Opinion

In Re: Amendments to the Florida Supreme Court Approved Family Law Forms—12.980(a), 12.980(f), 12.980(g), 12.980(i), 12.980(j), 12.980(n), 12.980(q), 12.980(t), and 12.980(w)

Court
Supreme Court of Florida
Filed
Jun 20, 2024
Status
Published
Cited by
0 cases
Authority
More cited than 18.7%

The opinion

Supreme Court of Florida

____________

No. SC2024-0802

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IN RE: AMENDMENTS TO THE FLORIDA SUPREME COURT

APPROVED FAMILY LAW FORMS—12.980(a), 12.980(f),

12.980(g), 12.980(i), 12.980(j), 12.980(n), 12.980(q), 12.980(t),

and 12.980(w).

June 20, 2024

PER CURIAM.

Pursuant to the procedures approved in Amendments to the

Florida Family Law Rules of Procedure & Family Law Forms, 810 So.

2d 1, 13-14 (Fla. 2000), this Court has reviewed the Florida

Supreme Court Approved Family Law Forms and has determined

that amendments to forms 12.980(a) (Petition for Injunction for

Protection Against Domestic Violence), 12.980(f) (Petition for

Injunction for Protection Against Repeat Violence), 12.980(g)

(Supplemental Affidavit in Support of Petition for Injunction for

Protection Against Domestic, Repeat, Dating, or Sexual Violence, or

Stalking), 12.980(i) (Motion for Extension of Injunction for

Protection Against Domestic, Repeat, Dating, or Sexual Violence, or

Stalking), 12.980(j) (Motion for Modification of Injunction for

Protection Against Domestic, Repeat, Dating, or Sexual Violence, or

Stalking), 12.980(n) (Petition for Injunction for Protection Against

Dating Violence), 12.980(q) (Petition for Injunction for Protection

Against Sexual Violence), 12.980(t) (Petition for Injunction for

Protection Against Stalking), and 12.980(w) (Petition by Affidavit for

Order to Show Cause for a Violation of Final Judgment of

Injunction for Protection Against Domestic, Repeat, Dating, or

Sexual Violence, or Stalking) are needed.1 Input was received from

the Advisory Workgroup on the Florida Supreme Court Approved

Family Law Forms, which conducted an expedited review of the

forms due to recent changes in Florida law.

We amend the forms’ verification requirements by removing

language requiring a notary in accordance with amendments to

sections 741.30, 784.046, and 784.0485, Florida Statutes (2023).

See ch. 2024-152, Laws of Fla. Other changes are also made to

improve clarity and promote consistency across the forms.

1. We have jurisdiction. See art. V, § 2(a), Fla. Const.

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The amended forms are hereby adopted as set forth in the

appendix to this opinion, fully engrossed. The amended forms shall

become effective on July 1, 2024, at 12:01 a.m. and may be

accessed and downloaded from the Florida State Courts’ website at

https://www.flcourts.gov/Resources-Services/Office-of-Family-

Courts/Family-Court-in-Florida/Family-Law-Forms. We direct that

the forms be published for comment. Interested persons shall have

seventy-five days from the date of this opinion to file comments with

the Court. 2

It is so ordered.

MUÑIZ, C.J., and CANADY, LABARGA, COURIEL, GROSSHANS,

FRANCIS, and SASSO, JJ., concur.

THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER

THE EFFECTIVE DATE OF THESE AMENDMENTS.

2. All comments must be filed with the Court on or before

September 3, 2024, as well as a separate request for oral argument

if the person filing the comment wishes to participate in oral

argument, which may be scheduled in this case. If filed by an

attorney in good standing with The Florida Bar, the comment must

be electronically filed via the Florida Courts E-Filing Portal (Portal).

If filed by a nonlawyer or a lawyer not licensed to practice in

Florida, the comment may be, but is not required to be, filed via the

Portal. Any person unable to submit a comment electronically must

mail or hand-deliver the originally signed comment to the Florida

Supreme Court, Office of the Clerk, 500 South Duval Street,

Tallahassee, Florida 32399-1927; no additional copies are required

or will be accepted.

