OR PETS owned or possessed by the protected persons named in this Order. 6. PETITIONER IS AUTHORIZED TO REMOVE THE FOLLOWING COMPANION ANIMALS OR PETS owned by Petitioner from the possession of Respondent: Exchange of the listed companion animals or pets shall take place as follows: 7. RESPONDENT SHALL NOT INITIATE OR HAVE ANY CONTACT in this Order or their residences, businesses, places of employment, schools, day care centers, or child care providers. Contact includes, but is not limited to, landline, cordless, cellular or digital telephone; text; instant messaging; fax; e-mail; voicemail; delivery service; social media; blogging; writings; electronic communications; posting a message; or communications by any other means directly or through another person. Respondent may not violate this Order even with the permission of 8. RESPONDENT SHALL NOT use any form of electronic surveillance on protected persons. 9. RESPONDENT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON this Order. 10. RESPONDENT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON time while this Order remains in effect for the safety and protection of the protected persons named in this Order. Furthermore, Respondent may be subject to firearms and ammunition restrictions pursuant to 18 U.S.C. 922(g)(1) through (9), 18 U.S.C. 922(n), or R.C. 2923.13. [NCIC 07] [Page 4 of 6 Form 10.03-F] FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form RESPONDENT IS EXCEPTED only for official use pursuant to 18 U.S.C. 925(a)(1), if no other firearms and ammunition prohibitions apply. 11. RESPONDENT SHALL TURN OVER ALL DEADLY WEAPONS OWNED Respondent's possession to the law enforcement agency that serves Respondent with this Order no later than or as follows: Any law enforcement agency is authorized to accept possession of deadly weapons pursuant to this paragraph and hold them in protective custody for the duration of this Order. [NCIC 07] Law enforcement shall immediately notify the Court upon receiving Respondent's deadly weapons into protective custody as set forth in this Order. Upon the expiration or termination of this Order, Respondent may reclaim any deadly weapons held in protective custody by law enforcement pursuant to this Order unless Respondent is otherwise disqualified as verified by a check of the NCIC protection order file. 12. RESPONDENT'S CONCEALED CARRY WEAPON LICENSE 13. IT IS FURTHER ORDERED: [NCIC 08] 14. RESPONDENT SHALL COMPLETE the following counseling program: Respondent shall contact this program within immediately arrange for an initial appointment. the Court a written notice when Respondent attends the initial appointment, if Respondent fails to attend or is discharged, and when Respondent completes the program. Respondent is required to sign all necessary waivers to allow the Court to receive information from the counseling program. Respondent is ordered to appear before Judge or Magistrate on / / Respondent's compliance with this counseling order. Respondent is warned: If you fail to attend the counseling program you may be held in contempt of court. If you fail to appear at this hearing, the Court may issue a warrant for your arrest. 15. RESPONDENT SHALL NOT USE OR POSSESS 16. RESPONDENT SHALL BE SUBJECT TO ELECTRONIC MONITORING. to report to for placement of a global positioning system for the purpose of electronic monitoring for the duration of this Order or until / imposes the following terms and conditions: [Page 5 of 6 Form 10.03-F] FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form 17. The Clerk of Court shall cause a copy of this Order to be served on Respondent as set forth in Civ.R. 5(B) and 65.1(C)(3). The Clerk of Court shall also provide certified copies of this Order to Petitioner upon request. 18. IF THE FULL HEARING PROCEEDING WAS REFERRED TO A MAGISTRATE, reviewed the magistrate's granting of this Order and finds no error of law or other defect evident on the face of the Order. Accordingly, the Court adopts the magistrate's granting of this Order. 19. IT IS FURTHER ORDERED NO COSTS OR FEES SHALL BE ASSESSED AGAINST PETITIONER for filing, issuing, registering, modifying, enforcing, dismissing, withdrawing, serving, or subpoenaing witnesses or obtaining a certified copy of this Order. This Order is granted without bond. 20. THE COSTS OF THIS ACTION ARE assessed against Respondent IT IS SO ORDERED. MAGISTRATE NOTICE TO RESPONDENT NO PERSON PROTECTED BY THIS ORDER CAN GIVE YOU LEGAL PERMISSION TO CHANGE OR VIOLATE THE TERMS OF THIS ORDER. IF YOU VIOLATE THE TERMS OF THIS ORDER, EVEN WITH THE PROTECTED PERSON'S PERMISSION, YOU MAY BE HELD IN CONTEMPT OR ARRESTED. ONLY THE COURT CAN CHANGE THIS ORDER. YOU ACT AT YOUR OWN RISK IF YOU DISREGARD THIS WARNING. NOTICE OF FINAL APPEALABLE ORDER Copies of the foregoing Order, which is a final appealable order, were served on or delivered to the parties indicated pursuant to Civ.R. 5(B) and 65.1(C)(3), including ordinary mail on / / By: CLERK OF COURT I, hearing on the Petition for Civil Stalking Protection Order or Civil Sexually Oriented Offense Protection Order, and acknowledge each of the following: 1.
