Step 3 of 5 — Orders you are requesting

Check every order you want the court to issue. You can ask for more than one type. The more specific you are, the more clearly the court understands what you need.

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

Temporary Restraining Orders (§4–6)

Check every order you are asking for. A judge will decide at the hearing what to make permanent.

Personal Conduct Order (§4)

Order the restrained person not to contact, harass, attack, strike, threaten, assault, follow, stalk, molest, destroy my property, or disturb my peace.

Stay-Away Order (§5)

Order the restrained person to stay a set distance away from me, my home, my workplace, and my children's school.

Move-Out Order (§6)

Order the restrained person to move out of the home. A judge can issue this even if their name is on the lease or mortgage.

Address the restrained person should vacate (move-out order)

Only required if you checked Move-Out Order above. This is line 6 of the DV-100.

Stay-away distance (yards)

100 yards is standard. You may request more.

Stay away from (check all that apply):

My home / residence

My job or workplace

My vehicle

School or childcare

My school, my children's school, or childcare.

Other location (specify below)

Other location details

Prohibited conduct — what you are asking the court to forbid (§4)

Check everything. The checked items will be assembled into the order description below, which you can then edit.

No calls, texts, or messages

No contact through phone, text, email, social media, or through other people.

Stay away from my home and workplace

No coming near my residence, my vehicle, or my workplace.

Stay away from my children's school

No approaching the school, childcare, or any location where my children are.

No threatening, harassing, or stalking

No conduct that causes fear, by any method.

No disturbing my peace

Not to disturb the peace of me or any other person protected by this order.

No destroying my property

Not to destroy, damage, hide, or dispose of any property belonging to me.

Surrender firearms and ammunition

All guns and weapons must be surrendered and not acquired during the order.

What you are asking the court to order (§7)

Your selections above are assembled here automatically. You can edit this text — it goes directly on the form.

Child custody and visitation (§10) — if applicable

If you share minor children with the restrained person, you can ask for temporary custody and visitation orders here.

I am asking for child custody and visitation orders

Check this if you share minor children with the restrained person and need the court to set temporary orders.

Legal custody (decision-making) Legal custody is about who makes the big decisions for your children — things like which school they attend, what medical treatment they receive, and what religion they're raised in. It has nothing to do with where they live. "Joint" means you both have to agree on major decisions. "Sole" means one parent decides alone. In a DV case, many petitioners ask for sole legal custody to themselves.

Who makes major decisions about health, education, and welfare.

Physical custody (where children live) Physical custody is about where the children sleep most nights — not who makes decisions. "Primarily with me" means the children live mainly at your home while the order is in effect. "Joint" means they spend significant time at both homes. In a domestic violence case while a TRO is pending, most petitioners ask for the children to live primarily with them.

Where the children will primarily live during the order.

Visitation (if any)

Describe any visitation you are willing to allow during the restraining order period. Leave blank if you are requesting no visitation.

Child support and spousal support (§11–12) — if applicable

You can ask for temporary support orders at the same time as the restraining order.

Child support (§11)

Ask the court to order temporary child support payments.

Spousal / partner support (§12)

Ask the court to order temporary spousal or domestic partner support.

Property orders (§13) — if applicable

Describe any property you need the court to protect — for example, your car, home, or other shared property.

Property to be protected or assigned use of

Describe the specific property and what you are asking the court to order about it. Leave blank if not applicable.

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