Child Protection Forms

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Under the Missouri Child Protection Orders Act, Sections 455.500 through 455.538, RSMo, a person may seek an order of protection on behalf of a child (person under 17 years of age unless otherwise emancipated) who has been the victim of child abuse, sexual assault, or stalking. The petitioner must be a parent, guardian, guardian ad litem, a court appointed special advocate or a juvenile officer.

Read more detailed information about orders of child protection.

How to use the forms:

  1. You must save each form before you begin entering information in the form fields. Right click the link for a form and save it to your computer before you begin entering information in the form fields. If you are downloading the form from a public computer, be sure to save the form to a personal device, such as a thumb drive. 
  2. For fillable PDF documents, you must use Acrobat Reader DC (or Adobe Acrobat DC) to ensure the forms work as intended. If you do not have Acrobat Reader DC, a free edition can be downloaded from the Adobe website. 
  3. If you have technical difficulties completing the forms online, you may print all of the blank forms and fill them out by hand to file with the court. Please check with your local court for further instructions. 
  4. You are responsible for the completeness and accuracy of any information submitted on the forms. Please double-check the information you enter! 
  5. Use the Tab key to move from field to field within a form. Hover the cursor over a fillable field to view help text associated with a field. Check boxes can be selected by pressing the space bar or clicking the box. To remove a check mark, press the space bar or click the check box again. Questions requiring only one check box be selected cannot be unselected.  

Petition for Order of Protection - Child: This form is used by a person filing a petition on behalf of a child (person under 17 years of age unless otherwise emancipated) to request a full order of protection from the court. A full order of protection prohibits the person who it is issued against from further acts of child abuse, sexual assault, or stalking. The petition may request additional relief such as maintenance, child custody, child support and/or visitation. A full order of protection is issued for a specific period of time - at least 180 days but not to exceed one year.

In order to qualify for an order of protection, the petition requesting a full order of protection must be filed on behalf of the abused child(ren) by a parent or guardian, a guardian ad litem or court-appointed special advocate, or by a juvenile officer.

The petition will be presented to a judge immediately after filing. If the child victim is found to be in imminent danger, the judge will issue an ex parte (immediate) order of protection before the hearing date scheduled. The ex parte order of protection is effective until a hearing on the petition for full order of protection is held.

The petition includes an additional form:
  • Confidential Redacted Information Filing Sheet – This form is to be served with the petition.
If there are more than five children needing protection, the following forms are needed:
  • Petition for a Court Order of Protection - Child - Addendum
  • Confidential Redacted Information Filing Sheet - Addendum
A Confidential Case Filing Information Sheet-Domestic Relations Cases – Child Protection form is also required at the time of filing of a petition for order of protection.

To file a petition for a court order of protection for a child(ren), use the following forms:


      (Updated August 2024)

Motion for Renewal of Full Order of Protection - Child: This form is used by a person filing a motion on behalf of a child (person under 17 years of age unless otherwise emancipated) to renew a full order of protection issued to prohibit further acts of child abuse, sexual assault, or stalking. The full order of protection may be renewed up to two times for additional periods of at least 180 days but not to exceed one year each, upon motion of either party and after hearing by the court. If a hearing cannot be held to renew the original full order before it expires, an ex parte (immediate) order can be issued until the hearing on the motion can be held.
Affidavit of Changes in Circumstance and Motion to Modify - Judgment/Full Order of Protection - Child: This form is used by the person filing to advise the court of changes in circumstances and requests by motion for the court to modify a previously ordered judgment/full order of child protection issued on behalf of a child (person under 17 years of age unless otherwise emancipated).

Any order of child support, custody, temporary custody, visitation or maintenance entered pursuant to the Child Protection Orders Act shall end before the original fixed expiration date whenever another court order is granted at a later date for child support, custody, temporary custody, visitation or maintenance, arising out of a separate action. For example, a separate child support order is granted after an order of child protection. The separate child support order granted at the later date is then in effect and any child support orders that were originally a part of the order of child protection would be ended and no longer in effect.


Motion to Terminate Order of Protection - Child: This form is used by a person who received a full order of child protection against another adult to request a termination of the full order of protection. Prior to terminating any order of protection, the court may inquire of the person who received the order or others to determine whether the dismissal is voluntary.

     (Updated November 1, 2023)

Request to Dismiss Petition for Order of Protection - Child: This form is used by a person who filed a petition for a full order of child protection against another adult to request a dismissal of the petition for order of protection. Prior to dismissing the petition for order of protection, the court may inquire of the person who requested the order or others to determine whether the dismissal is voluntary.

      (Updated November 1, 2023)
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