Domestic Violence Protection Order

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

Washington requires the use of the statewide mandatory pattern form Domestic Violence
Protection Order (Full Order) promulgated by the Administrative Office of the Courts for
domestic violence protection orders under chapter 7.105 RCW. 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 forms are available at
https://www.courts.wa.gov/forms/ (Protection/Restraining Orders — Domestic Violence).
Do not file this document directly with the court.

SUPERIOR COURT OF WASHINGTON

FOR THE COUNTY OF [COUNTY]

Case No.: [___]
Calendar Date: [___]
Judge/Commissioner: [___]

DOMESTIC VIOLENCE PROTECTION ORDER
(Full Order After Hearing – ch. 7.105 RCW)

TABLE OF CONTENTS

1. Document Header
2. Definitions
3. Judicial Findings
4. Operative Provisions
5. Enforcement & Remedies
6. Procedural & Administrative Provisions
7. General Provisions
8. Execution Block

I. DOCUMENT HEADER

1. Parties and Identification
   1.1 Petitioner/Protected Person(s): [FULL LEGAL NAME]
   1.2 Respondent/Restrained Person: [FULL LEGAL NAME]
   1.3 Minor Child(ren) or Other Protected Persons (if any): [NAME(S) AND DOB(S)]
   1.4 Law-Enforcement Agency Having Jurisdiction for Service: [AGENCY NAME]

2. Effective Date & Duration
   This Order is effective immediately upon entry and shall remain in effect until [EXPIRATION DATE], unless modified or terminated by further order of the Court. Under RCW 7.105.315, the Court may grant relief either for a fixed period or enter a permanent order; a fixed-term order may not be for less than one year unless the Petitioner specifically requested a shorter period. A provision restraining Respondent from contacting the parties' minor children must be for a fixed period not to exceed one year (RCW 7.105.315(2)).

3. Jurisdiction & Venue
   The Court has subject-matter jurisdiction pursuant to RCW 7.105.050 and personal jurisdiction over Respondent pursuant to RCW 7.105.080 (personal jurisdiction over nonresidents), based on Respondent's residence, presence, or acts of domestic violence within this state. Venue is proper in [COUNTY] County pursuant to RCW 7.105.075.

II. DEFINITIONS

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

“Domestic Violence” means physical harm, bodily injury, assault, the infliction of fear of imminent physical harm, sexual assault, stalking, or coercive control of one intimate partner or family or household member by another, as defined in RCW 7.105.010.

“Firearms and Dangerous Weapons” includes, without limitation, any firearm as defined in RCW 9.41.010, ammunition, and any weapon capable of producing bodily harm.

“Protected Address” means any residence, workplace, school, or daycare listed in Section III.

“Stay-Away Distance” means [1,000 feet] (or other Court-specified distance) measured in a straight line from the outer perimeter of the Protected Address. (Under RCW 7.105.310, 1,000 feet is the preferred distance absent specific findings to the contrary.)

III. JUDICIAL FINDINGS

1. Relationship of Parties
   The Court finds that Petitioner and Respondent are [spouses / former spouses / dating partners / share a child in common / current or former co-habitants / family or household members] within the meaning of RCW 7.105.010.

2. Acts of Domestic Violence
   Based on sworn testimony, exhibits, and the record as a whole, the Court finds by a preponderance of the evidence that Respondent committed domestic violence against Petitioner on or about [DATE(S)].

3. Need for Protection
   The Court further finds that an Order restraining Respondent is necessary to prevent future acts of domestic violence and to ensure the safety of Petitioner and Protected Persons.

4. Firearms & Weapons
   a. Respondent poses a credible threat to the physical safety of Petitioner and/or the requisite findings under RCW 9.41.800 are satisfied.
   b. Surrender of firearms, dangerous weapons, and any concealed pistol license is therefore ordered under RCW 9.41.800.

5. Notice & Hearing
   Respondent was served with the Petition and notice of hearing on [DATE] and had an opportunity to be heard. Procedural due-process requirements have been satisfied.

IV. OPERATIVE PROVISIONS

Unless otherwise indicated, all obligations imposed on Respondent are immediately effective.

1. No-Contact Order
   Respondent shall not harass, threaten, assault, follow, monitor, or have any direct or indirect contact whatsoever with Petitioner or any Protected Person, including but not limited to contact in person, by telephone, text, e-mail, social media, or through third parties.

2. Exclusion from Protected Locations
   Respondent shall immediately vacate and stay away from:
   a. The Protected Address(es): [ADDRESS(ES)]
   b. Petitioner’s workplace: [ADDRESS]
   c. Child(ren)’s school/daycare: [NAME & ADDRESS]
   d. Any other location where Petitioner or Protected Person is reasonably believed to be.

3. Stay-Away Distance
   Respondent shall maintain a minimum distance of [1,000 feet] from all Protected Persons and Protected Addresses listed above.

