Form 10 01 H – Fill Out and Use This PDF

The Form 10.01-H, essentially, is a legal document recognized by courts in Ohio to provide immediate protection to individuals facing domestic violence. It encompasses orders that bar the respondent from committing any further acts of abuse or threats against the petitioner and their family or household members. Specifically designed to offer prompt relief, the form is instrumental in safeguarding the well-being and security of those at immediate risk. To understand more about the process and ensure the form is filled out comprehensively, click the button below.

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Form 10 01 H PDF Details

Navigating the complexities of domestic violence cases requires a variety of tools designed to protect individuals from harm. One such tool is the Form 10.01-H: Domestic Violence Civil Protection Order (CPO) Ex Parte. This legal instrument is a crucial shield for victims, offering a range of protective provisions against the respondent, typically an abuser. Crafted within the framework of Ohio law, specifically under R.C. 3113.31, this form embodies the judicial system's commitment to safeguard the petitioner and, when pertinent, their family or household members. From mandates that prohibit abuse, threats, or harassment, to directives regarding residence vacating, no-contact orders, and the regulation of use and possession of firearms by the respondent, the CPO delineates clear legal boundaries designed to ensure the safety of those at risk of domestic violence. Moreover, it encompasses provisions related to child custody and visitation rights, illustrating the court's holistic approach in considering the well-being of all potentially affected persons. The ex parte nature of this order means that it can be enacted without the respondent’s immediate presence, a critical feature when swift action is needed to prevent imminent danger. However, it also ensures that the respondent is given notice and an opportunity to be heard, balancing protective needs with due process rights. The comprehensive details and the explicit warnings against violations highlight the form’s significance in the judiciary's arsenal against domestic violence, encapsulating the stringent measures adopted by Ohio courts to combat such abuses.

Question	Answer
Form Name	Form 10 01 H
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	10.01H child domestic abuse document form

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FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

IN THE COURT OF COMMON PLEAS

COUNTY, OHIO

Order of Protection	Case No.
Per R.C. 3113.31(F)(3), this Order is indexed at
	Judge/Magistrate

State

LAW ENFORCEMENT AGENCY WHERE INDEXED

OHIO

(	)	-		DOMESTIC VIOLENCE CIVIL PROTECTION ORDER
		PHONE NUMBER		(CPO) EX PARTE (R.C. 3113.31)

		PETITIONER:		PERSON(S) PROTECTED BY THIS ORDER:
				Petitioner:	DOB:
				Petitioner’s Family or Household Members:
				( Additional forms attached.)
					DOB:
	First	Middle	Last		DOB:
					DOB:
		v.			DOB:

RESPONDENT:

First

Middle

Last

Relationship to Petitioner:

Address where Respondent can be found:

	RESPONDENT IDENTIFIERS
SEX	RACE		HT	WT

EYES	HAIR		DATE OF BIRTH
			/	/
DRIVER’S LIC. NO.		EXP. DATE		STATE

Distinguishing features:

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 is not required for enforcement.)

THE COURT HEREBY FINDS:

That it has jurisdiction over the parties and subject matter, and the Respondent will be provided with reasonable notice and opportunity to be heard within the time required by Ohio law. Additional findings of this Order are set forth below.

THE COURT HEREBY ORDERS:

That the above named Respondent be restrained from committing acts of abuse or threats of abuse against the 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

(DATE CERTAIN)

WARNING TO RESPONDENT: See the warning page attached to the front of this Order.

FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

Amended: March 1, 2014

Discard all previous versions of this form

[Page 2 of 5 Form 10.01-H]

			Case No.___________________________
This proceeding came on for an ex parte hearing on	/	/		(Respondent not

being present), upon the filing of a Petition by Petitioner for a domestic violence civil protection order (CPO) against the Respondent, pursuant to R.C. 3113.31. In accordance with R.C. 3113.31(D)(1), the Court held an ex parte hearing on the same day that the Petition was filed.

The Court finds that the protected persons herein are in immediate and present danger of domestic violence and for good cause shown, the following temporary orders are necessary to protect the persons named in this Order from domestic violence.

