Idaho Hope Card Request Form

Please note that you will need to refer to your current order of protection to complete this form. This is not an application for a protection order. You must already have a civil protection order to request an Idaho Hope Card.

The form below will be sent to our office electronically. Click here if you would prefer to mail a request to our office.

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Fields marked with an asterisk (*) are required.

 

Protection Order Information

Case Number:* Please enter your case number. Please do not exceed 30 characters.
Court:* What court is your case filed in? Please do not exceed 50 characters.
County:*
What county is your case filed in?
Protection Order Issue Date:*    
What was the date the protection order was issued?
Protection Order Expiration Date:    

Petitioner Information (Person who filed the protection order.)

First Name:* Please enter your first name. Please do not exceed 40 characters. Please enter at least 2 characters.
Middle Name:
Last Name:* Please enter your last name. Please do not exceed 40 characters. Please enter at least 2 characters.
Date of Birth:*    
Please enter your date of birth.
Sex:*
Are you a male or female?
Height:* Feet:    Inches:
Please enter your height.

Please use your direct contact information for the following fields. The address listed below is where your Idaho Hope Card(s) will be mailed. If you do not have a street mailing address, please list your PO Box.

Address / PO Box:* Please enter your address or PO Box. Please enter your address or PO Box. Please do no exceed 60 characters.
Address Line 2:
City:*
Please enter your city.

Please enter your city.
Please do not exceed 30 characters.
State:*
Please select your state.
Zip Code:*
Please enter your zip code.

Please enter at least 5 characters.

Please do not exceed 10 characters.
Telephone Number: example: 999-999-9999
Email:* Please enter your email address. Please enter a valid email address. Please do not exceed 60 characters.
Re-enter Email:* Please re-enter your email address. Your email address do no match. Please re-enter.

 

Other Protected Persons Included on the Order (Up to 6 additional.)

First Name Last Name Date of Birth Relation
1.
2.
3.
4.
5.
6.

Respondent Information (Person who is ordered to "stay away.")

First Name:* Please enter the first name of respondent. Please do not exceed 40 characters.
Middle Name:
Last Name:* Please enter the last name of respondent. Please do not exceed 40 characters.
Date of Birth:*    
What is the birth date of the respondent?
Eye Color:*
Please select the eye color of respondent.
Hair Color:*
Please select the hair color of respondent.
Sex:*
Is the respondent a male or female?
Height:* Feet:    Inches:
Please enter the height of respondent.
Weight:* lbs.
Please enter the weight of respondent.

Please enter at least 2 characters.

Please do not exceed 3 characters.
Distinguishing features:
(Scars, tattoos or other marks)

(  characters remaining)

Number of Hope Cards you need:* (You can order up to 4 cards.)
Please select number of cards.

 

If you need more than 4 cards, please contact:

Office of the Attorney General
Sandy Piotrowski, Idaho Hope Card Administrator
PO Box 83720
Boise, ID 83720
Phone: (208) 334-4547
Toll-free: (888) 334-4547
Fax: (208) 854-8074
idhopecard@ag.idaho.gov

 

(If your form submission fails, please check form to ensure that all required fields are accurate and complete. Required fields will be highlighted in red.)

 

 

 

 

 

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