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Indiana's Updated Civil Protection Order, No Contact Order, and Workplace Violence Restraining Order Forms are effective July 1, 2020. The following forms are updated and valid for use in court.
All forms below contain dates of approval and revision in the bottom right 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.
Cover Sheet
The cover sheet is a fillable PDF document capable of being filled out electronically through the Adobe Acrobat Reader.
| Form # |
Form Title |
Created |
Revised |
Word |
PDF |
| n/a |
Cover Sheet for Protection, No Contact, and Workplace Violence Restraining Orders |
07.01.02 |
07.01.15 |
n/a |
PDF |
Service of Protection, No Contact, and Workplace Violence Restraining Orders
| Form # |
Form Title |
Created |
Revised |
Word |
PDF |
| PNW-0100 |
Instructions to Clerk |
07.01.03 |
- - |
Word |
PDF |
| PNW-0101 |
Return Of Service Information For Protective Orders, No Contact Orders And Workplace Violence Restraining Orders |
07.01.03 |
- - |
Word |
PDF |
| PNW-0102 |
Access to Court Records Notice of Exclusion of Confidential Information |
07.01.20 |
- - |
Word |
PDF |
Protection Order Forms
| Form # |
Form Title |
Created |
Revised |
Word |
PDF |
| PO-0100 |
Petition for an Order for Protection and Request for a Hearing (Filed by Person Seeking Protection) |
07.01.02 |
05.14.25 |
Word |
PDF |
| PO-0101 |
Petition for an Order for Protection and Request for a Hearing (Filed on Behalf of a Child) |
07.01.02 |
05.14.25 |
Word |
PDF |
| PO-0102 |
Instructions for Petition for an Order for Protection (Filed by Person Seeking Protection) |
07.01.02 |
05.14.25 |
Word |
PDF |
| PO-0103 |
Instructions for Petition for an Order for Protection (Filed on Behalf of a Child) |
07.01.02 |
05.14.25 |
Word |
PDF |
| PO-0104 |
Confidential Form (to accompany Petition for Order and Request) |
07.01.02 |
07.01.19 |
Word |
PDF |
| PO-0106 |
Notice to Appear |
07.01.02 |
07.01.14 |
Word |
PDF |
| PO-0107 |
Respondent's Verified Request for a Hearing |
07.01.02 |
05.14.25 |
Word |
PDF |
| PO-0108 |
Petitioner's Verified Request for Dismissal |
07.01.02 |
07.01.08 |
Word |
PDF |
| PO-0111 |
Verified Motion to Reinstate Petition for an Order for Protection |
07.01.02 |
- - |
Word |
PDF |
| PO-0115 |
Petition to Modify an Order for Protection |
07.01.02 |
07.01.19 |
Word |
PDF |
| PO-0116 |
Petition to Extend Order for Protection |
07.01.15 |
- - |
Word |
PDF |
| PO-0119 |
Registration of Foreign Protection Order |
07.01.02 |
07.01.14 |
Word |
PDF |
| PO-0126 |
Petition for Contempt |
07.01.09 |
- - |
Word |
PDF |
| PO-0128 |
Order to Appear |
07.01.09 |
- - |
Word |
PDF |
| PO-0137 |
Notice to School Corporation |
10.29.21 |
|
Word |
PDF |
Workplace Violence Restraining Orders
| Form # |
Form Title |
Created |
Revised |
Word |
PDF |
| WV-0100 |
Instructions for Petitions to Prohibit Workplace Violence |
07.01.02 |
07.01.11 |
Word |
PDF |
| WV-0101 |
Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee / Application for Temporary Restraining Order |
07.01.02 |
07.01.14 |
Word |
PDF |
| WV-0102 |
Order to Show Cause (Workplace Violence) & Temporary Restraining Order |
07.01.02 |
07.01.14 |
Word |
PDF |
| WV-0103 |
Proof of Personal Service (Workplace Violence) |
07.01.02 |
07.01.03 |
Word |
PDF |
| WV-0104 |
Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee |
07.01.02 |
07.01.03 |
Word |
PDF |
| WV-0105 |
Proof of Service of Completed Response (Workplace Violence) |
07.01.02 |
07.01.03 |
Word |
PDF |
| WV-0107 |
Petition to Modify a Workplace Violence Restraining Order |
07.01.10 |
- - |
Word |
PDF |
Related Documents
| Document |
Size |
Pages |
PDF |
| Protection Order Deskbook |
1.25 MB |
152 |
PDF |
| House Enrolled Act No. 1232 |
301 kb |
54 |
PDF |
| Summary of HEA 1232 |
174 kb |
7 |
PDF |
| Senate Enrolled Act No. 479 |
n/a |
n/a |
n/a |
| Hearings Required Under Act |
55 kb |
1 |
PDF |
Learn more about the Protection Order Registry application