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Original Proceeding – Florida Family Law Rules of Procedure

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Appendix

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED

FAMILY LAW FORM 12.980(a)

PETITION FOR INJUNCTION FOR PROTECTION AGAINST

DOMESTIC VIOLENCE (06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

If you are a victim of any act of domestic violence or have reasonable cause to believe that you are in imminent

danger of becoming a victim of domestic violence, you can use this form to ask the court for a protective order

prohibiting domestic violence. Because you are making a request to the court, you are called the petitioner. The

person whom you are asking the court to protect you from is called the respondent. Domestic violence includes:

assault, aggravated assault, battery, aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking,

kidnapping, false imprisonment, or any other criminal offense resulting in physical injury or death to petitioner by

any of petitioner’s family or household members. In determining whether you have reasonable cause to believe you

are in imminent danger of becoming a victim of domestic violence, the court must consider all relevant factors

alleged in the petition, including, but not limited to the following:

1. The history between the petitioner and the respondent, including threats, harassment, stalking, and

physical abuse.

2. Whether the respondent has attempted to harm the petitioner or family members or individuals closely

associated with the petitioner.

3. Whether the respondent has threatened to conceal, kidnap, or harm the petitioner’s child or children.

4. Whether the respondent has intentionally injured or killed a family pet.

5. Whether the respondent has used, or has threatened to use, against the petitioner any weapons such as

guns or knives.

6. Whether the respondent has physically restrained the petitioner from leaving the home or calling law

enforcement.

7. Whether the respondent has a criminal history involving violence or the threat of violence.

8. The existence of a verifiable order of protection issued previously or from another jurisdiction.

9. Whether the respondent has destroyed personal property, including, but not limited to, telephones or

other communications equipment, clothing, or other items belonging to the petitioner.

10. Whether the respondent has or had engaged in a pattern of abusive, threatening, intimidating, or

controlling behavior composed of a series of acts over a period of time, however short, which evidences a

continuity of purpose and which reasonably causes the petitioner to believe that the petitioner or his or

her minor child or children are in imminent danger of becoming victims of any act of domestic violence.

11. Whether the respondent engaged in any other behavior or conduct that leads the petitioner to have

reasonable cause to believe that he or she is in imminent danger of becoming a victim of domestic violence.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection

Against Domestic Violence (06/24)

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The domestic violence laws only apply to your situation if the respondent is your spouse, former spouse, related to

you by blood or marriage, living with you now or has lived with you in the past (if you are or were living as a family),

or the other parent of your children whether or not you have ever been married or ever lived together. With the

exception of persons who have a child in common, the family or household members must be currently residing

together or have in the past resided together in the same single dwelling unit. If the respondent is not one of the

above, you should look at Petition for Injunction for Protection Against Repeat Violence, Florida Supreme Court

Approved Family Law Form 12.980(f), to determine if your situation will qualify for an injunction for protection

against repeat violence, or Petition for Injunction for Protection Against Dating Violence, Florida Supreme Court

Approved Family Law Form 12.980(n), to determine if your situation will qualify for an injunction for protection

against dating violence, or Petition for Injunction for Protection Against Sexual Violence, Florida Supreme Court

Approved Family Law Form 12.980(q), to determine if your situation will qualify for an injunction for protection

against sexual violence.

If you are under the age of eighteen and you have never been married or had the disabilities of nonage removed by

a court, then one of your parents, custodians, or your legal guardian must sign this petition with you.

This form should be typed or printed in black ink. You should complete this form (giving as much detail as possible)

and sign it. You must file this form electronically pursuant to Florida Rule of General Practice and Judicial

Administration 2.525 OR bring the form to a clerk in the county where you live. You should keep a copy for your

records. If you have any questions or need assistance completing this form, a court clerk or family law intake staff

can help you.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that you are a victim of domestic violence or that an

imminent danger of domestic violence exists, the judge will sign either an immediate Temporary Injunction for

Protection Against Domestic Violence with Minor Child(ren), Florida Supreme Court Approved Family Law Form

12.980(c)(1) or an immediate Temporary Injunction for Protection Against Domestic Violence without Minor

Child(ren), Florida Supreme Court Approved Family Law Form 12.980(c)(2). A temporary injunction is issued without

notice to the respondent. The clerk will give your petition, the temporary injunction, and any other papers filed with

your petition to the sheriff or other law enforcement officer for personal service on the respondent. The temporary

injunction will take effect immediately after the respondent is served with a copy of it. It lasts until a full hearing

can be held or for a period of 15 days, whichever comes first. The court may extend the temporary injunction beyond

15 days for a good reason, which may include failure to obtain service on the respondent.

