IN THE FAMILY COURT OF THE FIRST CIRCUIT STATE OF HAWAI`I ) ) ) ) ) ) ) ) ) ) ) ) ) ) FC-DA No. TEMPORARY RESTRAINING ORDER
on behalf of
Hearing Date: Judge:
This Order expires on:
~ Caution: Weapon Involved
TEMPORARY RESTRAINING ORDER A. After reviewing the Petition for an Order for Protection on Behalf of a Family or Household Member, the
Court finds probable cause to believe that: 1. A past act or acts of abuse have occurred, or that threats of abuse make it probable that acts of abuse may be imminent. 2. This Temporary Restraining Order is necessary to prevent acts of abuse or a recurrence of abuse and to ensure a period of separation of the persons involved. 3. 4. Name: Address: Year of Birth: Telephone No.: Subject(s) and Respondent are family or household members. Respondent's identifying information is as follows:
Respondent may own, possess, have access to, or intends to obtain a firearm, which may be used to threaten, injure or abuse a person. Reset Form
Revised 10/07 FC
THEREFORE, THE COURT MAKES THESE ORDERS:
Respondent: These orders apply right now to you and anyone acting for you. Read carefully. 1. 2. You must go to court on (date) at ~ 7:45 a.m.
~ 1:00 p.m.
Do not threaten, physically abuse or psychologically abuse the Subject(s) or anyone living with the Subject(s).
Do not contact, write, telephone or otherwise electronically contact (recorded message, pager, email, text message, instant message, etc.) the Subject or anyone living with the Subject(s).
Do not approach or come within 100 feet of the Subject(s). Do not visit or approach within 100 yards of any place where the Subject(s) lives or works or goes to school. Do not violate this order even if the Subject(s) invites you to be at the place where the Subject(s) lives or works or goes to school.
Do not damage or otherwise disturb the property of the Subject(s) or the property of anyone living with the Subject(s). . Immediately leave the residence located at
and do not go back until this Order is changed. If you need personal items from the residence before the court hearing, such as clothing, you may contact the Police Department within 24 hours of the service of this Order. The Police Department is authorized to escort you to the residence to remove personal items one time, but only after the Subject(s)/Petitioner(s) is/are contacted. You may be at the residence only while a police officer is present. . Do not have contact with these people who live with the Subject(s), including at their work place or school:
. FIREARMS RESTRICTIONS. Pursuant to section 134-7(f) of the Hawai`i Revised Statutes, you, Respondent, and/or anyone acting on your behalf, are prohibited from possessing, controlling, or transferring ownership of any firearm, ammunition, or firearm permit or license for the duration of this Order or extension thereof. All firearms permits or licenses are hereby revoked. You, Respondent, shall immediately turn over all firearms, ammunition, permits and/or licenses to a police officer or to the Honolulu Police Department (Firearms Unit, Main Station, 801 South Beretania Street, First Floor), for the duration of this Order or extension thereof. C. IT IS FURTHER ORDERED THAT: 1. A law enforcement officer shall personally serve this Order and related documents on the Respondent and shall accompany the Petitioner and/or Subject(s) and assist the Petitioner and/or Subject(s) in securing possession of any dwelling or residence that the Respondent is ordered to vacate. 2. 3. Filing fees are waived. If there are firearms restrictions, a copy of this Order shall be forwarded to Respondent's chief, commanding officer or administrator (name/address):
At the court hearing on the date noted on page 2 of this Order, the Respondent must tell the Court why this Order should be cancelled. The Petitioner and the Respondent must be ready for the hearing and both can testify, present evidence, and question witnesses. The Petitioner and the Respondent can bring their own attorneys. ANY VIOLATION OF THIS TEMPORARY RESTRAINING ORDER IS A MISDEMEANOR AND PUNISHABLE BY A JAIL SENTENCE OF UP TO ONE YEAR AND/OR UP TO A $1,000 FINE. DATED: Honolulu, Hawai`i,_____________________________________.
Judge of the Above-Entitled Court