TITLE 11
Criminal Offenses
CHAPTER 11-37.2
Sexual Assault Protective Orders
SECTION 11-37.2-7
§ 11-37.2-7 Form of complaint.
(a) A form in substantially the following language shall suffice for the
purpose of filing a complaint under this chapter:
STATE OF RHODE ISLAND DISTRICT COURT
COUNTY OF ]]]]]]]]]]]]]]]]]]]]]]]] DIVISION
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Plaintiff:
VS: NO:
:
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]:
Defendant:
COMPLAINT FOR PROTECTION FROM ABUSE
Pursuant to chapter 8.1 of title 8, I request that the court
enter an order protecting me from abuse.
(a)(1) My full name, present street address, city and
telephone number are as follows:
(b)(2) The full name, present street address, city and
telephone number of the person causing me abuse (the defendant) are as follows:
(c)(3) On or about ]]]]]]]]]]]]]]]]]], without cause or
provocation, I suffered abuse when the defendant:
[ ] Threatened or harmed with a weapon:
]]]]]]]]]]]]]]]]]] (type of weapon used)
[ ] Attempted to cause me physical harm;
[ ] Caused me physical harm;
[ ] Placed me in fear of imminent physical harm;
[ ] Caused me to engage involuntarily in sexual
relations by force, threat of force or duress;
[ ] Attempted to cause me to engage involuntarily
in sexual relations by force, threat of force or duress;
Specifically, the
defendant:]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
(d) I ask that:
[ ] The court order that the defendant be
restrained and enjoined from contacting, assaulting, molesting or otherwise
interfering with the plaintiff at home, on the street or elsewhere.
[ ] I request that the above relief be ordered
without notice because it clearly appears from specific facts shown by
affidavit or by the verified complaint that I will suffer immediate and
irreparable injury, loss or damage before notice can be served and a hearing
had thereon. I understand that the court will schedule a hearing no later than
twenty-one (21) days after such order is entered on the question of continuing
such temporary order.
(e) I have not sought protection from abuse from any other
judge of the district court arising out of the same facts or circumstances
alleged in this complaint.
(Signature) (Date)
Subscribed and sworn to before me in ]]]]]]]]]]]]]]]]]] in
the County of ]]]]]]]]]]]] in the State of Rhode Island and Providence
Plantations, this ]]]]]]]]]]]] day of ]]]]]]]]]]]]]] A.D. ]]]]]]]]]]]]]]]]]]
Notary Public
Note: If this complaint is filed by an attorney, the
attorney's certificate should appear below:
ATTORNEY CERTIFICATE
Signed:
Attorney for Plaintiff
Address:
Date: ]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
WHITE COPY [ ] Court
YELLOW COPY [ ] Plaintiff
PINK COPY [ ] Defendant
GOLDENROD COPY [ ] Police Department
(b) A form in substantially the following language shall
suffice for the purpose of requesting temporary orders under this chapter:
STATE OF RHODE ISLAND DISTRICT COURT
COUNTY OF ]]]]]]]]]]]]]]]]]]]]]]]] DIVISION
:
Plaintiff:
VS: NO:
History of Section.
(P.L. 2009, ch. 239, § 1; P.L. 2009, ch. 240, § 1.)
