Indiana Protection Order Forms

Indiana Court Forms
Protection Orders, No Contact Orders, and Workplace Violence Restraining Orders

Indiana's Updated Civil Protection Order, No Contact Order, and Workplace Violence Restraining Order Forms are effective July 1, 2008. The following forms are updated and valid for use in court.

Forms Last Updated or Newly Approved: July 1, 2008

All forms below contain dates of approval and revision in the upper left corner of each page, which you can check against the dates listed in the table below. If the form you are using has been updated since you downloaded, you should download again now.

Most forms below are available in both Microsoft Word and Adobe PDF formats. Simply click the icon corresponding to the format you prefer to view the form (learn how to save the forms to your computer). To view and print Word documents, you must have Microsoft Word installed on your computer. To view and print Adobe PDF documents, you must have the Adobe Acrobat Reader installed on your computer; this reader is available for free download on the Adobe website.

Forms

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
Cover Sheet for Protection, No Contact, and Workplace Violence Restraining Orders
n/a	Cover Sheet for Protective Orders	07.01.02	07.01.08	n/a
The above cover sheet is a fillable PDF document capable of being filled out electronically through the Adobe Acrobat Reader. If you have never used a fillable PDF, instructions are available.

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
Service of Protection, No Contact, and Workplace Violence Restraining Orders
PNW-0100	Instructions to Clerk	07.01.03	- -
PNW-0101	Return Of Service Information For Protective Orders, No Contact Orders And Workplace Violence Restraining Orders	07.01.03	- -

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
Protection Order
PO-0100	Petition for an Order for Protection and Request for a Hearing (Filed by Person Seeking Protection)	07.01.02	07.01.08
PO-0101	Petition for an Order for Protection and Request for a Hearing (Filed on Behalf of a Child)	07.01.02	07.01.08
PO-0102	Instructions for Petition for an Order for Protection (Filed by Person Seeking Protection)	07.01.02	07.01.08
PO-0103	Instructions for Petition for an Order for Protection (Filed on Behalf of a Child)	07.01.02	07.01.08
PO-0104	Confidential Form (to accompany Petition for Order and Request)	07.01.02	07.01.08
PO-0105	Ex Parte Order for Protection and Findings [Cover Sheet PDF]	07.01.02	07.01.08
PO-0106	Notice to Appear	07.01.02	07.01.08
PO-0107	Respondent's Verified Request for a Hearing	07.01.02	07.01.08
PO-0108	Petitioner's Verified Request for Dismissal	07.01.02	07.01.08
PO-0109	Order Dismissing Petition for an Order for Protection	07.30.02	07.01.08
PO-0110	Order Denying Petition for an Order for Protection	07.30.02	07.01.08
PO-0111	Verified Motion to Reinstate Petition for an Order for Protection	07.01.02	- -
PO-0112	Order for Protection Issued After a Hearing [Cover Sheet PDF]	07.01.02	07.01.08
PO-0113	Order for Protection Issued After a Hearing (long form with visitation options & child support language) [Cover Sheet PDF]	07.01.02	07.01.08
PO-0114	Notice to Indiana State Police Re: Firearms	07.01.02	07.01.03
PO-0115	Petition to Modify an Order for Protection	07.01.02	07.01.08
PO-0117	Notice of Extension or Modification	07.01.02	07.01.08
PO-0118	Notice of Termination	07.01.02	07.01.08
PO-0119	Registration of Foreign Protection Order	07.01.02	07.01.08
PO-0120	Confidential Data Entry Form for Foreign Protection Orders	07.01.02	07.01.08
PO-0121	Order Modifying an Order for Protection Adding Brady Law Prohibition	07.23.04	07.01.08
PO-0122	Order of Transfer To Court Having Jurisdiction	07.01.06	07.01.08
PO-0123	Order of Protection (Short Form) [Cover Sheet PDF]	07.01.07	07.01.08
PO-0124	Supplement to Cover Sheet	07.01.07	- -
PO-0125	Supplement to Confidential Form for Protected Parties	07.01.07	- -

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
No Contact Order
NC-0100	No Contact Order - Pretrial Release [Cover Sheet PDF]	07.01.02	07.01.08
NC-0101	No Contact Order - Diversion [Cover Sheet PDF]	07.01.02	07.01.08
NC-0102	No Contact Order - Probation [Cover Sheet PDF]	07.01.02	07.01.08
NC-0103	No Contact Order - CHINS [Cover Sheet PDF]	07.01.02	07.01.08
NC-0104	No Contact Order - Delinquency [Cover Sheet PDF]	07.01.02	07.01.08
NC-0105	No Contact Order - Supplement to Cover Sheet, Protected Persons	07.01.05	- -
NC-0106	No Contact Order - Supplement to Confidential Form for Multiple Protected Parties	07.01.05	- -

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
Workplace Violence Restraining Order
WV-0100	Instructions for Petitions to Prohibit Workplace Violence	07.01.02	07.01.05
WV-0101	Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee / Application for Temporary Restraining Order	07.01.02	07.01.03
WV-0102	Order to Show Cause (Workplace Violence) & Temporary Restraining Order [Cover Sheet PDF]	07.01.02	07.01.08
WV-0103	Proof of Personal Service (Workplace Violence)	07.01.02	07.01.03
WV-0104	Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee	07.01.02	07.01.03
WV-0105	Proof of Service of Completed Response (Workplace Violence)	07.01.02	07.01.03
WV-0106	Order After Hearing on Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee [Cover Sheet PDF]	07.01.02	07.01.08

Form #	Form Title	Date Created	Date Revised	MS Word	Adobe PDF
Child Protection Order
CHPO-0100	Department of Child Services Temporary Protection Order [Cover Sheet PDF]	07.01.07	07.01.08
CHPO-0101	Department of Child Services Child Protection Order [Cover Sheet PDF]	07.01.07	07.01.08