Domestic Violence Protection Order

IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT FORM

Alaska requires the use of official court form DV-100 (Petition for Domestic Violence
Protective Order) for domestic violence protection order petitions. This template provides
the substantive legal content to help you prepare — but you must transfer your content to
the official form before filing. The official form is available at
https://courts.alaska.gov/shc/dv/index.htm.
Do not file this document directly with the court.

IMPORTANT PRACTICE NOTE
This template is provided for general informational purposes only and is not a substitute for the advice of a licensed attorney. No attorney–client relationship is created by your use of this form. Domestic-violence proceedings carry significant legal consequences; consult qualified counsel or a certified domestic-violence advocate before filing or relying on this document.

DOMESTIC VIOLENCE PROTECTION ORDER

(State of Alaska – Family Court)

TABLE OF CONTENTS

1. Document Header
2. Definitions
3. Judicial Findings
4. Operative Provisions
5. Enforcement & Remedies
6. Risk Allocation (N/A)
7. Dispute Resolution & Jurisdiction
8. General Provisions
9. Execution Block

1. DOCUMENT HEADER

1.1 Title
“Domestic Violence Protection Order” (Long-Term) (“Order”)

1.2 Court & Case Caption
• Court: [STATE OF ALASKA, SUPERIOR COURT, FAMILY DIVISION, ____ JUDICIAL DISTRICT]
• Case No.: [___]
• Petitioner/Protected Person(s): [Full Legal Name(s)] (“Petitioner”)
• Respondent/Restrained Person: [Full Legal Name] (“Respondent”)

1.3 Effective Date & Duration
This Order is effective upon (a) signature by the judicial officer and (b) proper service on Respondent. Under AS 18.66.100(b), the provision prohibiting Respondent from threatening to commit or committing domestic violence, stalking, or harassment (Section 4.1(a), tracking AS 18.66.100(c)(1)) is effective until further order of the court; all other provisions of this Order are effective for one (1) year from issuance unless earlier dissolved by court order. Before expiration, Petitioner may move to extend the Order; an extension is likewise effective for one year.

1.4 Governing Law
This Order is issued pursuant to Alaska's domestic-violence protective-order statutes, AS 18.66.100 – 18.66.180, and the Alaska Rules of Civil Procedure governing protective-order proceedings.

2. DEFINITIONS

“Child(ren)” – Minor child(ren) listed in Section 3.3.
“Firearm” – Any device that expels a projectile by the action of an explosive.
“Protected Address(es)” – Any residence, school, or place of employment identified in Section 4.1.
“Prohibited Contact” – Direct or indirect contact, including but not limited to in-person, telephone, text, email, social media, third-party, or any other form of communication.
“Stay-Away Distance” – A radius of ☐ feet/yards from each Protected Address.

3. JUDICIAL FINDINGS

3.1 Jurisdiction
The Court has subject-matter jurisdiction over domestic-violence protection-order proceedings and personal jurisdiction over Respondent based on [service/residency/acts in Alaska].

3.2 Relationship of Parties
The Court finds the parties are/were:
☐ Spouses or former spouses
☐ Cohabitants or former cohabitants
☐ Related by blood or marriage
☐ Dating or sexual partners
☐ Parents of the same child(ren)
(Select all that apply.)

3.3 Findings of Domestic Violence
After hearing and consideration of evidence, the Court finds that Respondent committed an act(s) of domestic violence as defined by applicable Alaska law on or about [DATE(S)].

3.4 Children Affected
Minor child(ren) entitled to protection:
• Name / DOB: [___]
• Name / DOB: [___]

3.5 Necessity of Order
The Court finds a protection order is necessary to prevent further violence, stalking, or harassment and to ensure safety of Petitioner and listed child(ren).

4. OPERATIVE PROVISIONS

4.1 No Contact & Stay-Away
a. Respondent shall have no Prohibited Contact with Petitioner or child(ren).
b. Respondent shall stay at least [STAY-AWAY DISTANCE] from:
i. Petitioner’s residence: [ADDRESS OR “CONFIDENTIAL”]
ii. Petitioner’s workplace: [ADDRESS OR “CONFIDENTIAL”]
iii. Child(ren)’s school/daycare: [ADDRESS OR “CONFIDENTIAL”]
iv. Any other location where Petitioner or child(ren) are present.

4.2 Exclusive Use & Possession of Residence
☐ Granted ☐ Denied. If granted, Respondent shall immediately vacate [ADDRESS], leaving all keys, garage openers, and access cards.

4.3 Firearms & Dangerous Weapons

a. Conditional weapon prohibition (AS 18.66.100(c)(6)). ☐ The Court, having found that Respondent was in the actual possession of or used a weapon during the commission of the domestic violence, PROHIBITS Respondent from using or possessing a deadly weapon while this Order is in effect.
b. Conditional firearm surrender (AS 18.66.100(c)(7)). ☐ Having made the finding in paragraph (a) as to a firearm, the Court DIRECTS Respondent to surrender any firearm owned or possessed by Respondent to [LAW-ENFORCEMENT AGENCY] on the following terms: [SPECIFY].
c. Federal possession bar. Independent of Alaska law, while Respondent is subject to this Order (issued after notice and hearing, protecting an intimate partner or child, with the required finding), federal law — 18 U.S.C. § 922(g)(8) — makes it unlawful for Respondent to possess or receive any firearm or ammunition.
d. A peace officer investigating the underlying incident may separately seize a deadly weapon under Alaska's domestic-violence weapon-seizure authority; that seizure is not ordered by this document.

