Protective Order Forms

Need help?


If you are in danger, call: 911

Or call the Domestic Violence Hotline. They can help you find emergency housing, medical care, and support and advocacy for you and your children.

Call toll-free: 800-897-5465

Adult Protective Order Forms

When completed, the forms on this page are suitable for filing. File the original form with the court and keep a copy for yourself. A copy of any form filed with the court must be served on the other party. The court clerk will make a copy to serve.


Request a Protective Order

All Forms needed by Petitioner to request a Protective Order


Request a Dating Violence Protective Order

  • Request for Dating Violence Protective Order - PDF Document PDF | Word Document Word
  • Temporary Dating Violence Protective Order - PDF Document PDF | Word Document Word
  • Dating Violence Protective Order - PDF Document PDF | Word Document Word

Request for a Hearing on a Protective Order

All Forms needed by Petitioner to request a hearing for a Protective Order when the Temporary Protective Order has not been issued

  • Request for a Hearing on a Protective Order - PDF Document PDF | Word Document Word

Request a Temporary Protective Order be Changed

All Forms needed by Petitioner to request that a Temporary Protective Order be changed


Request a Final Protective Order be Changed

All Forms needed by Petitioner to Request that a Final Protective Order be Changed


Request a Protective Order be Dismissed

All Forms needed by Petitioner to request that a Protective Order be dismissed

  • Petitioner's Request to Dismiss Protective Order - PDF Document PDF | Word Document Word
  • Order on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word
  • Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word

Request a Temporary Protective Order be Vacated

All Forms needed by Respondent to request that a Temporary Protective Order be vacated

  • Respondent's Request to Vacate Temporary Protective Order - PDF Document PDF | Word Document Word
  • Order on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word
  • Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word

Request a Final Protective Order be Dismissed

All Forms needed by Respondent to request that a Final Protective Order be dismissed

  • Respondent's Request to Dismiss Protective Order - PDF Document PDF | Word Document Word
  • Order on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word
  • Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word

Request a Protective Order From Another State be Registered in Utah

All Forms needed by Petitioner to request that a Protective Order from another state be registered in Utah

  • Affidavit for Filing an Out-of-State Protective Order - PDF Document PDF | Word Document Word

All Adult Protective Order Forms

This is a list of all protective order forms. Not all are needed for every situation.

  • Request for Protective Order - PDF Document PDF | Word Document Word
  • Request for a Hearing on a Protective Order - PDF Document PDF | Word Document Word
  • Temporary Protective Order - PDF Document PDF | Word Document Word
  • Order Denying Temporary Protective Order - PDF Document PDF | Word Document Word
  • Order Extending Temporary Protective Order - PDF Document PDF | Word Document Word
  • Protective Order - PDF Document PDF | Word Document Word
  • Order Denying Protective Order - PDF Document PDF | Word Document Word
  • Request to Modify Protective Order - PDF Document PDF | Word Document Word
  • Modified Temporary Protective Order - PDF Document PDF | Word Document Word
  • Modified Protective Order - PDF Document PDF | Word Document Word
  • Petitioner's Request to Dismiss Protective Order - PDF Document PDF | Word Document Word
  • Respondent's Request to Vacate Temporary Protective Order - PDF Document PDF | Word Document Word
  • Respondent's Request to Dismiss Protective Order - PDF Document PDF | Word Document Word
  • Order on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word
  • Notice of Hearing - PDF Document PDF | Word Document Word
  • Notice of Hearing on Request to Dismiss or Vacate Protective Order - PDF Document PDF | Word Document Word
  • Order Dismissing Request for Protective Order (For Court Use Only) - PDF Document PDF | Word Document Word
  • Service Assistance Form - PDF Document PDF | Word Document Word
  • Return of Service (Law Enforcement Use Only) - PDF Document PDF | Word Document Word
  • Affidavit for Filing an Out-of-State Protective Order - PDF Document PDF | Word Document Word

Related Information


Page Last Modified: 6/19/2013
Return to Top