Getting Your Personal Protection Order

Forms

You will use several forms, depending on what you are trying to do and your relationship with the abuser. The personal protection order (PPO) forms are provided only to show you what each looks like and what information you must include. Your court might not accept a print-out of the SCAO forms from this website. If so, when you file for your PPO you may have to use the original forms the court clerk gives you.

If your court lets you use a printed-out form, many of the PDF documents listed have fill-in-the-blank fields. Just type in the required information and check necessary boxes, and print it all out! (Use the Tab key to go from field-to-field.)

Local Forms

Type of Form
When to Use
Eaton County Circuit Court Personal Protection Order (PPO) Office: PPO Guide (PDF)
Read this before you fill out or file your forms.
Eaton County Circuit Court PPO Office: Petitioner's Legal Obligations (PDF)
N/A
Eaton County Circuit Court PPO Office: Petitioner's Verified Statement (PDF)
File this completed form with your PPO Petition.
Eaton County Sheriff's Department: Information Sheet (PDF)
Descriptive information about the person who you want restrained, which will be included in the information entered into L.E.I.N. system.
Petition and Order to Appoint Next Friend (PDF)
If you need a PPO for a minor, the minor cannot file on his/her own behalf. The Court must appoint a "next friend" (who can be one of the minor's parents) to represent the minor.

State-Wide Forms

Type of FormWhen to Use
Instructions for Personal Protection Orders (PDF)State Court Administrator's Office (SCAO) instruction booklet.
Petition for Personal Protection Order (Domestic Relationship)  (CC 375) (PDF)If you and the person you want restrained have a 'domestic relationship' (spouse or former spouse; current or former household resident; child in common; dating relationship).
Personal Protection Order (Domestic Relationship) (CC 376) (PDF)Companion form to CC 375 (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" through "D").
Petition for Personal Protective Order Against a Minor (Domestic Relationship)  (CC 375M) (PDF)If you and the minor you want restrained have a 'domestic relationship' (current or former household resident; child in common; dating relationship).
Personal Protection Order Against a Minor (Domestic Relationship) (CC 376M) (PDF)Companion form to CC 375M (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" through "D").
Petition for Personal Protection Order Against Stalking (Non-Domestic Relationship)  (CC 377) (PDF)If you want an order to restrain another person from stalking or harassing you and you do not have a domestic relationship with this person.
Personal Protection Order Against Stalking (Non-Domestic Relationship)  (CC 380) (PDF)Companion form to CC 377 (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" through "D").
Petition for Personal Protection Order Against Stalking by a Minor (Non-Domestic Relationship) (CC 377M) (PDF)If you want an order to restrain a minor from stalking or harassing you and you do not have a domestic relationship to this person.
Personal Protection Order Against Stalking by a Minor (Non-Domestic Relationship) (CC 380M) (PDF)Companion form to CC 377M (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" through "E").
Petition for Personal Protection Order (Non-Domestic Sexual Assault) (CC 395) (PDF)

Spanish version: Peticion de Orden de Proteccion Personal (Agresion/Abuso Sexual no Domestico) (PDF)

Arabic version (PDF)
Use this form if you want an order to restrain a person over the age of 18 from sexually assaulting you or threatening to sexually assault you, you do not have a domestic relationship with this person, and that person has: previously been convicted of a sexual assault against you, or subjected you to, threatened you with, or placed you in reasonable apprehension of sexual assault, or previously been convicted of furnishing you, a minor, with obscene material, or if you are a minor and this person has furnished you with obscene material.
Petition for Personal Protection Order Against a Minor (Non-Domestic Sexual Assault)  (CC 395M) (PDF)If you want an order to restrain a person under the age of 18 from sexually assaulting you or threatening to sexually assault you, you do not have a domestic relationship with this person, and that person:
  • Is subject to an order of disposition or other adjudication based on a sexual assault against you
  • Has subjected you to, threatened you with, or placed you in reasonable apprehension of sexual assault
  • Is subject to an order of disposition or other adjudication based on furnishing you, a minor, with obscene material
  • Has furnished you, a minor, with obscene material
Personal Protective Order (Non-Domestic Sexual Assault) (CC 396) (PDF)

Spanish version: Orden de Proteccion Personal (PDF)

Arabic version (PDF)
Companion form to CC 395 (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" and "B")
Personal Protective Order (Non-Domestic Sexual Assault)  (CC 396m) (PDF)
Companion form to CC 395m (PDF), becomes the actual Order signed by the Judge. You must fill out the informational boxes at the top (items "A" and "B")
Notice of Hearing on Personal Protection Order (CC 381) (PDF)
If you did not request an ex-parte order, or the judge refuses to issue an order without a hearing.
Order Denying or Dismissing Petition for Personal Protection Order  (CC 383) (PDF)
Order signed by the judge if your petition for PPO, or proofs in a contested hearing, do not merit issuance of a PPO.
Motion and Order to Dismiss Action for Personal Protection Order  (CC 378) (PDF)
If you do not want to continue with your Motion for a PPO and the order has not yet been signed by the Judge. (This form is rarely used.)
Motion to Modify, Extend or Terminate Personal Protection Order (CC 379) (PDF)

Spanish version: Mocion Para Modificar, Prolongar, O Terminar Una Orden de Proteccion Personal (PDF)
If you want to change the terms of, extend the duration of, or dismiss a PPO that has been signed by a Judge. The Respondent can use this form to try to change the terms of, or dismiss, the PPO.
Order on Motion to Extend/Terminate PPO (CC 385) (PDF)

Spanish version: Orden Acerca de la Mocion Para Modicicar, Prolongar, o Terminar Una Orden de Proteccion Personal (PDF)
Companion form to CC 379 (PDF) and A 379SP (PDF), filled out by the Judge when the Petitioner or Respondent changes the terms of, or dismisses, the PPO.
Motion and Order to Show Cause for Violating Personal Protection Order  (CC 382) (PDF)
Use if the Respondent (i) has been served with the PPO, (ii) has violated the PPO, (iii) has not been arrested by the police for the violation, and (iv) you want the court to order him in to court to answer to a contempt charge.
Order After Hearing on Show Cause for Violating Personal Protection Order  (CC 382A) (PDF)
Companion form to CC 382 (PDF),  filled out by the Judge after a show cause hearing claiming that the respondent violated the PPO.
Order After Hearing on Violating Personal Protection Order  (CC 384) (PDF)
Companion form to CC 382 (PDF), filled out by the Judge after an evidentiary hearing on whether the respondent violated the PPO.
Proof of Service (CC 386) (PDF)
Use this form after the defendant has been served with a copy of the PPO.
This form must be filed with the court after the other party is served!

Important: By using the "do-it-yourself" Personal protection order, you are choosing to represent yourself in a lawsuit. You have involved the court, so you must follow the court's rules! If you miss a required step, or fail to properly and completely fill out required forms, the Order you get from the Court could be ineffective, and you could remain unprotected.