Domestic Violence Protection Order - Louisiana

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

Louisiana requires the use of official court form LPOR B (Petition for Protection From
Abuse) for domestic abuse 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://www.lasc.org/LPOR-Forms.
Do not file this document directly with the court.

Louisiana Domestic Violence Protection Order Template

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TABLE OF CONTENTS

1. Document Header
2. Definitions
3. Operative Provisions
4. Representations & Judicial Findings
5. Covenants & Restrictions
6. Default & Remedies
7. Risk Allocation (Intentionally Limited)
8. Dispute Resolution & Modification
9. General Provisions
10. Execution Block

1. DOCUMENT HEADER

COURT: [COURT NAME] — [PARISH] PARISH DISTRICT/FAMILY COURT, STATE OF LOUISIANA
DOCKET NO.: ☐
TITLE: DOMESTIC VIOLENCE PROTECTION ORDER
PETITIONER: [PETITIONER FULL LEGAL NAME], (“Petitioner”)
RESPONDENT: [RESPONDENT FULL LEGAL NAME], (“Respondent”)
MINOR CHILDREN AFFECTED (if any): [List Full Names & DOBs]
EFFECTIVE DATE: ☐
STATUTORY AUTHORITY: Issued pursuant to La. Rev. Stat. §§ 46:2131 et seq. (Louisiana Domestic Abuse Assistance Act) and applicable provisions of the Louisiana Children’s Code.

RECITALS

A. On [FILING DATE], Petitioner filed a verified petition alleging domestic abuse as defined by Louisiana law.
B. This Court has subject-matter jurisdiction under La. Rev. Stat. § 46:2131 et seq. and personal jurisdiction over Respondent.
C. Good cause having been shown, and the Court being fully advised in the premises, IT IS HEREBY ORDERED as follows.

2. DEFINITIONS

For purposes of this Order, capitalized terms shall have the meanings set forth below:

“Abuse” means domestic abuse as defined in La. Rev. Stat. § 46:2132(3), including physical or sexual abuse and any offense against the person (physical or non-physical) under the Louisiana Criminal Code, except negligent injury and defamation, committed by one family member, household member, or dating partner against another.

“Court” means the [COURT NAME] sitting in and for [PARISH] Parish, Louisiana.

“Firearm” includes any handgun, rifle, shotgun, or other device as defined in 18 U.S.C. § 921(a)(3).

“Household Member” and “Family Member” have the meanings assigned in La. Rev. Stat. § 46:2132(4).

“Protected Persons” collectively means Petitioner and the Minor Children identified above, and any other individual specifically designated in Section 3.1(c).

“Respondent” means the individual identified in the Document Header against whom this Order is entered.

3. OPERATIVE PROVISIONS

3.1 Prohibited Conduct. Respondent is hereby ENJOINED and RESTRAINED from:
(a) Threatening, assaulting, molesting, harassing, following, or otherwise interfering with any Protected Person, directly or indirectly, in person, by telephone, text, social media, electronic means, or through third parties;
(b) Entering, approaching within [DISTANCE: ___ feet] of, or remaining at the residence, place of employment, school, or habitual dwelling of any Protected Person;
(c) Contacting any Protected Person except as expressly permitted for court-ordered visitation or communication through counsel regarding legal matters;
(d) Possessing, purchasing, or attempting to obtain any Firearm or ammunition for the duration of this Order in accordance with 18 U.S.C. § 922(g)(8), La. Rev. Stat. § 46:2136.3, and La. Code Crim. Proc. arts. 1001 et seq.

3.2 Temporary Custody & Visitation (if applicable).
(a) Physical Custody. Sole temporary custody of the Minor Children is awarded to Petitioner.
(b) Supervised Visitation. Respondent shall have supervised visitation only as scheduled in Attachment A and supervised by [SUPERVISING AGENCY/PERSON] at Respondent’s sole expense.
(c) Exchange Protocol. Exchanges shall occur at [LOCATION] with [LAW ENFORCEMENT/OFFICER/THIRD-PARTY] present.

3.3 Support & Expenses. Pending further order, Respondent shall pay temporary child/spousal support in the amount of $[AMOUNT] per [week/month], commencing [DATE], through [LOUISIANA SUPPORT ENFORCEMENT SERVICES/payment portal].

3.4 Counseling & Intervention. Respondent is ordered to enroll in and complete a certified batterer intervention program within [___] days, providing proof of enrollment to the Court and Petitioner’s counsel.

3.5 Surrender of Firearms.
(a) If the Court has prohibited firearm possession, Respondent shall, within 48 hours of the order (exclusive of legal holidays) as required under La. Code Crim. Proc. arts. 1001–1002, transfer all Firearms and ammunition to the [PARISH] Parish Sheriff’s Office (or other designated agency) and file a proof-of-transfer form with the Clerk of Court.
(b) Failure to comply is punishable under state and federal law.

