Protective Order Forms

The Online Court Assistance Program (OCAP) is also available to assist you with this process.

Adult Protective Orders

For the purpose of getting a protective order, an adult is someone who is at least 16 years old.

Information and Instructions about Protective Orders

Requesting a Protective Order

Use these forms to apply for an order of protection for an adult. Read about how to use these forms and go to court in the Information on Court Ordered Protection.

  • Request for Protective Order - PDF Document PDF
  • Describe Abuse Form (extra page; use only if needed) - PDF Document PDF
  • Other Cases of Past Abuse Form (extra page; use only if needed) - PDF Document PDF
  • Law Enforcement worksheet - contact information from Petitioner to help serve Respondent (1/07) - PDF Document PDF
  • Notice of Hearing - PDF Document PDF
  • Temporary Protective Order (Ex Parte Order) - PDF Document PDF
    This is the temporary order that can be reviewed and signed by the judge before there is a hearing. Fill out your personal information on the top part of the form and bring it to the court clerk with all the other forms listed above.
  • Protective Order - PDF Document PDF
    This is the permanent order that can be reviewed and signed by the judge after the hearing. Fill out your personal information on the top part of the form and bring it to the court clerk with all the other forms listed above.

Dismissing or Vacating a Protective Order

These forms are used only after the court has issued a protective order, when one party wants to ask the court to dismiss or vacate the protective order.

Petitioner must bring 3 forms to file with the court:

  1. Petitioner's Request to Dismiss
  2. Notice of Hearing
  3. Order on Request to Dismiss or Vacate.

Respondent must bring 4 forms to file with the court:

  1. Either the form to Request to Vacate -or- the form to Request to Dismiss (after 2 years)
  2. the Law Enforcement Worksheet
  3. Notice of Hearing
  4. Order on Request to Dismiss or Vacate

Forms for Dismissing or Vacating a Protective Order

  • Petitioner's Request to Dismiss Protective Order - PDF Document PDF
  • Respondent's Request to Vacate Temporary Protective Order - PDF Document PDF
    (Used only in emergency circumstances, and the court rarely grant these requests. If there is no emergency, the Respondent should object to the temporary order and ask for its dismissal at the scheduled hearing, without filing any forms before then.)
  • Respondent's Request to Dismiss Protective Order (issued more than 2 years ago) - PDF Document PDF
  • Law Enforcement worksheet - contact information from Respondent to help serve Petitioner - PDF Document PDF
  • Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF Document PDF
  • Order on Request to Dismiss or Vacate Protective Order - PDF Document PDF
    Fill out your personal information on the top part of the order and bring it to the court clerk with all the other forms listed above.

Modifying a Protective Order

These forms are used only after the court has issued a protective order, and one party wants to modify or change some parts of the protective order.

  • Request to Modify Protective Order - PDF Document PDF
  • Modified Temporary Protective Order - PDF Document PDF
  • Modified Protective Order - PDF Document PDF

Child Protective Orders

An adult uses these to apply for an order of protection for minor children less than 18 years old, when protection for those children is not requested as part of an adult's request for a protective order. Those who are at least 16 years old can also apply on their own for an order of protection, using the forms for adults that are listed above. To get court-ordered protection using these forms for child protective orders, fill out these forms and file them at your local juvenile court. Court addresses are available at: http://www.utcourts.gov/directory.

The request form is for the Ex Parte Order on Behalf of Children (a temporary order), as well as the permanent Protective Order on Behalf of Children.

Additional Forms for Protective Orders - For Court Use Only

  • Return of Service Form for Law Enforcement - PDF Document PDF
    (for all protective order and stalking pleadings)
  • Affidavit for Filing Foreign Protective Order - PDF Document PDF
  • Denial of Temporary (Ex Parte) Protective Order - PDF Document PDF
  • Amended Temporary Protective Order - PDF Document PDF
  • Order Extending Temporary Protective Order (Ex Parte served; original hearing continued) - PDF Document PDF
  • Order Extending Temporary Protective Order (Until Protective Order is served) - PDF Document PDF

Page Last Modified: 5/5/2008