"MOTION FOR TEMPORARY PROTECTION ORDER
__________________________ Court
Name and address of court
State of Ohio
v. No. ____
_________________________
Name of Defendant
(name of person), moves the court to issue a temporary protection order containing terms designed to ensure the safety and protection of the complainant, alleged victim, and other family or household members, in relation to the named defendant, pursuant to its authority to issue such an order under section 2919.26 of the Revised Code.
A complaint or indictment, a copy of which has been attached to this motion, has been filed in this court charging the named defendant with __________________________ (name of the specified violation, the offense of violence, or sexually oriented offense charged) in circumstances in which the victim was a family or household member in violation of (section of the Revised Code designating the specified violation, offense of violence, or sexually oriented offense charged), or charging the named defendant with a violation of a municipal ordinance that is substantially similar to ________________________ (section of the Revised Code designating the specified violation, offense of violence, or sexually oriented offense charged) involving a family or household member.
I understand that I must appear before the court, at a time set by the court within twenty-four hours after the filing of this motion, for a hearing on the motion or that, if I am unable to appear because of hospitalization or a medical condition resulting from the offense alleged in the complaint or indictment, a person who can provide information about my need for a temporary protection order must appear before the court in lieu of my appearing in court. I understand that any temporary protection order granted pursuant to this motion is a pretrial condition of release and is effective only until the disposition of the criminal proceeding arising out of the attached complaint or indictment, or the issuance of a civil protection order or the approval of a consent agreement, arising out of the same activities as those that were the basis of the complaint or indictment, under section 3113.31 of the Revised Code.
__________________________________________
Signature of person
(or signature of the arresting officer who filed the motion on behalf of the alleged victim)
__________________________________________
Address of person (or office address of the arresting officer who filed the motion on behalf of the alleged victim)"
"NOTICE
As a result of this protection order, it may be unlawful for you to possess or purchase a firearm, including a rifle, pistol, or revolver, or ammunition pursuant to federal law under 18 U.S.C. 922 (g)(8) for the duration of this order. If you have any questions whether this law makes it illegal for you to possess or purchase a firearm or ammunition, you should consult an attorney."
R.C. § 2919.26