4. REPRESENTATIONS & JUDICIAL FINDINGS

4.1 Findings of Fact. The Court finds by a preponderance of the evidence that:
(a) Respondent and Petitioner are [spouses / former spouses / co-habitants / parents of a child], thereby qualifying as family or household members under La. Rev. Stat. § 46:2132(4);
(b) Respondent committed one or more acts of Abuse against Petitioner on or about [DATE(S)];
(c) Irreparable harm may result to the Protected Persons without issuance of this Order; and
(d) The relief granted herein is the least restrictive means necessary to ensure safety.

4.2 Representations. Petitioner has certified under penalty of perjury that the information in the underlying petition is true and correct to the best of Petitioner’s knowledge.

5. COVENANTS & RESTRICTIONS

5.1 Compliance Covenant. Respondent shall strictly comply with all terms herein, the Louisiana Protective Order Registry requirements, and any subsequent orders modifying this decree.

5.2 Notice of Address Change.
(a) Respondent shall notify the Clerk of Court and Petitioner’s counsel in writing within 24 hours of any change of residential address.
(b) Petitioner shall maintain a confidential address through the Address Confidentiality Program where applicable.

5.3 Third-Party Communications. Respondent shall not use third parties to circumvent any prohibition under Section 3.1.

6. DEFAULT & REMEDIES

6.1 Events of Default. Any violation of Section 3 or Section 5 constitutes an Event of Default and subjects Respondent to:
(a) Immediate arrest under La. Rev. Stat. § 46:2140(A) (mandatory arrest where an officer has reason to believe a protected person has been abused in violation of the order);
(b) Prosecution for the offense of violation of protective orders under La. Rev. Stat. § 14:79, and/or contempt of court;
(c) Assessment against Respondent of court costs, attorney’s fees, and expenses as provided by La. Rev. Stat. § 46:2136.1.

6.2 Graduated Remedies.
(a) First Violation: Mandatory arrest; potential incarceration up to six months and/or fine up to $500 (La. Rev. Stat. § 14:79(B)(1)).
(b) Second/Subsequent Violation: Enhanced penalties as prescribed by statute, including possible felony-grade imprisonment (La. Rev. Stat. § 14:79(B), (C)).
(c) Civil Contempt: Daily coercive fines until full compliance.

6.3 Attorney Fees & Costs. Upon proof of Respondent’s violation, Respondent shall pay Petitioner’s reasonable attorney’s fees, court costs, and all expenses incurred in enforcement.

7. RISK ALLOCATION

[INTENTIONALLY LIMITED: Indemnification and liability limitation provisions are generally inapplicable to court-issued protective orders. This section reserved to note that the Court retains inherent authority to allocate costs and fees as justice requires.]

8. DISPUTE RESOLUTION & MODIFICATION

8.1 Governing Law. This Order shall be governed by and construed under the laws of the State of Louisiana.

8.2 Jurisdiction & Venue. Exclusive jurisdiction for enforcement or modification lies with [COURT NAME], or any court of competent jurisdiction in [PARISH] Parish, Louisiana.

8.3 Modification. On the motion of any party, after notice to the other parties and a hearing, the Court may modify this Order pursuant to La. Rev. Stat. § 46:2136(D).

8.4 Duration. Unless extended, this Order shall remain in full force and effect for a fixed period not to exceed eighteen (18) months under La. Rev. Stat. § 46:2136(F)(1); the portion directing Respondent to refrain from abusing, harassing, or interfering with a protected person may be granted for an indefinite period under La. Rev. Stat. § 46:2136(F)(2). The firearm prohibition in Section 3.1(d) shall continue as required by federal and state law.

8.5 No Jury Trial. Matters arising under this Order are within the exclusive equitable jurisdiction of the Court; jury trial is unavailable.

9. GENERAL PROVISIONS

9.1 Service. The Clerk shall forward certified copies of this Order to the [PARISH] Parish Sheriff for personal service upon Respondent and entry into the Louisiana Protective Order Registry.

9.2 Severability. If any provision of this Order is held unenforceable, the remaining provisions shall remain in full force and effect.

9.3 Integration. This Order supersedes any prior temporary restraining order between the parties concerning domestic abuse.

9.4 Waiver. No waiver of any provision shall be effective unless in writing and signed by the Court; any waiver shall be limited to its express terms.

9.5 Counterparts & Electronic Signatures. This Order may be executed in counterparts, including counterparts transmitted electronically or by facsimile, each of which shall be deemed an original.

10. EXECUTION BLOCK

ENTERED this ___ day of __________, 20__ at [TIME] ☐ a.m. ☐ p.m.

_______________________________________
[JUDGE NAME], Judge
[COURT NAME] – [PARISH] Parish, Louisiana

Prepared By:
_______________________________________
[ATTORNEY NAME] (La. Bar No. ______)
Counsel for Petitioner
[LAW FIRM NAME]
[ADDRESS] • [PHONE] • [EMAIL]

Approved As To Form:
_______________________________________ Date: __________
[RESPONDENT’S ATTORNEY NAME]
Counsel for Respondent

NOTARY ACKNOWLEDGMENT (if required for filing):
State of Louisiana, Parish of __________
Subscribed and sworn before me on __________, 20__, by the Honorable [JUDGE NAME].
_______________________________________
Notary Public, Notary ID No. __________
My Commission Expires: __________