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How to File a Non-Domestic

Sexual Assault PPO Against a Minor

You are filing for a Non-domestic Sexual Assault PPO against a minor. In order to file for a non-domestic Sexual Assault PPO against a minor, you will need to complete four documents and you will need to write a statement about why you need a PPO.  You can either use our statement packet or you may write or type a statement out on blank sheets of paper.  Do not write on the back of any pages.  For tips on what to include in your statement, click here.



Complete the following four documents:

  1. Non-domestic Sexual Assault PPO Petition Against a Minor: You are only completing and turning in Page 3 of this document. You are filling out all of Page 3 starting with names at the top. 

A. You are the Petitioner.  You must provide your first and last name and a mailing address.  This must be an address where you can receive mail.  It does not have to be the address where you are living, so if the person you are filing against does not know where you are living and if you can get mail at a different address they do know (for example work, P.O. Box) you can write in that mailing address and not your home address.  If the person does not know your phone number, you do not have to list it even though it asks for it.


The person you are filing against is the Respondent.All you need to know about someone in order to file for a PPO against them is their 1) first and last name; 2) Race; 3) Sex; and 4) Date of Birth or accurate age.So if you don’t have their address or phone number, you can still complete the paperwork.



A.1. Make sure the statement in A.1. is correct. If it is not all correct, you are not using the correct paperwork.


B.2.  If you have other court cases with the Respondent, list them here. If they are open, list them in section B.2.a. If they are closed, list them in section B.2.b. Examples might include civil cases (for example, small claims actions) or even criminal cases where one party is the defendant and the other party is the victim. 


C.3. Here you must check the box that is true for your situation so the Judge knows why you are filing for a sexual assault PPO.  You will write/type your statement separately.



D.4. You will tell the Judge what you don’t want the Respondent to be allowed to do by checking boxes in D.4. 


E.5. When you check box E, you are asking the Judge to make a quick decision without a court hearing. This means the Judge will decide whether or not to grant you a PPO within one business day of you turning in your paperwork and will make the decision without a court hearing and without any notice being given to the Respondent. 



F.6. If you are filing on behalf of a minor child or an adult under a legal guardianship as that person’s Next Friend, check box F.6. If you are an adult filing to protect yourself, you will not check box F.6.



G.7. Date and sign at the bottom.  If you cannot print this paperwork and sign it and scan it in again, then type your name using the following format for your signature: /s/ First name Last name (for example: /s/ Jan Jones)

2.) Non-domestic Sexual Assault Order Against a Minor: You need to submit pages 1-3 of this document but you are ONLY completing A, B, and C on page 1 and listing the parties’ names where it asks for them on the top of page 2. (Leave the rest of pages 1 and 2 & all of page 3 blank.)

  1. Page 1, Section A is petitioner’s and respondent’s information again (it is the same as section A in the petition).  It must include petitioner’s first and last name and a mailing address and at least respondent’s first and last name.

  2. Page 1, Section B is Respondent’s information.  List Respondent’s name on the first line of Section B.  List Respondent’s identifying information on the next line, to the extent that you know it. You must list the Respondent’s race, sex, date of birth if you have it and age if you don’t.  If you know the other things, list them. If you don’t, leave them blank.

  3. Page 1, Section C provides space for you to list name and contact information for Respondent’s parents, guardians, or custodians.  If you do not have this information, you may leave it blank.

  4. Page 2 above the line ‘IT IS FURTHER ORDERED’: List petitioner’s name and respondent’s name.

3.) Case Inventory Addendum

  1. This is a mandatory form where the Court wants you to list any family division cases you and the other person have together (including other PPO cases).  Even if you do not have any family division cases together, you will still complete and submit this form:

    1. Fill in the parties names at the top.  In this form, you are the Plaintiff. The person you are filing for the PPO against is the Defendant.

    2. Next, read the instructions to see if you need to list any court cases in the middle section of this form.  Remember, these are family division cases that the two of you have together.  If you don’t have any, leave that section blank.

      1. If you have cases you need to list:

        1. Check the proper box to state whether the case is in this court (the 30th Circuit Court where you are filing for this PPO) or a different one.

        2. Write the case name: this is typically the names of the parties: the person who opened the case vs. the other person.

        3. The case number if you have it (usually found in the upper right-hand corner of court documents). If you do not have that information and cannot obtain it with an online search (many family law cases are in online court databases, but some cases, such as PPOs, are not found online), write what you know.  If you can remember the year it was filed and the type of case it was, that can be helpful.  (For example, 18-3456-PH might be the case number, but if you don’t have it and can at least write down that it was a 2018 PPO, do that.)

        4. Assigned Judge is the Judge assigned to that case (and if it was a case in the 30th Circuit Court, you will probably have that same Judge assigned to your PPO case).

        5. You will check the box ‘Pending’ if the case is still open or ‘Resolved’ if the Judge has already made his/her order(s) and the case is closed or if the case was dismissed. 

  2. Date and sign at the bottom.  If you cannot print the form and sign it and scan it back in, type your name using the following format for your signature: /s/ First name Last name (for example: /s/ Jan Jones)

4.) Questions for Petitioner

  1. Put parties’ names at the top.  (Petitioner v Respondent- names)

  2. Answer the four questions at the top half of the page. Leave the bottom half blank. 

NOTE: This form is not a fillable form like the others, but when you download it and save it as a PDF file, you may be able to edit it by using the ‘fill and sign’ feature. If this does not work and if you cannot print it, complete it and scan it back to the computer, then please answer those questions on a blank Word document for example, and submit that instead.


Next, you will need to write your statement so the Judge knows what’s been happening to cause you to need a Personal Protection Order.



Click here if you want to use our statement packet.

Click here for tips on writing your statement.

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