The temporary injunction is issued ex parte. This means that the judge has considered only the information

presented by one side—YOU. The temporary injunction gives a date that you must appear in court for a hearing. At

that hearing, you will be expected to testify about the facts in your petition. The respondent will be given the

opportunity to testify at this hearing, also. At the hearing, the judge will decide whether to issue either a Final

Judgment of Injunction for Protection Against Domestic Violence with Minor Child(ren) (After Notice), Florida

Supreme Court Approved Family Law Form 12.980(d)(1), or a Final Judgment of Injunction for Protection Against

Domestic Violence without Minor Child(ren) (After Notice), Florida Supreme Court Approved Family Law Form

12.980(d)(2). Either of these final judgments will remain in effect for a specific time period or until modified or

dissolved by the court. If either you or the respondent do not appear at the final hearing, the temporary injunction

may be continued in force, extended, or dismissed, and/or additional orders may be granted, including entry of a

permanent injunction and the imposition of court costs. You and respondent will be bound by the terms of any

injunction issued at the final hearing.

IF EITHER YOU OR RESPONDENT DO NOT APPEAR AT THE FINAL HEARING, YOU WILL BOTH BE BOUND BY THE

TERMS OF ANY INJUNCTION ISSUED IN THIS MATTER.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection

Against Domestic Violence (06/24)

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If the judge signs a temporary or final injunction, the clerk will provide you with the necessary copies. Make sure

that you keep one certified copy of the injunction with you at all times!

What can I do if the judge denies my petition?

If your petition is denied solely on the grounds that it appears to the court that no imminent danger of domestic

violence exists, the court will set a full hearing, at the earliest possible time, on your petition, unless you request

that no hearing be set. The respondent will be notified by personal service of your petition and the hearing. If your

petition is denied, you may: amend your petition by filing a Supplemental Affidavit in Support of Petition for

Injunction for Protection Against Domestic Violence, Repeat or Dating Violence, Florida Family Law Form 12.980

(g); attend the hearing and present facts that support your petition; and/or dismiss your petition.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules of General Practice and Judicial Administration now require that all documents required or

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration

provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by e-mail and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

With this form you may also need to file the following:

● Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court

Approved Family Law Form 12.902(d), must be completed and filed if you are asking the court to

Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection

Against Domestic Violence (06/24)

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determine issues with regard to your parenting plan or time-parenting plan means a document

created to govern the relationship between the parents relating to the decisions that must be made

regarding the minor child(ren) and must contain a time-sharing schedule for the parents and child(ren).

The issues concerning the minor child(ren) may include, but are not limited to, the child(ren)’s

education, health care, and physical, social, and emotional well-being. In creating the plan, all

circumstances between the parents, including their historic relationship, domestic violence, and other

factors must be taken into consideration. The parenting plan shall be developed and agreed to by the

parents and approved by a court, or established by the court, with or without the use of a court-ordered

parenting plan recommendation. If the parents cannot agree, or if the parents agreed to a plan that is

not approved by the court, a parenting plan shall be established by the court. “Time-sharing schedule”

means a timetable that must be included in the parenting plan that specifies the time, including

overnights and holidays, that a minor child will spend with each parent. If developed and agreed to by

the parents of a minor child, it must be approved by the court. If the parents cannot agree, of if their

agreed-upon schedule is not approved by the court, the schedule shall be established by the court.

● Notice of Related Cases, Florida Family Law Rules of Procedure Form 12.900(h), must be completed

and filed.

● Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), must

be completed and filed if you are asking the court to determine issues of temporary child support.

● Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), must be

completed and filed if you are seeking temporary alimony or temporary child support.

● Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), MUST be

filed with the court at or prior to a hearing to establish or modify child support.

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

Additionally, if you fear that disclosing your address to the respondent would put you in danger, you should complete

a Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file

it with the clerk of the circuit court and write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection

Against Domestic Violence (06/24)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

, Case No.:

Petitioner,

Division:

and

,

Respondent.

PETITION FOR INJUNCTION FOR PROTECTION

AGAINST DOMESTIC VIOLENCE

I, {full legal name} , declare under penalties of perjury,

that the following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed. However, if you fear that disclosing your address to the respondent

would put you in danger, you should complete and file a Request for Confidential Filing of Address, Florida Supreme

Court Approved Family Law Form 12.980(h), and write “confidential” in the space provided on this form for your

address and telephone number.)

