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CC-1645

Notice of Restriction by Guardian

Virginia · Supreme Court of Virginia

This form is a notice from a guardian that tells others that the guardian has limited certain people's ability to talk to, visit, or interact with an incapacitated person. It explains what the restriction is and why the guardian believes it is needed.

Open the official PDFfrom Supreme Court of Virginia

Where this fits in a case

Motions

Stage: Motions

This form is used when a guardian needs to officially notify others that they are restricting someone's contact with an incapacitated person.

Usually filed by the person starting the case.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The guardian who has signed the notice fills out this form.
What does this notice tell people?
It tells people that the guardian has restricted their ability to communicate with, visit, or interact with the incapacitated person.
Can someone challenge this restriction?
The notice states that the restricted person and/or the incapacitated person may challenge this restriction by filing a petition in the circuit court.

Revision history

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

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