Affirmation in Support of Issuance of Family Court Temporary Order of Protection (Peace or Police Officer, Agency, or Designated Person)
New York Family Court · Orders of Protection
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Affirmation by a peace or police officer, agency or designated person asking for a Family Court temporary order of protection on someone's behalf when the Family Court is not in session.
This form must be printed and filled by hand, or opened in Adobe Acrobat.