Final Disposition Report (R-84)

12/01/2020

OMB 1110-0051 

R-84 (f) 

 

1) Please provide if the respondent has an active protection order(s) within your agency. 

2)  Please verify if the protection order is temporary, ex parte, or permanent. 

3)  Did the respondent receive actual notice and how was the respondent notified? 

4)  What is the relationship of the protected person (e.g., spouse, child in common, stranger, acquaintance, etc.)? 

5)  Please provide the hearing date.  If the hearing has been held, please advise if the respondent was present.

   

6)  If the hearing has been held, was the respondent present? 

7)  Does the order contain a finding that the respondent represents a credible threat to the physical safety of the victim or does the order prohibit the use, attempted use, or threatened use of physical force? 

8)  Does the order restrain from any future conduct (harassing, stalking, threatening, etc.)? 

9)  Are there court ordered firearm restrictions? 

10)  If applicable, please provide the protection order termination date. 

11)  Please provide all applicable documentation (protection order/petition).

 

12)  Please provide a final disposition (Judgement, Sentencing Order, Docket Sheet, Complaint, Judgement and Commitment, Disposition Report, Conviction) 

13)  Please provide level of conviction (felony, misdemeanor, violation, summary, etc.) and the degree (felony 1^st, misdemeanor 2^nd, etc.) 

14)  What is the statute and subsection of the convicting offense? 

15)  Please advise if the respondent is under indictment/information for a felony or misdemeanor with a maximum punishment that exceeds two years.  If under indictment or information, please provide the date the respondent was placed under indictment or information. 

16)  Please provide a copy of the police/incident report with full narrative.  If applicable, please provide any associated/referenced reports.   

17)  Please submit all supporting documentation regarding this individual along with your agency’s response.