Family Case Title:
Family Case Number:
Criminal Case Title: People v.
Criminal Case Number:
ATTORNEY’S STATEMENT:
I am the attorney of record for the defendant. I have reviewed this form with my client. I have
explained each of the defendant’s rights to the defendant, and answered all of the defendant’s
questions with regard to this change in a criminal protective order and the consequences thereof. I
concur in the defendant’s waiver of his/her constitutional rights and agreement to this change of
conditions of probation.
Date: Signature:
INTERPRETER’S STATEMENT:
I, (name) , having been duly sworn, truly translated this
form to the defendant in the language. The defendant indicated that he/she
understood the contents of the form, and he/she then initialed and signed the form.
Date: Signature:
Interpreter
COURT’S FINDINGS AND ORDER:
The Court, having reviewed this form and having questioned the defendant concerning the
defendant’s constitutional rights and the defendant’s agreement to modify the terms of his
probation by a change in the criminal protective order, finds that the defendant has expressly,
knowingly, understandingly, and intelligently waived his or her constitutional rights. The Court
finds that the defendant’s agreements to the change in the criminal protective order are freely and
voluntarily made with an understanding of the nature and consequences thereof, and that there is a
factual basis for the change. The Court accepts the defendant’s agreement and modifies the
criminal protective order.
The Court orders this form filed and incorporated in the docket by reference as though fully set
forth therein.
Date:
Signature:
Judicial Officer of the Superior Court
FM-1018 REV. 4/07 Page 3 of 3
(FAMILY)
RESTRAINING ORDER WAIVER OF RIGHTS FORM - DEFENDANT