I waive the right to have a full hearing on this Protection Order. 2.
I waive the right to cross-examine witnesses and review evidence submitted in support of this Protection Order. 3.
I waive the right to present witnesses and evidence on my own behalf. [Page 6 of 6 Form 10.03-F] FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING Amended: April 15, 2021 Discard all previous versions of this form 4.
I waive the right to file objections and recognize this may limit my right to appeal the issuance of this Protection Order.
I understand that based on the waivers listed above, a Protection Order will be entered against me. RESPONDENT FORM 10.03-G: INFORMATION ABOUT A CIVIL STALKING PROTECTION ORDER (CSPO) AND A CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER (CSOOPO) Amended: April 15, 2021 Discard all previous versions of this form FORM 10.03-G: INFORMATION ABOUT FILING A CIVIL STALKING PROTECTION ORDER AND A CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER • If you have any questions about completing the Petition for a Civil Stalking Protection Order (CSPO) or a Civil Sexually Oriented Offense Protection Order (Form 10.03-D), contact the local victim assistance program, domestic violence program, or Ohio Domestic Violence Network at 800-934-9840. • Neither the Clerk of Court's Office nor the local domestic violence program can give legal advice. If you need legal advice, talk to a lawyer. Only a lawyer can give you legal advice. • There is NO FEE for filing the Petition. • Once completed, take the Petition and other necessary documents to the Clerk of Court's Office. • If you want an emergency order, also known as an Ex Parte Protection Order, check "want" in paragraph 2 of the Petition. • The Court will consider your request for an Ex Parte Protection Order and may ask you questions. • Regardless if an Ex Parte Protection Order was requested, granted, or denied, a full hearing will be scheduled. • You must attend the full hearing. Your victim advocate may also be present at the hearing. • On the day of the full hearing, be prepared to (1) tell the Court what happened, (2) bring with you any witnesses, evidence, and documentation to prove your case, and (3) ask Respondent questions. • Respondent may be represented by a lawyer. You may ask for a continuance to obtain a lawyer per R.C. 2903.214(D)(2)(iii). • Respondent or Respondent's lawyer may present evidence and ask you questions. • The Court cannot issue a protection order against you unless Respondent has filed a Petition. DEFINITIONS Menacing by Stalking [R.C. 2903.211(A)(1) through (3)] No person by engaging in a pattern of conduct shall knowingly cause another person to believe that the offender will cause physical harm to the other person or cause mental distress to the other person. No person, through the use of any form of written communication or any electronic method of remotely transferring information, including, but not limited to, any computer, computer network, computer program, or computer system, or telecommunication device, shall post a message or use any intentionally written or verbal graphic gesture with purpose to (a) violate [this law] another to commit a violation of [this law]. No person, with a sexual motivation, shall violate [this law]. Pattern of Conduct [R.C. 2903.211(D)(1)] Pattern of conduct means two or more actions or incidents closely related in time. Mental Distress [R.C. 2903.211(D)(2)] Mental distress means: (a) any mental illness or condition that involves some temporary substantial incapacity normally require psychiatric treatment, psychological treatment, or other mental health services, regardless if psychiatric treatment, psychological treatment, or other mental health services was requested or received. Sexually Oriented Offense [R.C. 2950.01.] Sexually oriented offenses are defined at R.C. 2950.01.