Washington State Courts - Court Forms - RCW 7.105 Protection Order Forms (Effective July 1, 2022)
Note: Additional documents may be required by local county superior court rules. Important: To obtain legal advice you should hire a lawyer (for "full service" representation or for "limited" representation) or, if you cannot afford one, contact a low cost or free legal service program. www.courts.wa.gov
Information about Different Types of Civil Protection Orders
Domestic Violence Protection Order
A petition for a domestic violence protection order must allege the existence of domestic violence committed against the petitioner(s) by an intimate partner or a family household member.
The petitioner (must be age 15 or older) may request relief on behalf of:
Himself or herself
Family or household members who are minors or vulnerable adults
The petition must specify that the petitioner and respondent are intimate partners or family or household members
A petitioner who has been sexually assaulted or stalked by an intimate partner or a family or household member should, but is not required to, seek a domestic violence protection order, rather than a sexual assault protection order or a stalking protection order.
Sexual Assault Protection Order
A petition for a sexual assault protection order must allege the existence of nonconsensual sexual conduct or nonconsensual sexual penetration that was committed against the petitioner by the respondent.
A single incident is sufficient grounds.
Himself or herself
A minor child, where the petitioner is the parent, legal guardian, or custodian
A vulnerable adult where the petitioner demonstrates as an interested person in the adult's wellbeing and the adult cannot file the petition because of age, disability, health, or inaccessibility
Stalking Protection Order
A petition for a stalking protection order must allege the existence of stalking committed against the petitioner(s) by the respondent.
Vulnerable Adult Protection Order
A petition for a vulnerable adult protection order must allege the person is a vulnerable adult and has been abandoned, abused, financially exploited, neglected, or is threatened with abandonment, abuse, financial exploitation, or neglect by the respondent.
If the petition is brought by an interested person, the affidavit or declaration must also include a statement of why the petitioner qualifies as an interested person (see Petition for Protection Order).
Extreme Risk Protection Order
A petition for an extreme risk protection order must allege that the respondent poses a significant danger of causing personal injury to self or others by having in the respondent's custody or control, purchasing, possessing, accessing, receiving, or attempting to purchase or receive, a firearm.
The petition must also identify the number, types, and locations of any firearms the petitioner believes to be in the respondent's current ownership, possession, custody, access, or control.
A petition for an extreme risk protection order may be filed by:
An intimate partner or a family or household member of the respondent; or
A law enforcement agency.
Antiharassment Protection Order
A petition for an antiharassment protection order must allege the existence of unlawful harassment committed against the petitioner by the respondent.
A vulnerable adult, where the petitioner is an interested person
Any other adult for whom the petitioner demonstrates interest in the adult's well-being, and the adult cannot file the petition because of age, disability, health, or inaccessibility.
Law and Justice Center
101 NE 6th Street, 1st Floor
Coupeville, WA 98239
IslandCountyClerk@islandcountywa.gov (Only for Civil Protection Order filings)
Required Documents to Start a Civil Protection Order Action in Island County Superior Court
The documents below are required when filing for a domestic violence, antiharassment, stalking, vulnerable adult, or sexual assault civil protection order.
1. PO 001 Petition for Protection Order_2022_07.pdf
Section 1: If the 4th box is checked for Vulnerable Adult: Attachment B: Notice to Vulnerable Adult must be attached.
Section 4: If any of the children show as "child" in the "How related to Restrained Person" box: Attachment C: Child Addendum must be attached.
Section 4: If the 2nd box for minor children and 2nd or 3rd box are checked: Attachment D: Non-Parents Protection Children (ICWA) must be filled out.
Section 15: If box is checked "Yes": Temporary Order to Surrender Weapons must be attached; this form is provided separately by the Clerk's office.
2. PO 010 Statement_2022_07.pdf
Attach this form to your Petition to add additional details or clarify content.
3. PO 003 Law Enforcement and Confidential Info 7_2022.pdf
4. PO 030 Temporary Protection Order and Hearing Notice_2022_07.pdf
5. PO 018 Declaration_2022_07.pdf
6. PO 004 Proof of Service_2022_07.pdf
(see POi 004 Instructions Proof of Service_07_2022.pdf for directions on serving the other party).
7. PO 040 Protection Order 2022_07.pdf