Form

Certificate of service for an order to protect you: Form FL415

Use this form to tell the court how and when you served documents in a case about an order to protect you.

• From: HM Courts & Tribunals Service
• Published: 1 April 2017
• Last updated: 21 September 2026 — See all updates

Documents

Statement of service: FL415

PDF, 550 KB, 3 pages

This file may not be suitable for users of assistive technology.

Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Datganiad cyflwyno: FL415

PDF, 308 KB, 3 pages

This file may not be suitable for users of assistive technology.

Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

What this form covers

This form covers orders to protect you, including:

• non-molestation orders and occupation orders
• forced marriage protection orders
• female genital mutilation protection orders

Before you serve the documents

Do not give the documents to the person the application is against (the respondent) yourself. This is known as serving the documents.

Instead, use form D89 to ask a court bailiff to serve the documents on the respondent.

If you have a legal representative, they may be able to arrange for the documents to be served on the respondent for you.

Open a document

You can download and open PDF documents on your device. Downloading enables more features to be used, such as printing.

Adobe Reader is a free to use PDF viewer. You can use this to view, fill in and print PDF documents. You do not need to sign up for a free trial.

Follow these steps:

1. Download Adobe Reader for free.
2. Right-click on the document link then select ‘Save link as’ or ‘Download linked file’.
3. Save the form (in your ‘documents’ folder, for example).
4. Open Adobe Reader and then select the saved form.

If the form still does not open, contact hmctsforms@justice.gov.uk.

If you need a printed version contact your local court.

Find more court and tribunal forms by category.

Find out how HM Courts and Tribunals Service uses personal information you give when you fill in a form.

Published 1 April 2017

Last updated 21 September 2026 — Show all updates

1. 21 September 2026

   Updated the Welsh form.

2. 17 April 2026

   Added guidance about what to do if you do not have a legal representative. Added a question asking which court heard the case. Added guidance on what to do if service was effected by email or other electronic means. Added a 'Statement of truth' section.

3. 1 April 2017

   First published.