Fill out your application form
You’ll need:
- Application About a Protection Order (Form 12)
To get Provincial Court forms, you can:
- download PDF forms from the links above and fill them out on your computer,
- print the PDF forms and fill them out in pen, or
- ask for printed forms at your local Family Court registry.
Please note that registry staff can't help you fill out your form. If you need help with these forms, see Where can you get help with filling out court forms?
This form is an affidavit that you will swear under oath or affirm to be true. The form has detailed instructions about how to fill it out. Here are some tips:
Here are some tips:
- Only fill in Schedule 1 – Affidavit for Protection Order on the form (not Schedules 2 or 3).
- “Address for service” is an address where you can receive mail and documents. You can put in a mailing address instead of your current address as long as you're able to receive mail and documents there. For example, you may have a friend willing to receive mail for you or you may want to get a PO box. You can also talk to the court registry about confidentiality when you file your documents. And you can talk to the judge about your concerns about having your address in court documents at the hearing. You may also include a fax number and/or an email address as additional addresses for service.
- Tick “I want to apply without notice to the other party because:” and write in why the application and your situation is urgent. Because your application is for an order without notice, you must give a reason why you don’t want the other person to know. Say why you believe it would put you and/or your children (or other family members you live with) in danger to let your partner know about your application. Give examples of what happened or was said to make you feel this way.
- Use the notes you prepared at Step 3 to complete your form.
- When you write down the facts about what happened to make you want protection, put in what you know about directly. The judge will consider how you feel as well as the facts of what happened. You can also include facts based on information from others that you believe to be true. (They're responsible for knowing it's true.) You must say that the information is from other people, and that you believe it to be true.
- Don’t sign the form yet.
Updated on 25 May 2021