1. Petitioner’s current address is: {street address}

{city, state, and zip code}

Telephone Number: {area code and number}

Physical description of Petitioner:

Race: _____ Sex: Male _____ Female _____ Date of Birth:

2. Petitioner’s attorney’s name, address, and telephone number is:

.

(If you do not have an attorney, write none.)

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)

1. Respondent’s current address is: {street address, city, state, and zip code}

.

Respondent’s Driver’s License number is: {if known} .

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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2. Respondent is: {Indicate all that apply}

a. the spouse of Petitioner.

Date of Marriage:

b. the former spouse of Petitioner.

Date of Marriage:

Date of Dissolution of Marriage:

c. related by blood or marriage to Petitioner.

Specify relationship:

d. a person who is or was living in one home with Petitioner, as if a family.

e. a person with whom Petitioner has a child in common, even if Petitioner and Respondent never

were married or living together.

3. Petitioner has known Respondent since {date}

4. Respondent’s last known place of employment:

Employment address:

Working hours:

5. Physical description of Respondent:

Race: _____ Sex: Male _____ Female _____ Date of Birth:

Height: Weight: Eye Color: Hair Color:

Distinguishing marks or scars:

Vehicle: (make/model) Color: Tag Number:

6. Other names Respondent goes by (aliases or nicknames):

7. Respondent’s attorney’s name, address, and telephone number is:

(If you do not know whether Respondent has an attorney, write unknown. If Respondent does not have an

attorney, write none.)

SECTION III. CASE HISTORY AND REASON FOR SEEKING PETITION (This section must be completed.)

1. Has Petitioner ever received or tried to get an injunction for protection against domestic violence against

Respondent in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

.

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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2. Has Respondent ever received or tried to get an injunction for protection against domestic violence against

Petitioner in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

.

3. Describe any other court case that is either going on now or that happened in the past, including a

dissolution of marriage, paternity action, or child support enforcement action, between Petitioner and

Respondent {Include city, state, and case number, if known}:

.

4. Petitioner is either a victim of domestic violence or has reasonable cause to believe he or she is in imminent

danger of becoming a victim of domestic violence because respondent has: {Mark all sections that apply

and describe in the spaces below the incidents of violence or threats of violence, specifying when and where

they occurred, including, but not limited to, locations such as a home, school, place of employment, or time-

sharing exchange}

a. committed or threatened to commit domestic violence defined in s. 741.28, Florida Statutes, as

any assault, aggravated assault, battery, aggravated battery, sexual assault, sexual battery,

stalking, aggravated stalking, kidnapping, false imprisonment, or any criminal offense resulting in

physical injury or death of one family or household member by another. With the exception of

persons who are parents of a child in common, the family or household members must be currently

residing or have in the past resided together in the same single dwelling unit.

b. previously threatened, harassed, stalked, or physically abused the petitioner.

c. attempted to harm the petitioner or family members or individuals closely associated with the

petitioner.

d. threatened to conceal, kidnap, or harm the petitioner’s child or children.

e. intentionally injured or killed a family pet.

f. used, or has threatened to use, against the petitioner any weapons such as guns or knives.

g. physically restrained the petitioner from leaving the home or calling law enforcement.

h. a criminal history involving violence or the threat of violence (if known).

i. another order of protection issued against him or her previously or from another jurisdiction (if

known).

j. destroyed personal property, including, but not limited to, telephones or other communication

equipment, clothing, or other items belonging to the petitioner.

k. engaged in a pattern of abusive, threatening, intimidating, or controlling behavior composed of a

series of acts over a period of time, however short.

l. engaged in any other behavior or conduct that leads the petitioner to have reasonable cause to

believe he or she is in imminent danger of becoming a victim of domestic violence.

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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Below is a brief description of the latest act of violence or threat of violence that causes Petitioner to

honestly fear imminent domestic violence by Respondent.

{Please begin your narrative below. Use additional pages if necessary but please do not write in the margins

or on the back of any of the pages Please indicate below if you are using additional pages.}

On {date} , at {location} ___________________________________,

Respondent:

.

Please indicate here if you are attaching additional pages to continue these facts.

5. Additional Information

{Indicate all that apply}

a. Other acts or threats of domestic violence as described on attached sheet.

b. This or other acts of domestic violence have been previously reported to {person or

agency}:

c. Respondent owns, has, and/or is known to have guns or other weapons.

