Dv 101 Form – Fill Out and Use This PDF

Updated: Nov 3, 2026

The DV-101 form, or Description of Abuse, is a critical document used in conjunction with the DV-100, Request for Domestic Violence Restraining Order, within the United States' family law system. It serves as a written account where individuals seeking protection can detail instances of abuse towards them or their children. For anyone in need of a restraining order due to domestic violence, completing this form carefully is a step toward legal protection. Consider filling out the form by clicking the button below.

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How to Fill Out Form DV-101

Form DV-101 at a glance

What it is: Form DV-101, Description of Abuse, is attached to DV-100, Request for Domestic Violence Restraining Order.

A filled-in Form DV-101 example: describing one incident of abuse

Form DV-101 example filled out, example: describing one incident of abuse — Dana Sample files form DV-101 with her request for a restraining order. She describes one incident that happened on March 3, 2026. The picture shows page 1 filled in, and all its values are invented. Nothing goes in Has the person in abused you (or your children) other times? because she reports no other incident. Check here if you need more space is left blank because the account fits in its box. The radio boxes have no field names, so the example leaves them unmarked.

How to fill out Form DV-101, box by box

Case Number

Enter the Case Number.

Name of person asking for protection

Enter the Name of person asking for protection and the Name of person you want protection from.

Describe abuse to you or your children

Under Describe abuse to you or your children, enter the Date of abuse.

Enter who was there.

Describe how the person in (2) abused you or your children.

Describe any use or threatened use of guns or other weapons.

Describe any injuries.

Mark Yes or No for Did the police or other law enforcement come?

If yes, did they give you or the person in an Emergency Protective Order? Mark Yes, No or I don't know.

Mark who the Emergency Protective Order protects, You or The person in (2). Attach a copy of the Emergency Protective Order if you have one.

Has the person in (2) abused you (or your children) other times?

Under Has the person in (2) abused you (or your children) other times?, enter the Date of abuse and Who was there, describe how the person in (2) abused you or your children, describe any use or threatened use of guns or other weapons and describe any injuries.

For other times, mark Yes or No for Did the police or other law enforcement come?

For other times, mark Yes, No or I don't know for Did the police or other law enforcement come? If yes, did they give you or the person in (2) an Emergency Protective Order?

If yes, mark who the Emergency Protective Order protects, You or The person in (2). For other times, attach a copy of the Emergency Protective Order if you have one.

Check here if you need more space

Check here if you need more space. Attach a sheet of paper and write “DV-101-Description of Abuse” for a title.

Common questions about Form DV-101

What is DV-101?

Form DV-101, Description of Abuse, is attached to DV-100, Request for Domestic Violence Restraining Order. The form is Description of Abuse (Domestic Violence Prevention), an Optional Form of the Judicial Council of California, Family Code, § 6200 et seq.

Sources

[1] Form DV-101 (Rev. January 1, 2017), Description of Abuse (Domestic Violence Prevention), Judicial Council of California (the Official source link on this page).

Dv 101 Form PDF Details

In the journey towards seeking protection from domestic violence, navigating the legal landscape can be daunting. Central to this process is the DV-101 form, a critical piece of documentation that serves as an attachment to the DV-100, Request for Domestic Violence Restraining Order. This form empowers individuals asking for protection by allowing them to succinctly describe instances of abuse, helping the court to understand the gravity and specifics of their situation. It methodically requires details such as the identities of the parties involved, descriptions of the abuse towards the petitioner or their children including dates, witnesses, and the nature of the abuse. Importantly, it also inquires about any involvement by law enforcement and the issuance of an Emergency Protective Order, which is a key element in providing immediate safety measures for the victims. This comprehensive approach not only aids in painting a clearer picture for the courts but also emphasizes the importance of the petitioner's voice in the legal process. By meticulously gathering evidence of abuse and its impact, the DV-101 form plays a pivotal role in the overarching aim of the Family Code, § 6200 et seq., to offer protection and justice to those facing domestic violence.

Question	Answer
Form Name	Dv 101 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	california dv101, dv 101, dv 101 pdf, dv 101 online