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 THE RESPONDENT

1. RESPONDENT SHALL IMMEDIATELY VACATE the following residence:

2. EXCLUSIVE POSSESSION OF THE RESIDENCE located at:

is granted to:. Respondent shall not

interfere with this individual’s right to occupy the residence including, but not limited to canceling utilities or Insurance or interrupting telephone service, 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 above 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:

4. 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. [NCIC 04]

5. RESPONDENT SHALL STAY AWAY FROM PETITIONER and all other protected persons named in this

Order, and not be present within 500 feet or (distance) of any protected persons wherever those protected persons may be found, or any place the Respondent knows or should know the protected persons are likely to be, even with Petitioner’s 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]

6. RESPONDENT SHALL NOT INITIATE OR HAVE ANY CONTACT with the protected persons named in this Order or their residences, businesses, places of employment, schools, day care centers, or child care

FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

Amended: March 1, 2014

Discard all previous versions of this form

, to the law enforcement agency

[Page 3 of 5 Form 10.01-H]

Case No.___________________________

providers. Contact includes, but is not limited to, landline, cordless, cellular or digital telephone; text; instant messaging; fax; e-mail; voice mail; delivery service; social networking media; blogging; writings; electronic communications, or communications by any other means directly or through another person. Respondent may not violate this Order even with the permission of a protected person. [NCIC 05]

7. RESPONDENT SHALL IMMEDIATELY SURRENDER POSSESSION OF ALL KEYS TO THE FOLLOWING MOTOR VEHICLE,

that served Respondent with the Order or as follows:

and Petitioner is granted exclusive use of this motor vehicle.

8. RESPONDENT SHALL NOT REMOVE, DAMAGE, HIDE, OR DISPOSE OF ANY PROPERTY OR PETS owned or possessed by the protected persons named in this Order. Personal property shall be apportioned as follows:

9. RESPONDENT SHALL NOT CAUSE OR ENCOURAGE ANY PERSON to do any act prohibited by this

Order.

10.RESPONDENT SHALL NOT POSSESS, USE, CARRY, OR OBTAIN ANY DEADLY WEAPON at any time while the Order remains in effect unless Respondent is excepted for official use pursuant to 18 U.S.C. 925(a)(1). [NCIC 07]

RESPONDENT SHALL TURN OVER ALL DEADLY WEAPONS AND CONCEALED CARRY WEAPON

LICENSE in Respondent’s possession to the law enforcement agency that serves Respondent with this Order or as follows:

Any law enforcement agency is authorized to take possession of deadly weapons pursuant to this paragraph and hold them in protective custody until further Court order. [NCIC 07]

11. PARENTAL RIGHTS AND RESPONSIBILITIES ARE TEMPORARILY ALLOCATED AS FOLLOWS:

[NCIC 09]

This Order applies to the following child(ren):

12. VISITATION ORDERS DO NOT PERMIT RESPONDENT TO VIOLATE THE TERMS OF THIS ORDER.

(A) Respondent's visitation rights are suspended; or

(B) As a limited exception to paragraphs 5 and 6, temporary visitation rights are established as follows: [NCIC 06]

FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

Amended: March 1, 2014

Discard all previous versions of this form

[Page 4 of 5 Form 10.01-H]

Case No.___________________________

This Order applies to the following child(ren):

13.LAW ENFORCEMENT AGENCIES, including but not limited to,

are ordered to assist Petitioner in gaining physical custody of the child(ren), if necessary.

14.RESPONDENT SHALL SUPPORT the protected persons named in this Order as follows:

15.RESPONDENT MAY PICK UP CLOTHING and personal effects from the above residence only in the company of a uniformed law enforcement officer within seven days of the filing of this Order. Arrangements may be made by contacting:

16.RESPONDENT SHALL NOT USE OR POSSESS alcohol or illegal drugs.

17.IT IS FURTHER ORDERED: [NCIC 08]

18.ALL DISCOVERY SHALL STRICTLY COMPLY with Civ.R. 65.1(D).

19.IT IS FURTHER ORDERED that the Clerk of Court shall cause a copy of the Petition and this Order to be delivered to the Respondent as required by Civ.R. 65.1. The Clerk of Court shall also provide certified copies of the Petition and this Order to Petitioner upon request. This Order is granted without bond. No costs or fees shall be assessed against the Petitioner for filing, issuing, registering, modifying, enforcing, dismissing, withdrawing, or serving this protection order.

