Utah State Courts

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

• Information on Court Ordered Protection

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
• Describe Abuse Form (extra page; use only if needed) - PDF
• Other Cases of Past Abuse Form (extra page; use only if needed) - PDF
• Law Enforcement worksheet - contact information from Petitioner to help serve Respondent (1/07) - PDF
• Notice of Hearing - PDF
• Temporary Protective Order (Ex Parte Order) - 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
  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
• Respondent's Request to Vacate Temporary Protective Order - 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
• Law Enforcement worksheet - contact information from Respondent to help serve Petitioner - PDF
• Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF
• Order on Request to Dismiss or Vacate Protective Order - 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
• Modified Temporary Protective Order - PDF
• Modified Protective Order - 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.

• Verified Petition for Protective Order on Behalf of Children - PDF | WordPerfect | More Information (For use in Juvenile Court)
• Ex Parte Protective Order on Behalf of Children - PDF | WordPerfect | More Information
• Protective Order on Behalf of Children - PDF | More Information
• Notice of Dismissal of Child Protective Order or Denial of Ex Parte Order - PDF | WordPerfect | More Information
• Order to Transfer Child Protective Order to District Court - PDF | WordPerfect | More Information

Additional Forms for Protective Orders - For Court Use Only

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