Step 2 of 5 — Who needs protection

List everyone the order should cover. You are already included — add any children or other adults who also need protection.

National DV Hotline: 1-800-799-7233 — 24/7, free, confidential

Children to be protected (§3)

List any minor children who need protection. Leave rows blank if not applicable.

Child's full name Age Your relationship

Other adults to be protected (§3)

A parent, sibling, or other adult who lives with you or needs protection can be added here.

Full name Relationship to you

Firearms and weapons (§8 / CLETS-001)

If the restrained person owns or has access to guns or other weapons, answer what you know — this goes on the confidential CLETS-001 form, not the main DV-100. Leave blank if you don't know.

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