20.ALL OF THE TERMS OF THIS ORDER SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL

/ / unless earlier modified by or dismissed by order of this Court.

Except for paragraphs 11, 12, 13, and 14 above, this Order survives a divorce, dissolution of marriage, or legal separation.

IT IS SO ORDERED.

JUDGE/MAGISTRATE

FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

Amended: March 1, 2014

Discard all previous versions of this form

[Page 5 of 5 Form 10.01-H]

Case No.___________________________

NOTICE TO RESPONDENT

THE PERSONS PROTECTED BY THIS ORDER CANNOT GIVE YOU LEGAL PERMISSION TO CHANGE OR VIOLATE THIS ORDER. IF YOU VIOLATE ANY TERM 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.

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:

TO THE CLERK

COPIES OF THIS ORDER SHALL BE DELIVERED TO:

Petitioner

Respondent

Police Department Where Petitioner Resides:

Sheriff’s Office:

Police Department Where Petitioner Works:

CSEA

Other:

FORM 10.01-H: DOMESTIC VIOLENCE CIVIL PROTECTION ORDER (CPO) EX PARTE

Amended: March 1, 2014

Discard all previous versions of this form

How to Edit Form 10 01 H Online for Free

Form 10 01 H can be filled in online without difficulty. Just try FormsPal PDF editor to complete the task without delay. Our editor is continually evolving to give the very best user experience possible, and that's because of our dedication to continual development and listening closely to feedback from customers. It just takes a couple of simple steps:

Step 1: Click the "Get Form" button at the top of this webpage to access our tool.

Step 2: After you open the online editor, you will notice the form ready to be filled out. Aside from filling out different blanks, you might also do some other actions with the file, that is putting on any text, modifying the initial text, inserting images, placing your signature to the PDF, and much more.

This form will require specific info to be typed in, so make sure you take some time to provide precisely what is requested:

1. The Form 10 01 H involves certain information to be inserted. Ensure that the next blanks are completed:

Learn how to prepare Form 10 01 H part 1

2. Once your current task is complete, take the next step – fill out all of these fields - RESPONDENT, First, Middle, Last, RESPONDENT IDENTIFIERS, SEX, EYES, RACE, HAIR, DATE OF BIRTH, DRIVERS LIC NO, EXP DATE, STATE, Relationship to Petitioner, and Address where Respondent can be with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Form 10 01 H conclusion process explained (stage 2)

3. In this specific step, have a look at Page of Form H, Case No, This proceeding came on for an ex, Respondent not, being present upon the filing of a, against the Respondent pursuant to, ex parte hearing on the same day, The Court finds that the protected, for good cause shown the following, from domestic violence, RESPONDENT SHALL NOT ABUSE harm, upon or commit sexually oriented, ALL OF THE PROVISIONS CHECKED, and RESPONDENT SHALL IMMEDIATELY. All these will need to be completed with greatest focus on detail.

ALL OF THE PROVISIONS CHECKED, ex parte hearing on the same day, and This proceeding came on for an ex in Form 10 01 H

4. This specific paragraph arrives with all of the following blank fields to type in your details in: EXCLUSIVE POSSESSION OF THE, is granted to, Respondent shall not, interfere with this individuals, Insurance or interrupting, NCIC, RESPONDENT SHALL SURRENDER all, earliest possible opportunity, Respondent with this Order or as, RESPONDENT SHALL NOT ENTER or, employment day care centers or, including the buildings grounds, Order even with the permission of, and RESPONDENT SHALL STAY AWAY FROM.

Be very careful while filling out Order even with the permission of and interfere with this individuals, as this is the section where many people make mistakes.

5. As you near the conclusion of this document, you will find several extra requirements that have to be satisfied. Particularly, RESPONDENT SHALL STAY AWAY FROM, Order and not be present within, distance of any protected persons, those protected persons may be, persons are likely to be even with, with protected persons in any, includes encounters on public and, RESPONDENT SHALL NOT INITIATE OR, this Order or their residences, and FORM H DOMESTIC VIOLENCE CIVIL must all be done.

Form 10 01 H writing process described (portion 5)

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