Stalking/Domestic Violence/Sexual Assault OP Intake Form

The following information will help prepare your application for a STALKING or DOMESTIC VIOLENCE OR SEXUAL ASSAULT order of protection:

Note : Please note that this is an application only.  After you hit Submit, a CVRCC advocate will reach out to you to discuss your application and, if appropriate, will schedule an appointment for you to come in to the office to file the order of protection.  

INFORMATION ABOUT THE PERSON YOU ARE FILING AGAINST

DESCRIPTION OF PERSON YOU ARE FILING AGAINST

VEHICLE DESCRIPTION

INFORMATION ABOUT YOU (THE COMPLAINANT) AND WHAT HAPPENED (THE COMPLAINT)

DETAILS ABOUT WHAT HAPPENED

(If YOU DO NOT KNOW EXACT DATE, THE MONTH AND YEAR IS FINE)