C-1A Rev. 03/13
*** TO BE COMPLETED BY INTERVIEWING DEPUTY ***
Deputy Questions / Notes for service of OFR
1. Is this order issued pursuant to a recent Domestic Violence incident and/or arrest? Yes / No
2. Was the restrained party arrested?
Yes / No
3. If the restrained party was arrested, was it due to physical violence?
Yes / No
4. Is the restrained party aware of your intentions to remove them from the property?
Yes / No
5. Any extra information to gain access to the property such as a gate code or key?
Yes / No
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6. Does the restrained party use drugs or alcohol?
Yes / No
7. If yes, is their drug or alcohol usage chronic?
Yes / No
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8. Are you going to return to the residence and will you be there when deputies attempt to serve the order?
Yes / No
Interviewing deputy should recommend the following to the protected party:
A. Recommend to the plaintiff that when they go to court for the hearing, they designate a mutually agreed upon 3
rd
party to
recover any personal property left at the residence. Advise the plaintiff that after the permanent order is granted by the
court, the Sheriff and other local law enforcement agencies do not have the manpower to stand by and preserve the peace
for an more than a few minutes if the defendant picks up the property themselves.
B. Advise the protected party to call 9-1-1 if the restrained party violates the order after service.
C. Advise the protected party to keep a copy of the restraining order on their person at all times.
D. Remind the protected party that the court will dismiss their restraining order if they fail to appear at the hearing.
Additional Notes.
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Deputy Conducting Interview
Criminal History: Negative Attached Systems Checked By: _____________________
Warrant History:
Negative Attached __________________________________________