
[Page 2 of Form 10.03-F]
Case No.__________________________
This proceeding came on for a hearing on
before the Court and the Civil Stalking
Protection Order Ex Parte or Civil Sexually Oriented Offense Protection Order Ex Parte filed on
all in accordance with R.C. 2903.214. The following individuals were present:
The Court hereby makes the following findings of fact:
The Court finds by a preponderance of the evidence that 1) the Respondent has knowingly engaged in a pattern of
conduct that caused Petitioner to believe that the 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) the Petitioner or Petitioner’s family or household
member(s) are in danger of or 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) the Petitioner or Petitioner’s family or household member
reasonably believed the Respondent’s conduct before the filing of the Petition endangered the health, welfare, or
safety of the Petitioner or Petitioner’s family or household member(s); 2) the Respondent presents a continuing
danger to the Petitioner or Petitioner’s family or household member(s); and 3) the following orders are equitable, fair,
and necessary to protect the person(s) named in this Order.
ALL OF THE PROVISIONS CHECKED BELOW APPLY TO THE RESPONDENT
1. RESPONDENT SHALL NOT ABUSE the protected persons named in this Order by harming, attempting to harm,
threatening, following, stalking, harassing, forcing sexual relations upon them, or by committing sexually oriented
offenses against them. [NCIC 01 and 02]
2. 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 even with the permission of a protected person.
[NCIC 03]
3. RESPONDENT SHALL NOT INTERFERE with protected persons' right to occupy the residence including, but not
limited to canceling utilities, insurance, interrupting telephone service, mail delivery, or the delivery of any other
documents or items.
4. RESPONDENT 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 Respondent
with this Order or as follows:
5. RESPONDENT SHALL STAY AWAY from protected persons named in this Order, and shall not be present
within 500 feet or (distance) of any protected persons, wherever those protected persons may be
FORM 10.03-F: CIVIL STALKING PROTECTION ORDER OR CIVIL SEXUALLY ORIENTED OFFENSE PROTECTION ORDER FULL HEARING
Amended: July 1, 2010
found, or any place the Respondent knows or should know the protected persons are likely to be, even with
protected persons' permission. If 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]
Discard all previous versions of this form