Form 4-963 NMRA
Form 4-963. Temporary order of protection and order to appear.
[Family Violence Protection Act, NMSA 1978, Sections 40-13-1 to 40-13-8.]
STATE OF NEW MEXICO
COUNTY OF __________________
__________________ JUDICIAL DISTRICT
______________________________, Petitioner
v.
No. ____________
______________________________, Respondent
TEMPORARY ORDER OF PROTECTION
AND ORDER TO APPEAR
The court has reviewed the sworn petition alleging domestic abuse. The court
having considered the petition, FINDS that the court has jurisdiction and that there is
probable cause to believe that an act of domestic abuse has occurred. The court
ORDERS:
[ ]
1.
The respondent shall not write to, talk to, visit, or contact the petitioner in any way
except through the petitioner’s lawyer, if the petitioner has a lawyer.
[ ]
2.
The respondent shall not abuse the petitioner or the petitioner’s household members
in any way. “Abuse” means any incident by the respondent against the petitioner or
the petitioner’s household member resulting in (1) physical harm; (2) severe
emotional distress; (3) bodily injury or assault; (4) a threat causing imminent fear of
bodily injury; (5) criminal trespass; (6) criminal damage to property; (7) repeatedly
driving by a residence or work place; (8) telephone harassment; (9) stalking; (10)
harassment; (11) harm or threatened harm to children in any manner set forth above.
[ ]
3.
The respondent shall not ask or cause other persons to abuse the petitioner or the
petitioner’s household members.
[ ]
4.
The respondent shall not go within __________ yards of the petitioner’s home or
school or work place. The respondent shall not go within __________ yards of the
petitioner at all times except ________________________________________. If at
a public place, such as a store, the respondent shall not go within __________ yards
of the petitioner.
[ ]
5.
The respondent shall not post or cause another to post anything about the petitioner
on any form of social media, including, but not limited to, Facebook, Twitter,
Instagram, or Snapchat. This prohibition includes posts about the petitioner’s family
members, significant other, and children.
[ ]
6.
______________________________ (first and last name of party) shall have
temporary physical custody of the following child(ren):
Child’s Name
Date of Birth
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
[ ]
7.
With respect to the child(ren) named in the preceding paragraph,
____________________________ (first and last name of party) shall have:
[ ]
A.
No contact with the child(ren) until further order of this court and shall
stay __________ yards away from the child(ren)’s school.
[ ]
B.
Contact with the child(ren), subject to: __________________________
___________________________________________________________________.
8.
Neither party shall remove the child(ren) named in Paragraph 6 from the state of New
Mexico or disenroll the child(ren) from the child(ren)’s present school during the
period of this temporary order of protection.
[ ]
9.
The court may decide temporary child and interim support at the hearing listed below.
Both parties shall bring to the hearing proof of income in the form of the two latest pay
stubs or the federal tax returns from the previous year, proof of work-related day-care
costs, and proof of medical insurance costs for the child(ren).
[ ]
10.
[ ]
[ ]
A.
The respondent is ordered to immediately leave the residence at
______________________________ and to not return until further
court order.
[ ]
B.
Law enforcement officers are hereby ordered to evict the respondent
from the residence at ______________________________________.
[ ]
C.
The respondent is ordered to surrender all keys to the residence to law
enforcement officers.
D.
The respondent shall surrender access to all home security and video
monitoring systems for the address listed above. The petitioner is
permitted to restrict access to all home security and video monitoring
systems for the home in which they reside.
[ ]
11.
Law enforcement officers or ___________________________________ shall
accompany [ ] the respondent [ ] the petitioner to remove essential tools (as specified
in No. 14), clothing, and personal belongings from the residence at
____________________________.
[ ]
12.
Neither party shall transfer, hide, add debt to, sell, or otherwise dispose of the other’s
property or the joint property of the parties except in the usual course of business or
for the necessities of life. The parties shall account to the court for all changes to
property made after the order is served or communicated to the party. Neither party
shall disconnect or restrict access to the utilities of the other party’s residence,
internet, phone, or cell phone.
[ ]
13.
This order supersedes any inconsistent prior order in Cause No.
__________________ and any other prior domestic relations order and domestic
violence restraining orders between these two parties.
[ ]
14.
Other: ______________________________________________________________
[ ]
15.
While this order of protection is in effect, the petitioner should refrain from any act that
would cause the respondent to violate this order. This provision is not intended to and
does not create a mutual order of protection. Under NMSA 1978, Section 40-13-6(D),
only the restrained party can be arrested for violation of this order.
HEARING
IT IS FURTHER ORDERED that the parties shall appear in the ______________
Judicial District Court, Room ________, at ____________________, before ________,
at ____________ (a.m.) (p.m.) on __________________ (date) for hearing on whether
an extended order of protection against domestic abuse will be issued. Either party may
bring witnesses or evidence and may be represented by counsel at this hearing. The
respondent may file a Response to the Petition for Order of Protection from Domestic
Abuse, see Form 4-962 NMRA, on or before the hearing. If the respondent fails to
attend this hearing, an extended order may be entered by default against the
respondent and a bench warrant may be issued for the respondent’s arrest. If the
petitioner willfully fails to appear at this hearing, the petition may be dismissed. This
order remains in force until ________________________,
__________________________.
If an order of protection is entered, the restrained party is prohibited from
receiving, transporting, or possessing a firearm or destructive device while the
order of protection is in place. If at the hearing the court finds that the restrained party
presents a credible threat to the physical safety of the protected party, the court shall
order the restrained party (a) to immediately deliver any firearm in the restrained party’s
possession, care, custody, or control to a law enforcement agency, law enforcement
officer, or federal firearms licensee while the order of protection is in effect, and (b) to
refrain from purchasing, receiving, or possessing, or attempting to purchase, receive, or
possess any firearm while the order of protection is in effect.
DO NOT BRING ANY CHILDREN TO THE HEARING WITHOUT PRIOR
PERMISSION OF THE COURT.
ENFORCEMENT OF ORDER
If the restrained party violates any part of this order, the restrained party may be
charged with a crime, arrested, held in contempt of court, fined, or jailed.
SERVICE AND NOTICE TO LAW ENFORCEMENT AGENCIES
Upon the signing of this order by a district court judge, a law enforcement officer
shall serve on the respondent a copy of this order and a copy of the petition.
A LAW ENFORCEMENT OFFICER SHALL USE ANY LAWFUL MEANS TO
ENFORCE THIS ORDER.
[ ]
I have reviewed the petition for order of protection and made recommendations
to the district judge regarding its disposition.
______________________________
(Signed)
___________________________
Court telephone number
______________________________
(Title)
SO ORDERED:
________________________________
District Judge
___________________________
Date and time approved