Petition for Dating Violence Civil Protection Order

This form is a request to the court for a Civil Protection Order specifically for dating violence. It asks the court to issue orders to protect the person filing the form and any family members listed from the person they are filing against.

Common questions

Who fills out this form?

The form is a petition, meaning the person who is filing it, the Petitioner, fills it out. The Respondent is the person the petition is against.

Does this form ask for a hearing?

The petitioner can check a box to ask for a full hearing trial to be scheduled, even if an emergency order is granted or denied.

What kind of information is needed?

The form asks for details about the relationship, the violence that occurred, and what specific protections the petitioner needs from the court.

Revision history

No changes recorded since we started tracking this form on October 10, 2026.

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• CPO Form 4

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  This form provides general information about two types of protection orders: Civil Protection Orders (CPO) and Criminal Protection Orders. It explains what domestic violence is and describes the different steps and types of orders available in both civil and criminal court settings.

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• CPO Form 10

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  This form is used by the court to write down a final decision (a judgment) about changing or ending a Civil Protection Order or a related agreement. It records the court's findings based on factors presented at a hearing.

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