Domestic Violence 2919.25 (A) KNOWINGLY Cause or Attempt to Cause Physical Harm (M-1)

knowingly cause or attempt to cause physical harm to a family or household member, to wit: (Victim's Name), his wife, by means of hitting her in the face with his fist.

Note: You must include the victim name and state the relationship to the defendant.

 

 Domestic Violence 2919.25 (B) RECKLESSLY Cause or Attempt to Cause Serious Physical Harm (M-1)

recklessly cause or attempt to cause serious physical harm to a family or household member, to wit: (Victim's Name), his wife, by means of throwing a beer bottle at the victim, hitting her in the head and causing physical harm

 Note: You must include the victim name and state the relationship to the defendant.

 

 Domestic Violence 2919.25 (C)  knowingly by THREAT OF IMMINENT HARM (M-4)

BY THREAT OF FORCE, KNOWING CAUSE A FAMILY OR HOUSEHOLD MEMBER, TO WIT: (STATE NAME OF PERSON), (DESCRIBE RELATIONSHIP), TO BELIEVE THAT THE OFFENDER WILL CAUSE IMMINENT PHYSICAL HARM TO SAID FAMILY OR HOUSEHOLD MEMBER BY (DESCRIBE HARM AND MEANS)

 

 Assault 2903.13 (A) ORC (CAUSE or ATTEMPT to cause physical harm. M-1)

knowingly cause or attempt to cause physical harm to another, to wit: (Victim's Name), by means of (Describe Assault) 

 Felonious Assault 2903.11  ORC (A)(1) (SERIOUS Physical Harm. F-2)

knowingly cause serious physical harm to another, to wit: (Victim's Name), by means of (Describe Assault)

 Menacing 2903.22 ORC (Cause another to BELIEVE PHYSICAL HARM WILL BE DONE. M-4)

knowingly cause another, to wit: (Offender's Name), would cause physical harm to the person or property or a member of the said person's immediate family, to wit: (Victim's Name), to wit: (Describe Reason for Belief) 

 Complainant, being duly sworn, sates that the above named defendant.......did:

 Violation of a TPO 2919.27 (Temporary / Criminal  Protection Order )  M-1

RECKLESSLY VIOLATE ANY TERMS OF A PROTECTION ORDER ISSUED ON JANUARY 30^TH BY JUDGE SMITH, PIKE COUNTY MUNICIPAL COURT, UNDER CASE NUMBER 96/123 PURSUANT TO SECTION 2919.26 OHIO REVISED CODE, TO WIT: DID ATTEMPT TO ENTER THE RESIDENCE OF JANE DOE, THE FAMILY OR HOUSEHOLD MEMBER LISTED AS BENEFICIARY OF THE PROTECTION ORDER

 

 Violation of a CPO 2919.27 (Civil Protection Order)  M-1

RECKLESSLY VIOLATE ANY TERMS OF A PROTECTION ORDER ISSUED ON JUNE 24^TH BY JUDGE SMITH IN THE FRANKLIN COUNTY COURT OF DOMESTIC RELATIONS UNDER CASE NUMBER 06-DR-0001 PURSUANT TO SECTION 3113.31 O.R.C., TO WIT: DID APPROACHE THE PETITIONER’S PLACE F EMPLOYMENT