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CC 375MMandatory

Petition for Personal Protection Order Against a Minor (Domestic Relationship)

Michigan · Michigan State Court Administrative Office · Effective March 1, 2023

This form is used to ask the court for a personal protection order when there is a domestic relationship involving a minor child. It asks the court to prohibit the other person from certain actions, such as entering property or contacting the petitioner.

The court describes it as: Court rule / statute: MCL 600.2950, MCL 600.2950a, MCL 712A.2(h), MCR 3.703

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Start a case

Stage: Start a case

This form is used when a person needs a personal protection order because of a domestic relationship involving a minor child.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The petitioner fills out this form, or a next friend may file it on their behalf.
What does the petitioner need to explain?
The petitioner must explain what happened in section 5 and list what they are asking the court to prohibit in section 6.
Is there a fee involved?
The Proof of Service section includes spaces for various fees, but the form itself does not state if a filing fee is required.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect March 1, 2023.

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