Close ×


Home Page

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
  • Service Assistance Form - 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
  • Service Assistance Form - 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
  • Order Denying Dating Violence Protective Order - PDF Document PDF | Word Document Word
  • Order Denying Temporary Dating Violence 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

The Utah State Courts mission is to provide the people an open, fair, efficient, and independent system for the advancement of justice under the law.


Page Last Modified: 10/24/2016
Return to Top

Facebook YouTube Twitter RSS Feeds