made possible by ____

Legal Support

SRDVC Legal Kiosks are here to help you with filing a protection order and creating a safety plan. Please make sure you have minimum 15–20 minutes before continuing.

Demographic Data

why do we need this data and where does it go?

What is your age?

can only give one answer*

under 17 18–24 25–34 35–44 45–54 55+ Prefer not to answer

What race and ethnicity best describes you? Check all that apply.

American Indian or Alaskan Native Asian Black or African American Hispanic/Latinx Middle Eastern or North African Native Hawaiian or Pacific Islander White Prefer not to answer

Demographic Data

why do we need this data and where does it go?

Which of the following best describes you?

can only give one answer*

woman man nonbinary agender Prefer not to answer

What best describes your household
income range?

$0–$20,000 $20,000–$40,000 $40,000–$60,000 $60,000–$80,000 $80,000+ Prefer not to answer

Get in touch with other resources

Fill out the form and check the boxes to get in touch with other resources in our network. They will reach out to you at your preferred contact and follow up.

Name

Preferred way to contact

Send my contact info to:

YWCAYWCA Spokane MIAMujeres in Action Lutheran Community Services Advocate

Protection Order Help

“I’m not sure what forms I need”:

Use buttons below to get forms through WA Legal Help.org
Make sure you have 10–15 minutes to create your account and save progress.

Fill out forms online Print forms

“I know what forms I need”:

If you are ______ you need ____
if you are ____ please select ______
if you are unsure at all, please use buttons in above section.

Superior Court Protection
Order Forms pdf Civil Court Protection
Order Forms pdf

Safety Plan

Let’s build a safety plan.

Make sure you have 10–15 minutes to create and save your plan

Start now

Alert

Internet usage can be monitored and is impossible to erase completely.

If you’re concerned your internet usage might be monitored, call the National Domestic Violence Hotline 800-799-7233
Spokane Regional Domestic Violence Advocacy Number:
509-481-0794
Remember to clear your browser history after visiting this website.

Click the red “X” button in the bottom right corner of the screen to exit endtheviolencespokane.org immediately.

OKAY