Describe weapon(s):

d. Respondent has a drug problem.

e. Respondent has an alcohol problem.

f. Respondent has a history of mental health problems. If checked, answer the following, if known:

Has Respondent ever been the subject of a Baker Act proceeding? _____ Yes _____ No

Is Respondent supposed to take medication for mental health problems? Yes No

If yes, is Respondent currently taking his/her medication? _____ Yes _____ No

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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SECTION IV. TEMPORARY EXCLUSIVE USE AND POSSESSION OF HOME (Complete this section only if you want the

Court to grant you temporary exclusive use and possession of the home that you share with the Respondent.)

1. Petitioner claims the following about the home that Petitioner and Respondent share or that Petitioner left

because of domestic violence:

{Indicate all that apply}

a. Petitioner needs the exclusive use and possession of the home that the parties share at {street

address} ,

{city, state, zip code} .

b. Petitioner cannot get another safe place to live because:

.

c. If kept out of the home, Respondent has the money to get other housing or may live without

money at {street address} ,

{city, state, zip code} .

2. The home is:

{Choose one only}

a. owned or rented by Petitioner and Respondent jointly.

b. solely owned or rented by Petitioner.

c. solely owned or rented by Respondent.

SECTION V. TEMPORARY PARENTING PLAN WITH TEMPORARY TIME-SHARING SCHEDULE FOR MINOR CHILDREN

(Complete this section only if you are asking the court to provide a temporary parenting plan, including a temporary

time-sharing schedule with regard to, the minor child or children of the parties which might involve prohibiting or

limiting time-sharing or requiring that it be supervised by a third party. You must be the natural parent, adoptive

parent, or guardian by court order of the minor child or children. If you are asking the court to provide a temporary

parenting plan, including a temporary time-sharing schedule with regard to, the minor child or children of the parties

which might involve prohibiting or limiting time-sharing or requiring that it be supervised by a third party, you must

also complete and file a Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida

Supreme Court Approved Family Law Form 12.902(d)).

Note: If the paternity of the minor children listed below has not been established through either marriage or

court order, the Court may deny a request to provide a temporary parenting plan, including a temporary time-

sharing schedule with regard to, the minor child or children, and/or a request for child support.

1. Petitioner is the natural parent, adoptive parent, or guardian by court order of the minor children whose

name(s) and age(s) are listed below.

Name Birth date

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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2. The minor children for whom Petitioner is asking the court to provide a temporary parenting plan, including

a temporary time-sharing schedule with regard to:

{Choose one only}

a. saw the domestic violence described in this petition happen.

b. were at the place where the domestic violence happened but did not see it.

c. were not there when the domestic violence happened this time but have seen previous acts of

domestic violence by Respondent.

d. have not witnessed domestic violence by Respondent.

3. Name any other minor children who were there when the domestic violence happened. Include children’s

name, age, and parents’ names.

.

4. Temporary Parenting Plan and Temporary Time-Sharing Schedule

{Indicate all that apply}

a. Petitioner requests that the Court provide a temporary parenting plan, including a temporary time-

sharing schedule, with regard to the minor child or children of the parties, as follows:

.

b. Petitioner requests that the Court order supervised exchange of the minor children or exchange

through a responsible person designated by the Court. The following person is suggested as a

responsible person for purposes of such exchange. {Explain}:

.

c. Petitioner requests that the Court limit time-sharing by Respondent with the minor children.

{Explain}:

.

d. Petitioner requests that the Court prohibit time-sharing by Respondent with the minor children

because Petitioner genuinely fears that Respondent imminently will abuse, remove, or hide the

minor children from Petitioner. {Explain}:

.

e. Petitioner requests that the Court allow only supervised time-sharing by Respondent with the

minor children. {Explain}:

.

Supervision should be provided by a Family Visitation Center, or other (specify):

.

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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SECTION VI. EXCLUSIVE CARE, POSSESSION, OR CONTROL OF FAMILY PET(S) (Complete this section only if you are

seeking exclusive care, possession, or control of an animal owned, possessed, harbored, kept, or held by you (the

Petitioner), the Respondent, or a minor child residing in either your residence or household or Respondent’s residence

or household. The court may order the Respondent to have no contact with the animal and may prohibit the

Respondent from taking, transferring, encumbering, concealing, harming, or otherwise disposing of the animal. You

may not request to have exclusive care, possession, or control of an animal owned primarily for a bona fide

agricultural purpose, as defined in section 193.461, Florida Statutes, or a service animal, as defined in section 413.08,

Florida Statutes, if Respondent is the service animal’s handler.) {Indicate all that apply}.

