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Virginia · 5 forms

Protective Orders

Domestic violence, stalking, harassment and elder abuse restraining orders.

5 of 5 forms

  • DC-383

    Petition for Protective Order

    This form is a request to the court asking for a protective order. It asks the court to issue orders that can prevent violence, force, threats, or certain types of contact between the people involved.

    Fillable PDF1 translation
  • CC-1395A

    Protective Order – Act of Violence Conviction Firearm Certification

    This form is a certification that a person named as the Respondent must file after a Protective Order related to an Act of Violence Conviction. It asks the Respondent to confirm whether they possess any firearms or to list where they have surrendered, sold, or transferred all their firearms.

    Fillable PDF
  • DC-649

    Protective Order Firearms Certification

    This form is a certification that a person must file with the court to show they have dealt with firearms after a Protective Order or an Assault and Battery conviction. It asks the person to state if they have firearms or if they have surrendered, sold, or transferred all of them to specific authorized places or people.

    Fillable PDF
  • DC-684

    Filing of Foreign Protective Order

    This form is used to file a protective order that was issued in another state or country. It asks for details about the order, the people involved, and the court that originally issued it.

    Fillable PDF
  • No number

    Protective Order Information Sheet

    This sheet explains what protective orders are and describes the different types available. It provides general information about the process for getting a preliminary protective order and what to do if the order is broken.

    Fillable PDF3 translations