Louisiana Protective Order Registry (LPOR) Forms

Authored By: Louisiana Supreme Court
Read this in: Spanish / Español


About LPOR Forms

To file a petition for protection from abuse, you will need to complete a Louisiana Protective Order Registry (LPOR) form. It is important to note that there are two types of LPOR Forms: LPOR 1-20 and LPOR A - Y. The forms you will file are labeled LPOR A-Y, and which ones you use will depend on your situation.

The LPOR A-Y forms contain a petition, information about service, rules of procedure for showing cause motions, and instructions for completing them. These forms start the process of receiving a restraining order. However, it is important to check with your court to see what form they prefer.

Forms 1-20 include restraining orders, protective orders, and injunctions, as well as petitions for modification, dissolution, and dismissal.

For more information, please check out the Quick Reference Guide

Note: When submitting your documents to the court, you must print them on legal-size paper.

How To Complete LPOR Forms

Instructions To Help You Complete LPOR Forms

These instructions can help you understand which forms to use, and how to fill them out. The necessary forms are available from the clerk of the court's office in each parish. 

Louisiana Supreme Court forms are available for filing a petition for protection. 

You can find more information about the LPOR A form here.

LPOR Form B, H, E, and F

To obtain a restraining (protection) order, you must complete LPOR B and LPOR H forms. Provide the following information on the LPOR B form. 

Page 1: Enter basic information about the petitioner (yourself).

  • The clerk will complete the section in the top right corner 

  • Check off the initial petition box. 

Page 2: Enter basic information about the defendant, your relationship with them, and the description of the abuse.

Page 3: A written statement about the most recent incident and any previous incidents in the space below.

Paragraph 9: You will check off any section that applies to you. You will also add addresses and business names where you see fit. 

  • For those with shared housing or children or both, check off and add any information where you see fit after section e.

  • For those without shared housing and children, you may only need to check off a-e

  • The defendant WILL be served this document, so do not provide your address or place of work if you do not want them to know 

Page 5: check off what you believe is necessary and then sign.

  • There is a line where it asks for an attorney’s signature, but you may ignore that if you do not have an attorney.

Page 6: You will need to add the defendant’s name and one or two of their addresses where the sheriff will be able to serve them.

  • Could be a work or home address

  • Include a time range for when they may be at the specific address

Page 7:  WAIT to sign the affirmation. You will need a notary to witness your signature on the petition. 

As an initial step, the LPOR B form will be needed to provide the judge with more information about your case. You will be asked to provide information regarding current and past incidents on the LPOR B form. The LPOR forms tell you to write about the most recent incidents of violence and the history of violence. In general, petitions should specifically refer to the most recent act of violence as well as two previous incidents. Petitions should include descriptions that establish the general nature, frequency, and severity of the violence. You may also include information about injuries, threats of harm, stalking behavior, and the use of weapons. Click here for the LPOR B form.

You will need to check off each section for the type of protection you think you need immediately.

Section "a" prohibits the defendant from abusing, threatening, stalking, etc. 

Section "b" is prohibiting the defendant from contacting the plaintiff through a third party, social media, or by phone, text, email, etc. 

Section "c" is prohibiting the defendant from coming within 100 yards of the plaintiff and the plaintiff's house.

Section "d" prohibits the defendant from being near the plaintiff's school or work.

Section "e" is prohibiting the defendant from damaging the plaintiff's belongings or messing up their living conditions. 

Section "f" allows for the plaintiff to continue to live at the house and evict the defendant. 

To obtain a restraining (protection) order, you must complete LPOR B and LPOR H forms. LPOR H form is primarily used by the sheriff's department. The LPOR H form gives the sheriff's department information about the defendant, including where they live and what kind of car they drive. Click on the links below to access fillable forms. Click here for the LPOR H form.

Provide ALL the information you know about the defendant. 

  • His address, DOB, names they have been known by, and work and home address

  • What they look like

  • What kind of car that they drive and their license plate number

Click here to complete the LPOR E form to register your out-of-state restraining order in Louisiana. LPOR Form E is very similar to LPOR Form B until you reach paragraph 6. 

From paragraph 1 to paragraph 5, you will:

- Enter basic information about the petitioner (yourself)

- Enter basic information about the defendant and your relationship with them

In paragraph 6, you will discuss the current order you were granted by the judge. 

Lastly, in paragraph 7, you will explain why you are requesting to register your out-of-state restraining order in Louisiana. 

Once you have completed the first two pages, you will need to have a notary witness your signature when signing the affirmation.  

If you do not want the defendant to learn about your address, you will need to complete the LPOR F Form. Completing this form will keep your address confidential. LPOR F form should be filed with LPOR B, C, and D Forms. 

Last Review and Update: Nov 02, 2022
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