Agreed Entry and Order – Civil Stalking Protection Order – Fairfield County Court of Common Pleas, General Division

Petitioner name Respondent name Case number Judge name Date this matter was scheduled for a full hearing Number of feet the parties shall stay away from each other

Date the terms of this agreement will expire Other – additional provisions or comments Magistrate signature Petitioner signature Attorney for Petitioner signature (if applicable) Judge signature Respondent signature Attorney for Respondent signature (if applicable)