DISTRICT COURT, ____________________ COUNTY, UTAH

_______________________________,

Plaintiff,

PERMANENT CRIMINAL STALKING
INJUNCTION

______________________________,
Defendant.

Case No. ____________________

Assigned Judge: ____________________

As of now, you ___________________________________ (defendant) are under Court Order 

with regards to __________________________________(stalking victim).

_____  LEAVE and STAY AWAY from any place where the stalking victim lives, works, goes to

school or regularly visits. 

This means that

you are restrained from entering the residence, property, school, or place of employment
of the stalking victim;

you are to stay away from the following specified places frequented regularly by the
stalking victim:

vs.

S

S

_____ STAY AWAY from the stalking victim and from certain people and DON’T

COMMUNICATE with any of them.  DON’T ASK anyone else to communicate with any
of them.

This means that 

S

S

you are required to stay away from the stalking victim and members of the stalking
victim’s immediate family or household;

you are restrained from making contact with the stalking victim;

Permanent Criminal Stalking Injunction

1

Approved by Board of District Court Judges 19 Dec 2003

S

you are forbidden from personally or through an agent initiating any communication
likely to cause annoyance or alarm, including personal, written or telephone contact
with the stalking victim, the stalking victim’s employers, employees, fellow workers
or others with whom communication would be likely to cause annoyance or alarm to
the stalking victim.

IT IS A CRIME to disobey this order.
NO ONE EXCEPT THE JUDGE CAN CHANGE COURT ORDERS.

The defendant has been convicted of the criminal offense of stalking, Section 76-5-106.5 Utah Code. Conviction was
by 
_____________________________________________. 

   guilty plea    no contest plea    guilty plea held in abeyance for a time.  The stalking victim is

   verdict 

      The defendant was notified of the right to a hearing on the issuance of a permanent criminal stalking injunction and

the defendant waived a hearing; 
the defendant failed to appear, or
a hearing was held  and the court heard evidence and arguments; persons present:    Plaintiff’s lawyer     Victim
 Defendant 

   Defendant’s lawyer or defendant knowingly and voluntarily waived attorney

   

       There is good cause. It is appropriate to issue a permanent criminal stalking injunction, pursuant to Section 76-5-
       106.5 Utah Code.

The Court makes the following findings:

This order is permanent.  VIOLATIONS SHALL CONSTITUTE AN OFFENSE OF
STALKING pursuant to Section 76-5-106.5.  Violations may be enforced either in a civil action
by the victim and/or in a criminal action by a prosecuting attorney.

Defendant was afforded both notice and opportunity to be heard in the hearing that gave rise to this order. The
court had jurisdiction over the parties and over the matter under the laws of the state of Utah. Pursuant to the
Violence Against Women Act 18 U.S.C. §§2265-2266 (2000), this order is valid in all the United States, in the
District of Columbia, in tribal lands, and in United States Territories.

Signed on ____________, 20_____

X

District Judge

I handed a copy to the defendant on

_______________, 20_____

X

_______________ County Sheriff’s Office

Permanent Criminal Stalking Injunction

2

Approved by Board of District Court Judges 19 Dec 2003