Restraining Orders

On the protection order form, you will be the “petitioner” and the abuser will be the “respondent.” Write about the most recent incidents of violence, using descriptive language that fits your specific situation. For example, you might use words like “slapping,” “hitting,” “grabbing,” “threatening,” “choking,” etc. Include details and dates, if possible. Describe any property damage, any hospital visits or medical appointments due to the abuse, and explain whether the abuser owns or has threatened you with a weapon. Be specific.

If you need help filling out the forms, ask the clerk. Some courts may have an advocate who can assist you, or a domestic violence organization may be able to help. Please visit our Mississippi Advocates and Shelters page to find a local program.

Note: The form may need to be notarized. Do not sign the petition until you have shown it to a clerk.