In the District Court at [place]
No: [number of proceeding]
Applicant
[full name and address of the person(s) named in Police safety order for whose safety the order was issued]
Respondent
[full name and address of person who the court is satisfied refused or failed to comply with the Police safety order]
The court makes a temporary protection order against [full name of respondent].
Person(s) protected by order
This order protects the following person(s):
*[full name of each child of the applicant’s family], and any other child of the applicant’s family.
*Omit if it does not apply. |
*The court also directs that the order applies for the benefit of the following person(s):
[Full name of each person in respect of whom the court makes a direction under section 87(1) of the Family Violence Act 2018]
*Omit if it does not apply. |
1 Conditions of order
A Standard conditions: no family violence, no contact, no having others breach order
The respondent must not—
(a)
engage in behaviour that amounts to any form of family violence against the protected person (whether physical abuse, sexual abuse, or psychological abuse); or
(b)
make any unauthorised contact with the protected person; or
(c)
encourage a person to engage in behaviour against, or to make contact with, a protected person if the behaviour or contact, if engaged in or made by the respondent, would be prohibited by this protection order.
B Exceptions to standard no-contact condition, with consent
The protected person can suspend or reinstate the no-contact condition by giving or cancelling consent to contact.
The protected person’s consent is valid only if given in writing or in a digital communication, but the protected person may withdraw consent at any time and in any way.
The protected person cannot consent to any contact inconsistent with—
(a)
any order for supervised contact in relation to a child; or
(b)
no-contact conditions imposed by a direction under section 168A of the Criminal Procedure Act 2011.
C Other exceptions to standard no-contact condition
Contact by the respondent with the protected person is authorised, and not in breach of the no-contact condition, if the contact is—
(a)
reasonably necessary in any emergency; or
(b)
permitted under any order or written agreement relating to the role of providing day-to-day care for, or contact with, or custody of—
(i)
any child (within the meaning of section 8 of the Care of Children Act 2004); or
(ii)
any child or young person (within the meaning of section 2 of the Oranga Tamariki Act 1989); or
(c)
permitted under any special condition of this protection order; or
(d)
necessary for the purposes of attending a family group conference (within the meaning of section 2 of the Oranga Tamariki Act 1989); or
(e)
necessary to attend any proceeding (of any kind) in or before any court or person acting judicially, or to attend any other matter that is associated with such a proceeding and that is a matter that the parties to the proceeding jointly attend (for example, a restorative justice conference, or a settlement conference convened under section 46Q of the Care of Children Act 2004).
D Standard conditions about weapons
The respondent—
(a)
must not possess, or have under the respondent’s control, any weapon; and
(b)
must not hold a firearms licence; and
(c)
must, as soon as practicable after being served with a copy of this order, but in any case no later than 24 hours after such service; and on demand made, at any time, by any constable, surrender to a constable—
(i)
any weapon in the respondent’s possession or under the respondent’s control, whether or not any such weapon is lawfully in the respondent’s possession or under the respondent’s control; and
(ii)
any firearms licence held by the respondent.
On the making of this temporary protection order, any firearms licence held by the respondent is deemed to be suspended.
Note: The Family Violence Act 2018 defines a weapon as any firearm, airgun, pistol, prohibited magazine, prohibited part, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.
E Special conditions
The court also imposes the following special conditions on the respondent [set out any special conditions imposed]:
*Special conditions to protect the protected person from further violence by the respondent:
*Special conditions to address the inflicting of family violence against protected people who are particularly vulnerable (for example, due to age, disability, or health condition):
*Special conditions for the manner in which arrangements for access to a child are to be implemented:
*Special conditions for the manner and circumstances in which the respondent may make contact with the protected person:
* Person who may consent to contact on behalf of the protected person and to withdraw such consent [name of person who may consent]:
*Other [insert any other special condition]:
Unless otherwise stated, these conditions last for the duration of this order.
