Form 4-963A NMRA
Form 4-963A. Temporary order of protection against petitioner 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 AGAINST PETITIONER
AND ORDER TO APPEAR
The court has reviewed the sworn counter-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 petitioner shall not write to, talk to, visit, or contact the respondent in
any way except through the respondent’s lawyer, if the respondent has a lawyer.
[ ]
2.
The petitioner shall not abuse the respondent or the respondent’s
household members in any way. “Abuse” means any incident by the petitioner against
the respondent or the respondent’s household members 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 petitioner shall not ask or cause other persons to abuse the
respondent or the respondent’s household members.
[ ]
4.
The petitioner shall not go within __________ yards of the respondent’s
home or school or work place. The petitioner shall not go within __________ yards of
the respondent at all times except ________________________________. If at a public
place, such as a store, the petitioner shall not go within __________ yards of the
respondent.
[ ]
5.
The petitioner shall not post or cause another to post anything about the
respondent on any form of social media, including, but not limited to, Facebook, Twitter,
Instagram, or Snapchat. This prohibition includes posts about the respondent’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 5 from the
state of New Mexico or disenroll them 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 daycare costs, and proof of medical insurance costs for the child(ren).
[ ]
10.
[ ] A.
The petitioner 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 petitioner from
the residence at _______________________.
[ ] C.
The petitioner is ordered to surrender all keys to the residence to law
enforcement officers.
[ ] D.
The petitioner shall surrender access to all home security and video
monitoring systems for the address listed above. The respondent 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 respondent should refrain
from any act that would cause the petitioner 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
petitioner 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 petitioner fails to attend
this hearing, an extended order may be entered by default against the petitioner and a
bench warrant may be issued for the petitioner’s arrest. If the respondent willfully fails to
appear at this hearing, the counter-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 petitioner a copy of this order and a copy of the counter-petition.
A LAW ENFORCEMENT OFFICER SHALL USE ANY LAWFUL MEANS TO
ENFORCE THIS ORDER.
[ ]
I have reviewed the counter-petition for an 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