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Child Protection Forms

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 or stalking. The petitioner must be a parent, guardian, guardian ad litem, a court appointed special advocate or a juvenile officer.

More detailed information about orders of child protection is available here.


Below is the name, description and purpose of each form available on this website. The forms were recently modified to allow up to 10 protected children per case. The form for one protected child is also available. NOTE: Court clerks will provide assistance in completing these forms.


Petition for Order of Child Protection: 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 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. 


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Translated in Bosnian and Spanish.
This form must be completed in English.
(Contains no fillable fields.)

     (Updated 08/02/05)


     (Updated 12/22/10)


Translated in Bosnian, French, Russian, Spanish, Ukrainian and Vietnamese.

This form must be completed in English.

(Contains no fillable fields.)


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Motion for Renewal of Full Order of Child Protection: 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 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.


      (Updated 11/05/13)

      (Updated 11/05/13)

      (Updated 11/05/13)

Translated in Bosnian, French, Russian, Spanish, Ukrainian and Vietnamese. 
These forms must be completed in English.
(Contains no fillable fields.)

      (Updated 6/18/2014)

      (Updated 6/18/2014)

      (Updated 6/18/2014)

      (Updated 6/18/2014)

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      (Updated 6/18/2014)


Affidavit of Changes in Circumstance and Motion to Modify - Judgment/Full Order of Child Protection: 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.