PERSONAL PROTECTION ORDER
(NONDOMESTIC)
EX PARTE
Petitioner's name Respondent's name, address, and telephone no.
Court telephone no.
LITTLE RIVER BAND OF
Court address
ORI
MI-
CASE NO.
OTTAWA INDIANS
TRIBAL COURT
Address and telephone no. where court can reach petitioner
v
3rd copy - Petitioner
4th copy - Return
Original - Court
1st copy - Law enforcement agency
2nd copy - Respondent
A
Full name of respondent (type or print) * Driver's license number (if known)
Height Weight Race * Sex * Date of birth or age* Hair color Eye color Other identifying information
*These items must be filled in for the police to enter on LEIN; the other items are not required but are helpful.
B
Date: Judge:
1. This order is entered without a hearing. after hearing.
THE COURT FINDS:
2. A petition requesting an order to restrain conduct prohibited under the Law and Order Ordinance # 11-400-03 has been
filed.
3. Petitioner requested an ex parte order, which should be entered without notice because irreparable injury, loss, or damage
will result from delay required to give notice or notice itself will precipitate adverse action before an order can be issued.
4. Respondent committed the following acts of willful, unconsented contact: (State the reasons for issuance.)
IT IS ORDERED:
5. is prohibited from
a. stalking as defined under Ord. # 11-400-03 , Sec. 8.03 which includes but is not limited to
following or appearing within sight of the petitioner.
appearing at the workplace or the residence of the petitioner.
approaching or confronting the petitioner in a public place or on private property.
entering onto or remaining on property owned, leased, or occupied by the petitioner.
sending mail or other communications to the petitioner.
contacting the petitioner by telephone.
placing an object on or delivering an object to property owned, leased, or occupied by the petitioner.
threatening to kill or physically injure the petitioner.
purchasing or possessing a firearm.
other:
b. posting a message through the use of any medium of communication, including the Internet or a computer or any electronic
medium.
6. Violation of this order subjects the respondent to immediate arrest and to the civil and criminal contempt powers of the
court. If found guilty, respondent shall be imprisoned for not more than 93 days and may be fined not more than $500.00.
7. This order is effective when signed, enforceable immediately, and remains in effect until .
This order is enforceable anywhere in this state by any law enforcement agency when signed by a judge, and upon service,
may also be enforced by another state, another Indian tribe, or a territory of the United States. If respondent violates this
order in a jurisdiction other than this state, respondent is subject to enforcement and penalties of the state, Indian tribe, or
United States territory under whose jurisdiction the violation occurred.
8. The court clerk shall file this order with who will enter it into the LEIN.
9. Respondent may file a motion to modify or terminate this order. For ex parte orders, the motion must be filed within 14 days
after being served with or receiving actual notice of the order. Forms and instructions are available from the clerk of court.
10. A motion to extend the order must be filed 3 days before the expiration date in item 7, or a new petition must be filed.
Address and telephone no. where court can reach respondent
Date and time issued
Judge
PERSONAL PROTECTION ORDER (NONDOMESTIC)
Full name of respondent
Complete items A through B using the instructions. Fill
out the form by tabbing to each item or moving the mouse
to each item. Select check box items with the mouse.
3031 Domres Road, Manistee Michigan 49660
