Form 247 PDF Details

The Form 247, officially known as the Complaint for Order against Stalking or Sexual Assault, serves as a critical tool within the Vermont Superior Court system aimed at safeguarding individuals from stalking or sexual assault by allowing them to seek legal remedies. This document necessitates detailed information from the plaintiff, including but not limited to, personal details, details of any minor children involved, and the defendant's information, along with the specifics of their relationship, emphasizing that they must not be household members as defined. It notably outlines the incidents of stalking or sexual assault, specifying that the conduct must lack legitimate purpose and induce substantial emotional distress or fear for safety. This encompasses a range of behaviors from following, lying in wait, to engaging in threatening behavior that might lead to fear of sexual conduct, restrain, bodily harm, or death. Additionally, it addresses sexual assault distinctively, detailing acts that qualify and the victim's status. Furthermore, the form elaborates on the plaintiff's request for emergency relief and a final order, focusing on prohibiting the defendant from stalking or sexual assaulting the plaintiff and from engaging in both physical and non-physical contacts. The requisites for such orders are supported by an accompanying affidavit from the plaintiff, accentuating the legal system’s mechanism for protection against such egregious violations.

QuestionAnswer
Form NameForm 247
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesconsenting, SML, Vermont, VSA

Form Preview Example

Form 247

Complaint for Order against Stalking or Sexual Assault

Vermont Superior Court

County

Docket Number

Plaintiff's Name

Date of Birth

 

 

 

 

 

/

 

/

 

 

 

 

 

 

 

 

Name(s) of minor child/ren

Defendant's Name

 

Date of Birth

 

 

 

 

 

 

/

 

/

 

 

 

 

 

 

 

 

 

 

 

Defendant's Street Address

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

Relationship of the Parties: Parties shall not be household members as defined by 15 VSA 1101(2).

Other Civil/Probate/Juvenile/Criminal Court Proceedings or Orders Involving These Parties:

Proceeding

 

 

 

 

 

 

Name of Court

 

County

 

State

Attorney

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pending Order

 

 

Existing Order

 

 

 

 

 

 

 

Plaintiff's

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Defendant's

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I. Stalk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On more than one occasion, on or about

 

 

, and

 

 

 

 

the Defendant did

 

 

 

 

 

 

 

 

 

 

 

 

(date)

 

 

 

 

 

(date)

 

 

 

 

the following to

 

 

 

Plaintiff

 

 

Plaintiff's Child(ren), by engaging in the following conduct which served no legitimate

 

 

 

 

 

purpose and which would cause a reasonable person substantial emotional distress or fear for his or her safety.

followed in such a manner as would cause a reasonable person fear of unlawful sexual conduct, unlawful restraint, bodily injury or death.

lay in wait for the purpose of attacking or harming.

engaged in threatening behavior (acts which would cause a reasonable person to fear unlawful sexual conduct, unlawful restraint, bodily injury, or death, including verbal threats, written, telephonic, or other electronically communicated threats, vandalism, or physical contact without consent.)

II. Sexual Assault

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

On or about

 

 

 

, the Defendant engaged in the following behavior with

 

Plaintiff

 

Plaintiff's Child(ren)

 

 

 

 

 

 

 

 

A.

 

 

 

 

 

 

(date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

lewd and lascivious conduct with a child as defined in 13 V.S.A. § 2602

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sexual assault as defined in 13 V.S.A. § 3252

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

aggravated sexual assault as defined in 13 V.S.A. § 3253

AND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

use of a child in a sexual performance as defined in 13 V.S.A. § 2822

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

consenting to a sexual performance as defined in 13 V.S.A. § 2823 and Plaintiff was the victim of the offense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plaintiff's Child(ren), OR

 

 

 

 

 

B.

 

 

 

There is a danger of further harm to

 

Plaintiff

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On

 

 

 

, the Defendant was convicted of sexually assaulting the Plaintiff by committing one of the

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(date)

 

three offenses set forth in part 1A above.

 

 

III.REQUEST FOR EMERGENCY RELIEF The Plaintiff requests the court:

Order the defendant to refrain from stalking or sexually assaulting the Plaintiff Plaintiff's Child(ren) and to refrain from interfering with his/her/their personal liberty.

Stay Away from Plaintiff Plaintiff's child(ren). ("Stay away" means to refrain from initiating or maintaining a physical presence near the plaintiff; engaging in nonphysical contact with the Plaintiff directly or indirectly; engaging in nonphysical contact with the Plaintiff through third parties who may or may not know of the Order. "Nonphysical contact" includes: telephone calls, mail, e-mail or other electronic communication, fax and written notes. )

Other:

IV. REQUEST FOR FINAL ORDER

The Plaintiff requests the court to order the Defendant to:

Stay Away from Plaintiff Plaintiff's child(ren). ("Stay away" means to refrain from initiating or maintaining a physical presence near the Plaintiff; engaging in nonphysical contact with the Plaintiff directly or indirectly; engaging in nonphysical contact with the Plaintiff through third parties who may or may not know of the Order. "Nonphysical contact" includes: telephone calls, mail, e-mail or other electronic communication, fax and written notes. )

Other:

The facts to support this request for protection order can be found on Plaintiff's accompanying affidavit.

Signature of Plaintiff/Attorney

Date

 

 

6/08 SML Distribution: Original ~ Court; 1 Copy ~ Plaintiff; 1 Copy ~ Defendant; 1 Copy ~ File

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1. To start off, when filling in the vermont restraining order form, start in the page that contains the subsequent fields:

Stage no. 1 in filling in lascivious

2. Soon after the previous section is completed, go to type in the applicable information in these - II Sexual Assault On or about, date, lewd and lascivious conduct with a, use of a child in a sexual, consenting to a sexual performance, B There is a danger of further, date, Stay Away from Plaintiff, and Other.

The best way to fill in lascivious step 2

3. In this specific part, examine IV REQUEST FOR FINAL ORDER The, Other, The facts to support this request, Signature of PlaintiffAttorney, Date, SML, and Distribution Original Court Copy. Each one of these should be taken care of with highest focus on detail.

Step no. 3 of filling out lascivious

Concerning IV REQUEST FOR FINAL ORDER The and Date, make sure that you don't make any mistakes here. Both of these are the key ones in the file.

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