4. Firearms, Weapons, & Concealed-Pistol License (CPL)
   4.1 This Order includes an Order to Surrender and Prohibit Weapons under RCW 9.41.800. The Order is effective upon service, and Respondent must immediately surrender to [LOCAL LAW-ENFORCEMENT AGENCY]:
   (i) All firearms and dangerous weapons in Respondent’s custody, control, or possession; and
   (ii) Any concealed pistol license (CPL) or other license permitting Respondent to carry a firearm.
   If Respondent appears at the hearing (in person or remotely), surrender must occur on the day of the hearing; if Respondent is served by alternate service without appearing, surrender must occur within 24 hours of service (RCW 9.41.801(2)).
   4.2 Respondent is prohibited from accessing, purchasing, possessing, or receiving any firearm, ammunition, or dangerous weapon for the duration of this Order (see RCW 9.41.040).
   4.3 The law-enforcement agency taking possession shall issue a receipt and file the original receipt with the Court within 24 hours after service of the Order (RCW 9.41.801(3)). The Court shall verify timely and complete compliance, including through a compliance review hearing, as provided in RCW 9.41.801(6).

5. Removal from Shared Residence
   Law-enforcement is directed to accompany Petitioner to the shared residence at [ADDRESS] forthwith, to supervise Respondent’s removal of essential personal effects, unless otherwise ordered (RCW 7.105.320).

6. Temporary Residential Parenting / Visitation
   [OPTION A – Granted] Petitioner is awarded exclusive residential care of the minor child(ren). Visitation by Respondent is:
   – [Supervised / Unsupervised]
   – [At LOCATION]
   – [On DAYS/TIMES]
   [OPTION B – Denied] No visitation is awarded at this time in the best interests of the child(ren).

7. Counseling or Batterer Intervention
   Respondent shall within [30 days] enroll in and complete a state-certified domestic-violence intervention program and provide proof of enrollment to the Court.

8. Law-Enforcement Assistance
   Any Washington peace officer with jurisdiction is authorized and directed to enforce the terms of this Order, serve the Order where necessary, and accompany Petitioner as reasonably requested for civil stand-by.

V. ENFORCEMENT & REMEDIES

1. Mandatory Arrest Authority
   A peace officer shall arrest Respondent without warrant under RCW 7.105.450(2) and RCW 10.31.100 if the officer has probable cause to believe Respondent has violated any restraint, exclusion, or stay-away provision of this Order and Respondent knows of the Order.

2. Criminal Penalties
   a. A violation of the restraint, exclusion, or distance provisions of this Order is a gross misdemeanor under RCW 7.105.450(1);
   b. A violation is a Class C felony if it involves conduct constituting an assault that does not amount to first- or second-degree assault (RCW 7.105.450(4)), or if Respondent has two or more prior convictions for violating a protection order (RCW 7.105.450(5)).

3. Contempt of Court
   Violation constitutes contempt of court and may subject Respondent to additional civil or criminal sanctions, including incarceration, monetary penalties, or other appropriate relief (RCW 7.105.450(3)).

4. Civil Remedies Unaffected
   This Order does not bar Petitioner from seeking any other civil remedy or additional protection authorized by law (RCW 7.105.565).

VI. PROCEDURAL & ADMINISTRATIVE PROVISIONS

1. Service & Entry into Statewide Registry
   1.1 The Clerk of Court shall forward a copy of this Order, on or before the next judicial day, to [LAW-ENFORCEMENT AGENCY] for prompt service and entry into WACIC/NCIC (RCW 7.105.325).
   1.2 This Order is effective upon entry and enforceable in all 50 states, Indian tribal lands, U.S. territories, and the District of Columbia pursuant to 18 U.S.C. § 2265.

2. Modification / Termination
   Either party may request modification or termination of this Order by filing the appropriate motion under RCW 7.105.500. A respondent may move to modify or terminate no more than once in any 12-month period and must prove a substantial change in circumstances. Any relief granted shall be in writing and served on all parties.

3. Renewal
   Petitioner or the protected party may seek renewal by filing a motion within the 90 days before the Order expires, as provided in RCW 7.105.405. The petitioner bears no burden of proving a current reasonable fear of harm; the court shall grant renewal unless the respondent proves by a preponderance of the evidence a substantial change in circumstances and that the respondent will not resume acts of domestic violence.

VII. GENERAL PROVISIONS

1. Severability
   If any provision of this Order is held invalid, the invalidity shall not affect the remaining provisions, which shall remain in full force and effect.

2. Conflicting Orders
   In the event of inconsistency between this Order and any prior or contemporaneous order, the provisions providing greater protection to Petitioner and Protected Persons shall control.

3. Copies & Electronic Signatures
   Certified paper or electronic copies of this Order shall be deemed originals for purposes of service and enforcement. The Court authorizes use of electronic signatures pursuant to GR 30.

VIII. EXECUTION BLOCK

Entered this ___ day of __________, 20___, in [COUNTY] County, Washington.

________________________________________
[JUDGE / COURT COMMISSIONER NAME]
Superior Court of Washington

Presented by:

_____________________________ _____________________________
[ATTORNEY NAME] WSBA No. [___] [ATTORNEY NAME] WSBA No. [___]
Attorney for Petitioner Attorney for Respondent

Required Law-Enforcement Data
Respondent’s DOB: [___] Sex: [___] Height: [___] Weight: [___]
Eye Color: [___] Hair Color: [___] Race: [___]
Last Known Address: [___]

[Seal/Notary (if required)]