AOC-CV-623 — Civil No-Contact Order Application

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01 PETITIONER / PLAINTIFF INFORMATION

Petitioner Full Name *

County *

Street Address *

City

State

ZIP

Phone

02 RESPONDENT / DEFENDANT INFORMATION

Respondent Full Name *

Respondent Street Address (if known)

City

State

ZIP

03 RELATIONSHIP BETWEEN PARTIES

Nature of Relationship — Chapter 50C is for NON-DOMESTIC situations only

04 ACTS COMPLAINED OF (Check All That Apply)

Types of Conduct *

✓

STALKING — Willful course of conduct directed at petitioner that would cause a reasonable person to fear for their safety or suffer substantial emotional distress (G.S. 14-277.3A)

✓

HARASSMENT — Knowing conduct directed at a specific person that torments, terrorizes, or terrifies that person and serves no legitimate purpose (G.S. 14-277.3A)

✓

TELEPHONE HARASSMENT — Repeated calls, texts, or electronic messages with intent to annoy, abuse, or harass (G.S. 14-196)

✓

FOLLOWING — Tracking, surveilling, or monitoring petitioner's movements, location, or activities without consent

✓

UNWANTED CONTACT — Appearing at home, workplace, or other locations after being told not to; sending unwanted gifts or messages

✓

THREATS — Verbal, written, or electronic threats to harm petitioner, petitioner's family members, or property

Dates of Acts (Most Recent First)

Description of Acts *

05 RELIEF REQUESTED (Select All That Apply)

Petitioner Requests the Court Order Respondent To *

06 EX PARTE / EMERGENCY ORDER REQUEST

Request Emergency Ex Parte Order? (Issued Without Prior Notice to Respondent)

Does Petitioner Fear Imminent Harm Without an Emergency Order?

Basis for Emergency Order (Why Notice to Respondent Is Impractical or Dangerous)

SELECTED COUNTY

— Select above —

⚠ NON-DOMESTIC SITUATIONS ONLY

Chapter 50C applies to coworkers, neighbors, strangers, and acquaintances. For domestic violence (spouse, former partner, or household member) use the 50B DVPO forms →

⚡ AUTO-FILL FROM CLIO

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G.S. 50C-1 — DEFINITIONS

Stalking — A course of conduct directed at a specific person that would cause a reasonable person to fear for their safety or suffer substantial emotional distress
Harassment — Knowing conduct that torments, terrorizes, or terrifies a specific person and serves no legitimate purpose
Nonconsensual contact — Any contact the other person has clearly expressed a desire to avoid

STATUTORY REFERENCE

G.S. 50C-1Definitions

G.S. 50C-2Application — this form

G.S. 50C-5Contents of order

G.S. 50C-8Extension (CV-625)

G.S. 50C-10Violation — Class A1 misdemeanor

KEY FACTS

No filing fee for civil no-contact orders (G.S. 50C-2)
Ex parte (emergency) order available without prior notice to respondent
Order lasts up to 1 year; extendable indefinitely using CV-625
Violation is a Class A1 misdemeanor — up to 150 days in jail
File at the clerk of court in the county where you reside or where the acts occurred

WHAT GETS GENERATED

Formal AOC-CV-623 Petition with case caption
Acts complained of — checkboxes and description
Relief requested section
Ex parte emergency request (if selected)
Perjury declaration and petitioner signature block
Court-ready PDF — letter size (8.5" × 11")

NEED AN ATTORNEY?

You may file this form yourself (pro se) — no attorney required
An attorney strengthens your petition and helps describe acts correctly under the statute
Barker Richardson, PLLC → for civil protection orders
ResetMyCourtDate.com → for missed court dates