A form in substantially the following language shall suffice for the purposes of filing of certificate or confirmation:
STATE OF RHODE ISLAND FAMILY COURT
_____________________________________ , SC
_____________________________________ (Name)
Petitioner
vs.
_____________________________________ (Name) C.A. No.
Respondent
CERTIFICATION OF PROTECTION/RESTRAINING ORDER
It is hereby certified that the attached is a true and correct copy of the order entered in the above-captioned action on _______________________________________ (date) and that the original of the attached order was duly executed by the judicial authority whose signature appears thereon. The order expires on _______________________________________ (date).
The order is: [ ] a civil protection/restraining order.
OR [ ] a criminal protection/restraining order, that
recognizes the standing of the plaintiff to seek enforcement of the order.
It is further certified that:
For custody and visitation orders:
The attached order shall be presumed to be valid and enforceable in this and other jurisdictions.
Signature of Clerk of court or other authorized official: _____________________________________
R.I. Gen. Laws § 15-15.1-4.1