c3e013ed_Court_forms__Family_Law_in_BC__Description
[Name] Protection Order (Supreme Court) PDF [Form number] F54 [Description] 
Use this form to set out the details of what you want the court to order when you apply for an order to protect you or a family member. If the judge/master decides to grant the order you ask for, he or she will sign the form and it will become an official court order.
Court forms: Family Law in BC
Description