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PO 010

Statement

Washington · Washington State Courts · Effective July 1, 2022

This form is a statement that allows a person to certify that all the information they provided in a petition and any attached pages is true and correct. It requires the person to sign it, state where they signed it, and list the number of attached pages.

Open the official PDFfrom Washington State Courts

Where this fits in a case

Start a case

Stage: Start a case

This form is used when filing a petition related to protective orders. It is attached to the main petition document.

Usually filed by the person starting the case.

Common questions

What is this form for?
This form is a statement where you certify that all the information in your petition and any attachments is true and correct.
Do I need to attach anything?
The form has a space for you to list the number of pages you are attaching.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2022.

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