Burlington, WA · Skagit County
Protected Person’s Motion to Modify or Rescind Domestic Violence No-Contact Order and Notice of Hearing
Protected people or their parents or guardians use this form to ask the court to modify or rescind a domestic violence no-contact order.
What this form is
This form lets a protected person, or that person’s parent or guardian, ask the court to modify or rescind a domestic violence no-contact order. It asks for case and defendant information, the date of the existing order, reasons for the request, any requested changes, and the signer’s certification. The form also includes a notice of hearing for the motion.
Who needs it
A protected person, or the protected person’s parent or guardian, can use this form to request a change to or rescission of the order.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the protected person or parent or guardian signs and dates a certification under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the motion and notice of hearing PDF.
- 2
Complete The Request
Enter the case and defendant information, identify the existing order, explain why you seek a change, and state any requested terms.
- 3
Sign And Date
Sign and print your name, then complete the city and state and date fields for the certification under penalty of perjury.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does this form request?
- A protected person, or their parent or guardian, uses it to ask the court to modify or rescind a domestic violence no-contact order.
- What information does the motion ask for?
- It asks for case and defendant information, the date of the existing order, reasons for the request, requested changes, and a signed certification.
- Do I need a notary for this motion?
- No. The signer signs and dates a certification under penalty of perjury; the document does not require a notary.
- How do I submit this motion?
- Submit it to the city department named on the form; check the city website for current contact details.
