Protective Order Preparation Worksheet
Write down the incidents — dates, places, what was said and done — and the specific protections you want to ask the court for, before you sit down with the petition. Nothing is scored, rated or assessed here. It exists so the form is faster and more complete when you file it.
Fill & print the form
Runs entirely in your browser — nothing is uploaded; your answers are saved only on this device.
Frequently asked
Does filling this in protect me?
No. No court sees this and no protection exists until a petition is filed and a judge signs an order. Keep it somewhere the other person cannot find it, and if you're in immediate danger call emergency services.
Is this legal advice?
No — it's forms and organization, not legal advice. Most jurisdictions have a domestic-violence advocate who will help you complete and file the petition for free, courthouses usually have a protective-order clerk or self-help desk, and filing fees for these are often waived. Use them.