You may use the forms on this page if the following factors apply to your situation:

  • You want to request the Court to order that your address be protected from public disclosure, including disclosure to the opposing party(ies) in this case.
  • You reasonably believe that physical or emotional harm may result to you or your minor child(ren) if your address is not protected from disclosure, for the following reasons:

    • You have a valid Order of Protection in place, OR,
    • You can explain to the Court why you need your address protected.

Request for Protected Address - DRRPA1

Or download instructions and forms individually


Instructions for filling out Request for Protected Address - drrpa10i


Procedures: What to do with Form after it's Filled Out - drrpa10p


Request for Protected Address - drrpa10f


Protected Address form for eFiling only - drrpa11f

Disclaimer: The files included within the Law Library Resource Center's website are copyrighted. Users have permission to use the files, forms, and information for any lawful purpose. The files and forms are not intended to be used to engage in the unauthorized practice of law. The Court assumes no responsibility and accepts no liability tor actions taken by the users of these documents, including reliance on their contents. All files are under continual revision. If you are not using these forms right away, or if you plan to use them repeatedly, we strongly recommend that you check the site regularly to determine whether the files you are using have been updated.

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