*Omit if it does not apply. |
2 Assessment for, and attendance at, non-violence programme/Assessment for prescribed services and engagement with prescribed standard service*
The court directs [full name of respondent] to undertake an assessment for a non-violence programme, and attend a non-violence programme, provided by a service provider, that an assessor determines is an appropriate non-violence programme for the respondent to attend.*
The court directs [full name of respondent] to undertake an assessment for prescribed services, and engage with any prescribed standard service, provided by a service provider, that an assessor determines may be appropriate for and may benefit the respondent.*
The Registrar of the court will arrange for the respondent to be referred to an assessor, and the respondent must meet with the assessor so that the assessor may—
(a)
undertake an assessment of the respondent; and
(b)
determine, if the direction in the notification is that the respondent undertake an assessment for a non-violence programme, whether there is an appropriate non-violence programme, provided by a service provider, for the respondent to attend; and
(c)
determine, if the direction in the notification is that the respondent undertake an assessment for prescribed services, whether (and, if so, which of) the types of services specified in regulations made under section 249(a) of the Family Violence Act 2018 (if any), provided by a service provider, may be appropriate for and may benefit the respondent.
If there is an appropriate non-violence programme for the respondent to attend, the service provider of that programme will settle in writing with the respondent the terms of attendance, which must include—
(a)
the number of programme sessions that the respondent must attend; and
(b)
details and arrangements about the programme venue, sessions, and times.
Before providing a prescribed standard service to a respondent directed to engage with the service, the service provider must settle in writing with the respondent the terms of the respondent’s engagement with the service.*
*Omit if it does not apply. |
Omit the following 2 headings and paragraphs if they do not apply.
Direction that hearing be held
The court directs that there be a hearing in relation to the whole of this order/the following parts of this order*: [specify parts].
Date of hearing
I appoint [date, time] at the Family Court at [place] for this hearing.
Effect of temporary protection order
For this paragraph,—
•
select statement A if the court has not directed that a hearing be held:
•
select statement B if the court has directed that a hearing be held.
Statement A
This order is a temporary order.
If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. If you wish to dispute this order, you must notify the Family Court at [place] as soon as possible.
Statement B
This order is a temporary order.
The court has directed that a hearing be held in relation to the whole of this order/specified parts of this order* at the Family Court at [place].
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the Family Court at [place] as soon as possible.
If you do nothing, the Family Court may make a final order in your absence/the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the Family Court may confirm the other parts of the order at the hearing*.
Modification or discharge of order
You or the protected person may apply to the Family Court at any time—
(a)
for the modification or discharge of the standard condition about weapons. (The Family Court may make a change to this standard condition only if it is satisfied that the condition, or a term of the condition, is not needed to protect the persons for whose benefit this order applies from further family violence):
(b)
for a variation or discharge of any special conditions of this order, or for the imposition of a new special condition:
(c)
for this order to be discharged.
You or the protected person may apply to the Family Court for a variation or discharge of a direction to undertake an assessment and attend a non-violence programme or engage with a prescribed standard service, or for such a direction to be made.
Consequences of breach of order
You commit an offence if you breach this order by—
(a)
doing an act in contravention of this order; or
(b)
failing to comply with any condition of this order; or
(c)
contravening, or failing to comply with any term and condition of, a related occupation order (for example, by failing to leave the dwellinghouse to which the order relates); or
(d)
contravening a related tenancy order (for example, by failing to leave the dwellinghouse to which the order relates); or
(e)
contravening, or failing to comply with any term and condition of, a related ancillary furniture order (for example, by preventing possession and use of all or any items to which the order relates); or
(f)
contravening, or failing to comply with any term and condition of, a related furniture order (for example, by preventing possession and use of all or any items to which the order relates).
You have a defence to proceedings for this offence if you can prove that you had a reasonable excuse for breaching the order.
The maximum penalty for this offence is 3 years’ imprisonment.
If a constable has good cause to suspect that you have breached this order, you may be arrested without warrant. Police bail is not available during the 24 hours immediately following an arrest. During that period, any bail application must be made to a Judge.
*Consequences of failing to comply with direction
You commit an offence if, without reasonable excuse, you fail on any occasion to comply with a direction made under section 188 or 198 of the Family Violence Act 2018—
(a)
to undertake an assessment for, and attend, a programme; or
(b)
to undertake an assessment for, or engage with, a prescribed service.
The maximum penalty for this offence is 6 months’ imprisonment or a fine not exceeding $5,000.
*Omit if it does not apply. |
Advice
If you need help, consult a lawyer, check the Ministry of Justice website, call the Ministry of Justice call centre, or contact an office of the Family Court immediately.
Ministry of Justice call centre: 0800 268 787
See also the information sheet accompanying this order.