These legal forms are available to print from the District Attorney’s website and have been developed by the Domestic Violence Division in cooperation and consultation with judges, law enforcement and prosecutors around the State of Mississippi. They are model forms which can be utilized “as is” or can be modified to fit each specific situation. Additional forms will be posted as they are developed, so please continue to check our website for new forms. These forms are provided as a courtesy, and the usage of these forms is not mandated by any law or court rule. If you have any questions regarding these forms, please contact the Domestic Violence Division.
FORMS – (View/Print in Adobe Reader)
Petition for Domestic Abuse Protective Order Ex Parte Temporary Domestic Abuse Protective Order (immediate relief without notice to the other party)
Temporary Domestic Abuse Protective Order issued after a hearing is held
Final Domestic Abuse Protective Order issued only by county, circuit and chancery courts
Order to Continue Hearing and Extend Temporary Ex Parte Domestic Abuse Protective Order This form is for use in the occasion an ex parte order has been issued and the scheduled hearing cannot be held for whatever reason. This form sets a new hearing date and extends the ex parte order until that time.
Order to Renew and Extend Temporary Domestic Abuse Protective Order This form is for use when a hearing has been held, a temporary protective order has been issued, and the order needs to be extended.
Order to Amend Domestic Abuse Protective Order This order is for use in the event a party requests a modification of any of the terms of the protective order.
Order Dismissing Petition for Domestic Abuse Protective Order This order is for use in circumstances in which the petitioner fails to appear for the designated hearing, or requests that the petition be dismissed.
Order Denying Petition for Domestic Abuse Protective Order This order is for use after a hearing in which the Petitioner does not meet the burden of proof that he/she is entitled to a domestic abuse protective order.
Order Denying Petition for Domestic Abuse Protective Order and Assessing Costs to Petitioner This order is for use after a hearing in which the court makes specific findings that the petition was without merit and that the petitioner is NOT a victim of domestic abuse. The court in that circumstance, is permitted by statute, but not mandated, to assess court costs to the petitioner.
Order to Dissolve Domestic Abuse Protective Order This form is for use after a protective order has been issued and a party requests to have the entire order dissolved.
Notice of Entry of Domestic Abuse Protective Order
Summons and Return
FORMS – (View/Print in Adobe Reader)
Petition for Domestic Abuse Protective Order Ex Parte Temporary Domestic Abuse Protective Order (immediate relief without notice to the other party)
Temporary Domestic Abuse Protective Order issued after a hearing is held
Final Domestic Abuse Protective Order issued only by county, circuit and chancery courts
Order to Continue Hearing and Extend Temporary Ex Parte Domestic Abuse Protective Order This form is for use in the occasion an ex parte order has been issued and the scheduled hearing cannot be held for whatever reason. This form sets a new hearing date and extends the ex parte order until that time.
Order to Renew and Extend Temporary Domestic Abuse Protective Order This form is for use when a hearing has been held, a temporary protective order has been issued, and the order needs to be extended.
Order to Amend Domestic Abuse Protective Order This order is for use in the event a party requests a modification of any of the terms of the protective order.
Order Dismissing Petition for Domestic Abuse Protective Order This order is for use in circumstances in which the petitioner fails to appear for the designated hearing, or requests that the petition be dismissed.
Order Denying Petition for Domestic Abuse Protective Order This order is for use after a hearing in which the Petitioner does not meet the burden of proof that he/she is entitled to a domestic abuse protective order.
Order Denying Petition for Domestic Abuse Protective Order and Assessing Costs to Petitioner This order is for use after a hearing in which the court makes specific findings that the petition was without merit and that the petitioner is NOT a victim of domestic abuse. The court in that circumstance, is permitted by statute, but not mandated, to assess court costs to the petitioner.
Order to Dissolve Domestic Abuse Protective Order This form is for use after a protective order has been issued and a party requests to have the entire order dissolved.
Notice of Entry of Domestic Abuse Protective Order
Summons and Return