PFSSAHT Petition v.4

Protection From Stalking, Sexual Assault, or Human Trafficking
The translation on this website is for informational purposes only.
When you file a protection order petition through this website, the answers must be filed in English.
The court processes requests for Temporary Protection Orders during normal business hours. Call 911 if you or your minor children face an immediate and present danger of abuse.

There are a number of steps in this process. If at any time you feel overwhelmed and would like free assistance, click on “Find an Advocate.”

Find an Advocate

Please answer the questions as best you can. You can make your address and phone number confidential. You can also save or download your form to finish it later.

Boxes with an asterix (*) must be filled out. This information is necessary for the court to make a decision on your protection petition.

Once you click submit, your petition will be created as a PDF document and emailed for official filing with the Court Clerk in your country. You can also download and send a copy to yourself.
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Adverse Party Information

The adverse party is the person you are seeking protection from. Law enforcement will need specific information about the adverse party to find them and “serve” them with a copy of the petition. “Serve” just means give the documents in person.
Is the adverse party 18 years old or older?*

YesNo
Name*

First NameMiddle NameLast Name
Defendant name for civil cover
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Address where the adverse party could be found and served*
City*
State*
Zip Code*
Address where the adverse party could be found and served*

Street Address Line 2
Phone Number
Please enter a valid phone number.
Time usually here
Select this Address Type*

Click to Add Home Address
Home Address
City
State
Zip Code
Home Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Time usually here

Close section

Click to Add Work Address
Work Address
City
State
Zip Code
Work Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Work Phone Number
Please enter a valid phone number.
Time usually here

Close section

Click to Add Other Address
Other Address
City
State
Zip Code
Other Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Home Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Work Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Other Address

Street Address

Street Address Line 2

CityState ex. KS

Postal / Zip Code
Other Phone Number
Please enter a valid phone number.
Time usually here

Close section

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It will also assist the police in enforcing the protection order if you can provide the adverse party’s date of birth, social security number and current address.
Other places where the adverse party hangs out:
Other places where the adverse party hangs out (Form):

Click to Add Adverse Party Identifiers
Sex*
Race*
Birth Date

MonthDayYear
Date
Driver License or ID Number
Driver License or ID State
Ex. KS
Social Security Number
Social Security Number (last four)
Driver License or ID Expiration Date

MonthDayYear
Date
Other Names
Age of the adverse party Math

Click to add Physical Appearance Information
Estimated Height
Estimated Weight
Hair Color
Eye Color
Wear Glasses?

YesNo
Has any of the following:

TattoosScarsOther
Add a Description if Possible

Click to Add Car Information
Car Make
Car Model
Car Year

Click to Add Weapon Information
Does the adverse party own or possess weapons?

YesNo
What kind(s)?

Click to Upload photo(s) of adverse party
Files uploaded will be made available to the person you are seeking protection from.
Upload photo(s) of adverse party

Cancelof

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Minor Adverse Party Information

When the adverse party is less than 18 years old, the court needs more information.
Both the person you are seeking protection from and their parent or guardian will get notification when the petition is filed.

A guardian is a person appointed by the court to make legal decisions affecting the adverse party's personal health, safety and welfare.
Age of the adverse party
Minor Defendant Not Applicable

Address where parent or guardian can be served
Name
Relationship
Street
City
Zip Code
Would you like to add more addresses?

Click to add another address
Name
Relationship
Street
City
Zip Code

Click to add another address
Name
Relationship
Street
City
Zip Code

Click to add another address
Name
Relationship
Street
City
Zip Code

Click to add another address
Name
Relationship
Street
City
Zip Code

Click to add another address
Name
Relationship
Street
City
Zip Code

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Other Cases

The judge needs to know about any cases involving the adverse party, you, and/or the minor child(ren). This will help the judge make their decision.
Have you been involved (now or in the past) in any of the following types of court cases with the adverse party?*

Protection ordersRestraining ordersNo-contact ordersNone

Click to add information about protection order case
County filed in*
State filed in
Case number
Date filed

Click to add information about restraining order case
County filed in*
State filed in
Case number
Date filed

Click to add information about no-contact order case
County filed in*
State filed in
Case number
Date filed
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Review and Submit
You have successfully filled out the petition for a Protection From Stalking, Sexual Assault, or Human Trafficking Order (PFSSHAT). By clicking “Submit,” you will file your petition with the court clerk in {county} county. It is sent by email.

If you would like to:
- Save your answers and view them later, select “Save.”
- View the petition before submitting, select “Download.”
- File the petition with the county clerk yourself, select “Download” and print off the petition.
Enter the county where you want to file your petition*
You have selected Wichita County. The Wichita County District Court is located in Leoti, Kansas. If you want to file in the city of Wichita, please select Sedgwick County instead.
Request for Court Interpreter at the Hearing

Your request for an interpreter will be sent to the court.
Do you need a court Interpreter?*

YesNo
Is the interpreter needed because you are deaf, hard of hearing, or speech impaired?*

YesNo
Is the interpreter needed because English is not your primary language?*

YesNo
Please select the foreign language that is your primary language:*
Kansas Supreme Court Rule 24 requires people to remove certain sensitive information from the papers they file with the court, unless the information is eligible for an exception under the rule. Your protection order petition contains sensitive information. By checking here, you certify that you have only provided information that was requested by the Kansas Protection Order Portal, and that you believe the court needs that information to make a decision about your case.*
I verify under penalty of perjury under the laws of the state of Kansas that the foregoing is true, correct, and necessary for the court to process my petition for protection.*

Clear
Please verify that you are human*
Self-Represented Litigant Certification Form

Checked
Should be Empty:

Protection From Stalking, Sexual Assault, or Human Trafficking

Your Information

Minor Child Information

Adverse Party Information

Minor Adverse Party Information

What happened?

Other Cases

Relief

Review and Submit

Request for Court Interpreter at the Hearing