Indiana Judicial Center > Publications & Documents > Benchbooks, Deskbooks, Handbooks > Protection Order Deskbook 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, 2012. 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    
n/a Cover Sheet for Protection, No Contact, and Workplace Violence Restraining Orders 07.01.02 07.01.10 n/a PDF

Service of Protection, No Contact, and Workplace Violence Restraining Orders

Form # Form Title Created Revised    
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

Protection Order Forms

Form # Form Title Created Revised    
PO-0100 Petition for an Order for Protection and Request for a Hearing (Filed by Person Seeking Protection) 07.01.02 07.01.12 Word PDF
PO-0101 Petition for an Order for Protection and Request for a Hearing (Filed on Behalf of a Child) 07.01.02 07.01.12 Word PDF
PO-0102 Instructions for Petition for an Order for Protection (Filed by Person Seeking Protection) 07.01.02 07.01.12 Word PDF
PO-0103 Instructions for Petition for an Order for Protection (Filed on Behalf of a Child) 07.01.02 07.01.12 Word PDF
PO-0104 Confidential Form (to accompany Petition for Order and Request) 07.01.02 07.01.12 Word PDF
PO-0105 Ex Parte Order for Protection and Findings 07.01.02 07.01.09 Word PDF
PO-0106 Notice to Appear 07.01.02 07.01.08 Word PDF
PO-0107 Respondent's Verified Request for a Hearing 07.01.02 07.01.08 Word PDF
PO-0108 Petitioner's Verified Request for Dismissal 07.01.02 07.01.08 Word PDF
PO-0109 Order Dismissing Petition for an Order for Protection 07.30.02 07.01.11 Word PDF
PO-0110 Order Denying Petition for an Order for Protection 07.30.02 07.01.08 Word PDF
PO-0111 Verified Motion to Reinstate Petition for an Order for Protection 07.01.02 - - Word PDF
PO-0112 Order for Protection Issued After a Hearing 07.01.02 07.01.09 Word PDF
PO-0113 Order for Protection Issued After a Hearing (long form with visitation options & child support language) 07.01.02 07.01.09 Word PDF
PO-0115 Petition to Modify an Order for Protection 07.01.02 07.01.08 Word PDF
PO-0117 Notice of Extension or Modification 07.01.02 07.01.10 Word PDF
PO-0118 Notice of Termination 07.01.02 07.01.10 Word PDF
PO-0119 Registration of Foreign Protection Order 07.01.02 07.01.08 Word PDF
PO-0120 Confidential Data Entry Form for Foreign Protection Orders 07.01.02 07.01.10 Word PDF
PO-0121 Order Modifying an Order for Protection Adding Brady Law Prohibition 07.23.04 07.01.08 Word PDF
PO-0122 Order of Transfer To Court Having Jurisdiction 07.01.06 07.01.12 Word PDF
PO-0123 Order of Protection (Short Form) 07.01.07 07.01.09 Word PDF
PO-0124 Supplement to Cover Sheet 07.01.07 - - Word PDF
PO-0125 Supplement to Confidential Form for Protected Parties 07.01.07 - - Word PDF
PO-0126 Petition for Contempt 07.01.09 - - Word PDF
PO-0127 Address Verification Form 07.01.09 07.01.12 Word PDF
PO-0128 Order to Appear  07.01.09 - - Word PDF
PO-0129 Order Finding Violation of Order of Protection and Requiring Respondent to Wear a GPS Device 07.01.09 - - Word PDF
PO-0130 Order Finding Respondent in Civil Contempt for Failure to Obey Order of Protection 07.01.09 - - Word PDF

No Contact Orders

Form # Form Title Created Revised MS Word Adobe PDF
NC-0100 No Contact Order - Pretrial Release 07.01.02 07.01.10 Word PDF
NC-0101 No Contact Order - Diversion 07.01.02 07.01.10 Word PDF
NC-0102 No Contact Order - Probation or Executed Sentence 07.01.02 07.01.10 Word PDF
NC-0103 No Contact Order - CHINS 07.01.02 07.01.08 Word PDF
NC-0104 No Contact Order - Delinquency 07.01.02 07.01.08 Word PDF
NC-0105 No Contact Order - Supplement to Cover Sheet, Protected Persons 07.01.05 - - Word PDF
NC-0106 No Contact Order - Supplement to Confidential Form for Multiple Protected Parties 07.01.05 - - Word PDF
NC-0107 No Contact Order - Order Vacating or Modifying No Contact Order 07.01.09 07.01.12 Word PDF
NC-0108 No Contact Order - Pretrial Release No Hearing 07.01.10 - - Word PDF

Workplace Violence Restraining Orders

Form # Form Title Created Revised MS Word Adobe 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 07.01.03 Word PDF
WV-0102 Order to Show Cause (Workplace Violence) & Temporary Restraining Order 07.01.02 07.01.09 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-0106 Order After Hearing on Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee 07.01.02 07.01.09 Word PDF
WV-0107 Petition to Modify a Workplace Violence Restraining Order 07.01.10 - - Word PDF

Child Protection Orders

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

Related Documents

Document Size Pages  
Protection Order Deskbook 1 mb 134 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 JTAC's Protection Order Registry application