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It allows a petitioner or respondent to seek a modification, rescission, or extension of an existing protective order, including grounds and specific reasons. The form collects parties’ identifying information, requests for relief for self, minor child, or vulnerable adult, allegations of abusive acts with dates and details, and includes affirmation under perjury. It also provides a certificate of service section and required filing notices for restricted information.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/petition-to-modify-rescind-or-extend-protective-order-form-cc-dc-dv-006/310856/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/petition-to-modify-rescind-or-extend-protective-order-form-cc-dc-dv-006/310856.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver Hayes","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What actions can this protective order petition request from the court?","Question",{"text":112,"@type":113},"It can request to modify, rescind, or extend the protective order, including extensions up to six (6) months or up to two (2) years under specified grounds.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What information is needed to support the petition?",{"text":117,"@type":113},"The form requires the petitioner/respondent role, party addresses and contact details, the specific reasons for the requested relief, and detailed allegations of abuse (what happened, when, where, and any injuries).",{"name":119,"@type":110,"acceptedAnswer":120},"What must be completed to show the petition was properly served?",{"text":121,"@type":113},"The certificate of service section must identify the person(s) served, their address, service method, service dates, and signatures, including instructions for adding additional persons served via an attached form.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},310856,1790339545,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},687207020761,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","☐ Mark this box if this form contains Restricted Information.  \n☐ CIRCUIT COURT ☐ DISTRICT COURT OF MARYLAND FOR   \nCity/County  \nLocated at  Telephone   \nCourt Address  \nCase No.   \nNOTE: Respondent will be served a copy of this completed document. Petitioner does not need to give an address if doing so risks further harm.  \nvs.  \nName of Petitioner on Original Court Order Name of Respondent on Original Court Order  \nStreet Address, Apt. No.  \nCity, State, Zip  \nPETITION TO  \nHome  Work   \nStreet Address, Apt. No.  \nCity, State, Zip  \nHome  \nWork  \nTelephone Telephone  \n☐ MODIFY ☐ RESCIND ☐ EXTEND PROTECTIVE ORDER  \n(Family Law § 4-507)  \nIf this submission contains Restricted Information (confidential by statute, rule or court order) you must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1 (form MDJ-008) with this submission, and check the Restricted Information box on this form.  \nI,  , am the ☐ petitioner ☐ respondent in the above entitled case.  \nI ask this court to:  \n☐ modify the Protective Order in this case dated  as follows: My reasons are:   \n☐ rescind the Protective Order in this case dated  My reasons are:   \n☐ extend the Protective Order up to six (6) months for good cause.  \nMy reasons are:   \n☐ extend the Protective Order up to two (2) years due to a subsequent act of abuse. I want relief for ☐ myself ☐ minor child ☐ vulnerable adult from abuse by   \n☐ The respondent committed the following acts of abuse against  NameName   \non or about,  (check all that apply) by ☐ kicking ☐ punching  \nDate  \n☐ choking/strangling ☐ slapping ☐ shooting ☐ rape or other sexual offense (or attempt) ☐ hitting with object ☐ stabbing ☐ shoving ☐ threats of violence ☐ mental injury of child ☐ detaining  \nagainst will ☐ stalking ☐ biting ☐ revenge porn ☐ other  The details of what happened are:   \n(Give specific details of what happened, when and where it happened, and any injuries sustained)  \nI solemnly affirm under the penalties of perjury that the contents ofthis document are true to the best of my knowledge, information, and belief.  \nDate  \nFax  \nSignature  \nStreet Address (unless confidential)  \n Home   \n City, State, Zip  \nE-mail  CERTIFICATE OF SERVICE Work  Telephone   \nI certify that the following party, parties, or attorney(s) was/were served with a copy of this Petition to Modify, Rescind, or Extend Protective Order as indicated:  \nPerson served (note if attorney):  Address of the person served:   \nService method: ☐ first-class mail on  ☐ hand delivery on   \nDate Date  \n☐ service on registered user via MDEC system on the effective date of filing.  \nDate Signature Attorney Number  \nFor additional person(s) served, please attach completed form CC-DC-128 (Certificate of Service) .  \nCC-DC-DV-006 (Rev. 07/2026)  \nReset  \nMMRPO","cbCaivBq616Wdo45","https://ap.wps.com/l/cbCaivBq616Wdo45","pdf",863573,"English","# Petition to Modify, Rescind, or Extend Protective Order\n## Request Options and Relief Requested\n## Alleged Acts of Abuse and Reasons\n## Declaration Under Penalties of Perjury\n## Certificate of Service","[{\"question\":\"What actions can this protective order petition request from the court?\",\"answer\":\"It can request to modify, rescind, or extend the protective order, including extensions up to six (6) months or up to two (2) years under specified grounds.\"},{\"question\":\"What information is needed to support the petition?\",\"answer\":\"The form requires the petitioner/respondent role, party addresses and contact details, the specific reasons for the requested relief, and detailed allegations of abuse (what happened, when, where, and any injuries).\"},{\"question\":\"What must be completed to show the petition was properly served?\",\"answer\":\"The certificate of service section must identify the person(s) served, their address, service method, service dates, and signatures, including instructions for adding additional persons served via an attached form.\"}]","Petition to Modify, Rescind, or Extend Protective Order - Form CC-DC-DV-006 | PDF",1789890892]