4.4 Temporary Child Custody & Visitation
Pursuant to AS 18.66.100(c)(9), the Court may award temporary custody of a minor child to Petitioner and may arrange visitation (under AS 25.20.061) only if the safety of the child and Petitioner can be protected.
☐ Sole legal and physical custody to Petitioner.
☐ Visitation: ☐ None ☐ Supervised [DETAILS] ☐ As separately ordered.

4.5 Support
Under AS 18.66.100(c)(12), the Court may require Respondent to pay support for Petitioner, a minor child in Petitioner's care, or a pet only if there is an independent legal obligation of Respondent to provide that support; the amount for child support is set under Alaska Civil Rule 90.3.
☐ Reserved.
☐ Temporary child support (independent obligation found): $[___] per [week/month], commencing [DATE].

4.6 Treatment & Batterer Intervention
Respondent shall enroll in and complete:
a. State-approved domestic-violence intervention program;
b. Substance-abuse evaluation/treatment if ordered;
c. File proof of enrollment within [___] days.

4.7 Additional Relief
☐ Transfer of phone number(s) to Petitioner.
☐ Return of essential personal property as listed in Schedule B.
☐ Other: ☐.

5. ENFORCEMENT & REMEDIES

5.1 Law-Enforcement Authority
This Order is immediately enforceable statewide and shall be entered into the Alaska Public Safety Information Network (APSIN) and the National Crime Information Center Protection Order File (NCIC POF).

5.2 Arrest Without Warrant
Under AS 18.65.530, a peace officer, with or without a warrant, shall arrest Respondent upon probable cause to believe that, within the previous 12 hours, Respondent committed the crime of violating a protective order in violation of AS 11.56.740(a)(1) or (2) — whether or not the violation occurred in the officer's presence — subject only to the statute's principal-physical-aggressor and prosecutor-authorization exceptions.

5.3 Criminal & Civil Penalties
Under AS 11.56.740, violating this protective order is the crime of violating a protective order, a class A misdemeanor. Conduct constituting a separate offense (e.g., assault, stalking) may be charged independently and may be a felony. Violation may also be punished as contempt of court. (A civil action for damages may not be brought for a peace officer's failure to comply with the mandatory-arrest statute, AS 18.65.530(f).)

5.4 Contempt & Civil Remedies
Upon motion, the Court may impose coercive or compensatory contempt, attorney’s fees, costs, and any other relief authorized by law.

6. RISK ALLOCATION (NOT APPLICABLE)

Indemnification and limitation-of-liability clauses are inapposite to protective orders and are therefore omitted.

7. DISPUTE RESOLUTION & JURISDICTION

7.1 Governing Law
All questions arising under this Order shall be resolved under the domestic-violence statutes and procedural rules of the State of Alaska.

7.2 Forum Selection
Exclusive venue lies in the Alaska Family Court that issued this Order; arbitration is unavailable; jury trial is not applicable in these proceedings.

7.3 Continuing Jurisdiction & Modification
Either party may, with proper notice, move to modify, dissolve, or extend this Order. The Court retains jurisdiction for that purpose.

8. GENERAL PROVISIONS

8.1 Severability
If any provision of this Order is held invalid, the remainder shall remain in full force.

8.2 Service & Proof
Petitioner (or the Court clerk) shall arrange for prompt service of this Order and any attachments on Respondent per Alaska Civil Rule 4.

8.3 Supersession
This Order supersedes any prior temporary or ex-parte orders issued under the same case number.

8.4 Copies to Parties & Agencies
Certified copies shall be provided to:
• Petitioner (free of charge)
• Respondent (upon service)
• Local law-enforcement agency
• Child’s school/daycare (if applicable)

9. EXECUTION BLOCK

Issued at [City], Alaska on [DATE] at [TIME] ☐ a.m. ☐ p.m.

_____________________________________
[JUDGE’S NAME], Superior Court Judge

(SEAL)

Acknowledgment of Service

☐ Personal Service completed on Respondent at [DATE/TIME].
☐ Certified Mail (return receipt attached).
☐ Alternate method approved by Court (specify): ____________.

Signature of Server: ___________________________ Badge/ID#: _______

Date: ___________________

Respondent’s Receipt (optional)

I certify I have received a copy of this Order and understand its terms. I understand that violation may result in immediate arrest and criminal prosecution.

____________________________________
RESPONDENT (Signature) Date

Sources and References

• AS 18.66.100 — Protective orders: eligible petitioners; relief (preponderance standard; duration under (b)(1)–(2); relief list (c)(1)–(16), including discretionary weapon prohibition (c)(6), firearm surrender (c)(7), custody (c)(9), and conditional support (c)(12)).
• AS 11.56.740 — Crime of violating a protective order (class A misdemeanor); confirmed on the record of the Alaska Legislature (SB 28, Sen. Jud. Comm., 2023).
• AS 18.65.530 — Mandatory arrest for crimes involving domestic violence, violation of protective orders, and violation of conditions of release (12-hour window).
• AS 18.66.140 & 18 U.S.C. § 2265 — Full faith and credit for protective orders.
• 18 U.S.C. § 922(g)(8) — Federal firearm possession prohibition while subject to a qualifying protective order.
• Alaska DPS Operating Procedures, ch. 244 (Protective Orders), eff. 10/2/2025 (official — long-term order duration; ex parte 20 days; emergency 72 hours): https://dps.alaska.gov/
• Firearm-provision confirmation — Giffords Law Center, "Domestic Violence Gun Laws in Alaska" (weapon prohibition and firearm surrender are discretionary and conditioned on a weapon-use finding): https://giffords.org/lawcenter/state-laws/domestic-violence-and-firearms-in-alaska/
• Official forms — Alaska Court System, DV-100 (Petition) and DV-125 (Long-Term Domestic Violence Protective Order): https://courts.alaska.gov/shc/dv/index.htm