Form AOC-CV-534 "No-Contact Order Pursuant to the Workplace Violence Prevention Act" - North Carolina

What Is Form AOC-CV-534?

This is a legal form that was released by the North Carolina District Court - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2011;
  • The latest edition provided by the North Carolina District Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-CV-534 by clicking the link below or browse more documents and templates provided by the North Carolina District Court.

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Download Form AOC-CV-534 "No-Contact Order Pursuant to the Workplace Violence Prevention Act" - North Carolina

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File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
District Court Division
Name And Address Of Petitioner
NO-CONTACT ORDER
PURSUANT TO THE WORKPLACE
VERSUS
Name And Address Of Respondent
VIOLENCE PREVENTION ACT
G.S. 95-264, -266
FINDINGS
This matter was heard by the undersigned district court judge, the court has jurisdiction over the parties and subject matter, and the
responden t has been provided notice of the hearing.
The Court hereby finds that:
1.
This o rder is entered by default for the remedy sought in the complaint because
(If this block is checked, skip to the order portion of the order)
the respondent failed to
file an answer
appear at this hearing
notice of the hearing was given to the respondent
and the allegations in the complaint are sufficient to justify a no-contact order for unlawful conduct.
2.
Present at the hearing were:
the petitioner, represented by
.
the respondent, represented by
.
3.
The petitioner's employee has suffered unlawful conduct by the respondent in that:
4.
Other:
CONCLUSIONS
1.
The respondent committed acts of unlawful conduct against an employee of the petitioner.
2.
The petitioner has failed to prove grounds for issuance of a no-contact order.
ORDER
It is ORDERED that:
1.
the respondent not visit, assault, molest, or otherwise interfere with the employer or the employer's employee at the employer's
workplace, or otherwise interfere with the employer's operations.
2.
the respondent cease stalking the employee at the employer's workplace.
3.
the respondent cease harassment of the employer or the employer's employee at the employer's workplace.
4.
the respondent not abuse or injure the employer, including the employer's property, or the employer's employee at the employer's
workplace.
5.
the respondent not contact by telephone, written communication, or electronic means the employer or the employer's employee at
the petitioner's workplace.
6. Other relief deemed necessary and appropriate by the court :
(specify date and time if less
7. the terms of this order shall be effective until
one (1) year from the date of this order.
than one (1) year)
8.
the o rder is denied and the case is dismissed.
Date
Name Of District Court Judge (Type Or Print)
Time
Signature Of District Court Judge
NOTICE TO RESPONDENT:
A KNOWING VIOLATION OF A CIVIL NO-CONTACT ORDER SHALL BE PUNISHABLE AS
CONTEMPT OF COURT WHICH MAY RESULT IN A FINE OR IMPRISONMENT.
(Over)
AOC-CV-534, New 7/11
© 2011 Administrative Office of the Courts
File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
District Court Division
Name And Address Of Petitioner
NO-CONTACT ORDER
PURSUANT TO THE WORKPLACE
VERSUS
Name And Address Of Respondent
VIOLENCE PREVENTION ACT
G.S. 95-264, -266
FINDINGS
This matter was heard by the undersigned district court judge, the court has jurisdiction over the parties and subject matter, and the
responden t has been provided notice of the hearing.
The Court hereby finds that:
1.
This o rder is entered by default for the remedy sought in the complaint because
(If this block is checked, skip to the order portion of the order)
the respondent failed to
file an answer
appear at this hearing
notice of the hearing was given to the respondent
and the allegations in the complaint are sufficient to justify a no-contact order for unlawful conduct.
2.
Present at the hearing were:
the petitioner, represented by
.
the respondent, represented by
.
3.
The petitioner's employee has suffered unlawful conduct by the respondent in that:
4.
Other:
CONCLUSIONS
1.
The respondent committed acts of unlawful conduct against an employee of the petitioner.
2.
The petitioner has failed to prove grounds for issuance of a no-contact order.
ORDER
It is ORDERED that:
1.
the respondent not visit, assault, molest, or otherwise interfere with the employer or the employer's employee at the employer's
workplace, or otherwise interfere with the employer's operations.
2.
the respondent cease stalking the employee at the employer's workplace.
3.
the respondent cease harassment of the employer or the employer's employee at the employer's workplace.
4.
the respondent not abuse or injure the employer, including the employer's property, or the employer's employee at the employer's
workplace.
5.
the respondent not contact by telephone, written communication, or electronic means the employer or the employer's employee at
the petitioner's workplace.
6. Other relief deemed necessary and appropriate by the court :
(specify date and time if less
7. the terms of this order shall be effective until
one (1) year from the date of this order.
than one (1) year)
8.
the o rder is denied and the case is dismissed.
Date
Name Of District Court Judge (Type Or Print)
Time
Signature Of District Court Judge
NOTICE TO RESPONDENT:
A KNOWING VIOLATION OF A CIVIL NO-CONTACT ORDER SHALL BE PUNISHABLE AS
CONTEMPT OF COURT WHICH MAY RESULT IN A FINE OR IMPRISONMENT.
(Over)
AOC-CV-534, New 7/11
© 2011 Administrative Office of the Courts
CERTIFICATION
I certify this order is a true copy.
Date
Signature Of Clerk
Deputy CSC
Clerk Of Superior Court
Assistant CSC
NOTE TO CLERK:
G.S. 95-268 provides: "The clerk of court shall deliver on the same day that a civil no-contact order is issued, a certified copy of that
order to the sheriff." The statute also provides that a copy of the order shall be issued promptly to the police department of the
municipality of the victim's residence, or the sheriff or county police if the victim does not live within a municipality with a police
department.
RETURN OF SERVICE
I certify that this No-Contact Order Pursuant To The Workplace Violence Prevention Act was received and served as
follows:
Date Served
Time Served
Name Of Defendant
AM
PM
By delivering to the respondent named above a copy of this order.
By leaving a copy of this order at the dwelling house or usual place of abode of the respondent named above with a
person of suitable age and discretion then residing therein.
Name And Address Of Person With Whom Copies Left
Respondent WAS NOT served for the following reason.
Date Received
Signature Of Deputy Sheriff Making Return
Name Of Sheriff (Type Or Print)
Date Of Return
County Of Sheriff
NOTE TO SHERIFF:
G.S. 95-268 provides: "Unless the [defendant] was present in court when the order was issued, the sheriff shall serve the order
on the [defendant] and file proof of service in the manner provided for service of process in civil proceedings."
AOC-CV-534, Side Two, New 7/11
© 2011 Administrative Office of the Courts
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