COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ____________

Mag. Dist. No:
េលខស ល់េ កមស ត់

MDJ Name:
េ

ះេ កមស ត់

Address:

សយ ន

Telephone:
េលខទូរស័ព

ORDER GRANTING EMERGENCY
RELIEF FROM ABUSE

ដី ផល់ជំនួយសេ

ះ ប ន់ពី

ររេ ភបំ ន

________________________
vs.

_________________________

Docket No / េលខប ីបណឹង៖
Case Filed / សំណុ

ំេរ ង៖

GRANTING EMERGENCY PROTECTION FROM ABUSE

ផល់កិច រ

រប ន់ពីអំេពរេ ភបំ ន

ORDER

ដី

I have found upon good cause that it is necessary to protect the
following individual(s) listed in the plaintiff’s petition.

រ
ខំ នរកេឃញេហតុបងដ៏សំ ន់មួ យ ែដល ំ ច់កង រ
បុគល ងេ ម ែដល នេ កងប ីៃនបណឹងរបស់េដមេ ទ។

រ

Plaintiff: ___________________________________________
Minor Child/Children: _________________________________
Incapacitated Person: ________________________________

េដមេ ទ៖ _________________________________________
រអនីតិជន៖ _____________________________________
កុ
បុគល ត់បង់សមត ព៖ _____________________________

Having found good cause at an ex parte hearing held on
______________, I order the following actions be taken on the
petition

េ យ នេឃញ
ប ពឹតេ
ូច ងេ ម ស ប់បណឹងេនះ
ដ

នេហតុបងសំ ន់េ កងសវ

រេចញដី
ៃថទី ______________ ខំសូ មេចញដី ឲ នចំ ត់

 ែដល
រ

 Ordered the defendant to refrain from abusing the individual(s)

named on the petition

 The defendant is ordered to refrain from contacting the

individuals named above.  This restrains the defendant from
entering the place of employment or business or school of this
individual(s) or from harassing the individual(s).

 ប ប់ឲ ចុងេ ទប ប់

នេ

ះកងបណឹង

 ប ប់ឲ ចុងេ ទ តវប ប់
ះ ងេល។ ចំ ត់

នេ

ររេ ភបំ នេលបុគលែដល

រទំ ក់ទំនង មួ យបុគលែដល
រេនះមិនអនុ តឲ ចុងេ ទចូ ល

េ កងកែនង រ
ឬមិនអនុ តឲ ចុងេ ទេប តេប នបុគល(

រ ឬ ជីវកម ឬ

ង)េ

ះ។

េរ នរបស់បុគលេនះ

ន/និ ស នស ប់េដមេ ទ (សូ មផល់

 The restoration of the household/residence to the plaintiff

(please provide address below)

 ប ប់ឲ ែកលមលំេ

សយ ន ងេ ម)

 The defendant is ordered to be evicted (please provide address

 ប ប់ឲ បេណញចុងេ ទេចញ (សូ មផល់ សយ ន ងេ ម)

below)

by consent agreement

 The defendant is ordered to provide suitable alternate housing

 ប ប់ឲ ចុងេ ទផល់លំេ

នសមរម  េ យ

នកិច ពមេ ព ងយល់ ពម

MDJS 307D-BL (Khmer / Cambodian)

1

Date Created: December 26, 2016

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ORDER OF EVICTION AND RESTORATION OF POSSESSION

ប ប់ឲ បេណញេចញ និងែកលម ទព កមសិទិ

To : __________________________ ((Sheriff) (Constable) (Officer)
(Citing Authority))
In  compliance  with  the  order(s)  appearing  above,  you  are  hereby
directed  to  evict  the  defendant,  __________________________,
from the premises at the above household/residence address and to
restore  the  premises  to  the  plaintiff,  ________________________
_________________________________________.

ូនចំេ

) (ម នី) (

ធរ នសមតកិច))

ះ៖ ______________________________ ((ប៉

ជ
(
េ ង មដី
ះ
_______________________ េចញពីបរ េវណែដល ន សយ ន
លំេ
ះជូនេដមេ ទ
________________________________________________។

េនះ អក តវ នែណ ំឲ បេណញចុងេ ទ នេ

ន/និ ស ន ងេល និងែកលមបរ េវណេ

ូ លីស)

NOTICE TO DEFENDANT
Orders  issued  are  pursuant  to  the  Protection  from  Abuse  Act,  23
Pa.C.S.  §  6101  et  seq.    Failure  to  comply  with  these  orders  may
result  in  a  finding  of  Criminal  Contempt  pursuant  to  42  Pa.C.S. §
4137.    This  offense  is  punishable  by  a  fine  and/or  imprisonment.
These orders expire at the end of the next business day the Court of
Common  Pleas  deems  itself  available.    These  orders  will  be
immediately certified to the Court of Common Pleas, which has the
effect  of  commencing  proceedings  against  you  under  the  above
mentioned Act.

េសចកីជូនដំណឹងដល់ចុងេ ទ
េសចកីប ប់ តវ នេចញេ យេ ង មច ប់
អំេពរេ ភបំ ន 23 Pa.C.S. § 6101 et seq។
កង រអនុវត មដី
ព
បទេលសេនះ ច ន រ ក់េ ស េ យ កពិន័យ
និង/ឬ ប់ ក់ពនធ

ងេល នឹង តវ ប់េ ស

ីបទ ពហទណ ប ថតុ

រ។ េសចកីប ប់

រ

រពី

រខក ន

ងេនះផុតកំណត់េ ចុងៃនៃថេធ រប ប់ ែដលតុ

រ

រ េ យេ ង ម 42 Pa.C.S. § 4137។

បណឹងទូេ
តវ នប ក់ មៗេ តុ
ស ប់អនុវតចំ ត់
ប ក់ ងេល។

វ និចយេ យខនឯង
 

ចអនុវត ន។ ដី

ងេនះនឹង

របណឹងទូេ

 ែដល នសុពល ព

រេលអក េ យេ ង មច ប់ែដល តវ ន

_________________________ __________________________________________
Date / លបរ េចទ

Magisterial District Judge / េ កមស ត់

MDJS 307D-BL (Khmer / Cambodian)

2

Date Created: December 26, 2016

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