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PO 030A/PO 040A

Attachment A: Non-Parent (ICWA)

Washington · Washington State Courts · Effective January 1, 2023

This form, Attachment A, is used to provide information about the relationship of the person filing for a Protection Order to the children, especially when the children are not the children of the person filing. It also requires the court to review information about the Indian Child Welfare Acts (ICWA).

Open the official PDFfrom Washington State Courts

Where this fits in a case

Motions

Stage: Motions

This form is attached to a temporary or final Protection Order (PO 030 or PO 040) when the children involved are not the children of the person who started the case.

Usually filed by the person starting the case.

Common questions

What is this form for?
This form is an attachment to a Protection Order that helps the court review the filing party's relationship to the children and check if the Indian Child Welfare Acts (ICWA) apply.
Who fills out this form?
The form is used when a Protection Order is being filed, and it requires information from the filing party and the court's findings.

Revision history

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

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