L-3042LocalFillable

Protective Custody Warrant

Orange County Superior Court · Locally Approved Forms

Verified current as of July 16, 2026

This form is used to request a court order that allows police to pick up and hold someone who is a danger to themselves or others, or who is gravely disabled and needs immediate help. A family member, healthcare provider, or concerned person would file this form when they believe someone needs emergency mental health intervention or protection.

This form has fillable fields — you can complete it directly in the viewer on the right.
Loading…