Request for Elder or Dependent Adult Abuse Restraining Orders
Judicial Council of California · Civil
Verified current as of August 1, 2026
This form is used to request a restraining order that protects elderly people or dependent adults from abuse, harassment, threats, or stalking. Judges, court staff, and people who work with seniors or dependent adults use this form to help protect vulnerable individuals from harm by legally preventing someone from contacting or coming near them.
This form has fillable fields — you can complete it directly in the viewer on the right.