Harassment prevention order court forms

Start here for information and guidance to help you choose and fill out the right court forms.

This package of forms includes instructions to plaintiffs, the complaint, the affidavit, the plaintiff confidential information form, and the defendant information form. Do not email these forms to the court without calling first; emailed applications will not start the application process.

Provides a simple description of the difference between abuse prevention orders (209A) and harassment prevention orders (258E) to help you determine which to request. Also available in Haitian Creole, Khmer, Portuguese, Russian, Spanish and Vietnamese.

In cases involving a child, use this form to tell the court about any other open or closed cases involving the child. You must file the Affidavit in cases involving the care, custody, visitation, or change of name of a child. See Trial Court Rule IV for more details (October 2024).

In cases involving more than 4 children, use this form along with the Child Care or Custody Affidavit for additional space to tell the court about any other open or closed cases. See Trial Court Rule IV for more details. (October 2024).

Form FA/HA-9 (5/10). Please submit a certified copy of the other state’s court order and the Massachusetts “Plaintiff Confidential Information” and “Defendant Information Provided by Plaintiff” forms. This form is also available in Spanish, Arabic, Chinese, Khmer, Haitian Creole, Portuguese, Russian & Vietnamese.

Form FA/HA-15 (1/12) For affidavits originally provided in languages other than English.

Juvenile Court complaint for protection from harassment intake form. Must be completed for plaintiff and/or defendant who are/is under 18 years of age. (Rev. 03/30/2018)

Form FA/HA-7 (5/10). All requests for access to a Plaintiff’s confidential information must be submitted to the Clerk-Magistrate or Register on this form. Requesters must explain the reason(s) access to the information is necessary in the performance of their duties.

Form FA/HA-8 (5/10) If you have good reasons why your addresses should not be disclosed, you may file this motion with the court requesting a judge to issue an Order of impoundment. This form is also available in Spanish, Arabic, Chinese, Khmer, Haitian Creole, Portuguese, Russian & Vietnamese.

HA-3 (5/10) When the court is closed for business, any judge assigned to the Judicial Response System may grant relief to a Plaintiff if the Plaintiff demonstrates a substantial likelihood of immediate danger of harassment.