1. Petitioner requests to have exclusive care, possession, and control of the following animal(s) which are

owned, possessed, harbored, kept, or held by Petitioner, Respondent, or a minor child residing in

Petitioner’s or Respondent’s residence or household:

.

2. Petitioner requests that Respondent have no contact with the following animal(s) and be prohibited

from taking, transferring, encumbering, concealing, harming, or otherwise disposing of them:

.

SECTION VII. TEMPORARY SUPPORT (Complete this section only if you are seeking financial support from the

Respondent. You must also complete and file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure

Form 12.902(b) or (c), and Notice of Social Security Number, Florida Supreme Court Approved Family Law Form

12.902(j), if you are seeking child support. A Child Support Guidelines Worksheet, Florida Family Law Rules of

Procedure Form 12.902(e), must be filed with the court at or prior to a hearing to establish or modify child support.)

{Indicate all that apply}

1. Petitioner claims a need for the money he or she is asking the Court to make Respondent pay, and that

Respondent has the ability to pay that money.

2. Petitioner requests that the Court order Respondent to pay the following temporary alimony to

Petitioner. (Petitioner must be married to Respondent to ask for temporary alimony.) Temporary

Alimony Requested $ every: week other week month.

3. Petitioner requests that the Court order Respondent to pay the following temporary child support to

Petitioner. (The Respondent must be the natural parent, adoptive parent, or guardian by court order

of the minor children for the court to order the Respondent to pay child support.) Temporary child

support is requested in the amount of $ every: week other week

month.

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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SECTION VIII. INJUNCTION (This section summarizes what you are asking the Court to include in the injunction.

This section must be completed.)

1. Petitioner asks the Court to enter a TEMPORARY INJUNCTION for protection against domestic violence that

will be in place from now until the scheduled hearing in this matter.

2. Petitioner asks the Court to enter, after a hearing has been held on this petition, a final judgment on

injunction prohibiting Respondent from committing any acts of domestic violence against Petitioner and:

a. prohibiting Respondent from going to or within 500 feet of any place the Petitioner lives;

b. prohibiting Respondent from going to or within 500 feet of the Petitioner’s place(s) of employment or

school; the address of Petitioner’s place(s) of employment or school is:

;

c. prohibiting Respondent from contacting Petitioner by mail, by telephone, through another person, or in

any other manner;

d. prohibiting Respondent from knowingly and intentionally going to or within 100 feet of Petitioner’s motor

vehicle;

e. prohibiting Respondent from defacing or destroying Petitioner’s personal property;

{Indicate all that apply}

f. prohibiting Respondent from going to or within 500 feet of the following place(s) Petitioner or

Petitioner’s minor children must go often {include address}:

;

g. granting Petitioner temporary exclusive use and possession of the home Petitioner and

Respondent share;

h. granting Petitioner on a temporary basis 100% of the time sharing with the parties’ minor children;

i. establishing a temporary parenting plan including a temporary time-sharing schedule for the

parties’ minor children;

j. granting Petitioner exclusive care, possession, or control of the animal(s) identified in paragraph 1

of Section VI which are owned, possessed, harbored, kept or held by Petitioner, Respondent, or a

minor child residing in Petitioner or Respondent’s residence or household;

k. prohibiting Respondent from having any contact with the animal(s) identified in paragraph 2 of

Section VI or from taking, transferring, encumbering, concealing, harming, or otherwise disposing

of them;

l. granting temporary alimony for Petitioner;

m. granting temporary child support for the minor children;

n. ordering Respondent to participate in treatment, intervention, and/or counseling services;

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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o. referring Petitioner to a certified domestic violence center; and any other terms the Court deems

necessary for the protection of Petitioner and/or Petitioner’s children, including injunctions or

directives to law enforcement agencies, as provided in Section 741.30, Florida Statutes.

I UNDERSTAND THAT BY FILING THIS PETITION, I AM ASKING THE COURT TO HOLD A HEARING ON THIS PETITION,

THAT BOTH THE RESPONDENT AND I WILL BE NOTIFIED OF THE HEARING, AND THAT I MUST APPEAR AT THE

HEARING. I UNDERSTAND THAT IF EITHER RESPONDENT OR I FAIL TO APPEAR AT THE FINAL HEARING, WE WILL

BE BOUND BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED AT THAT HEARING.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS

STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE UNDER

PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated:

Signature of Petitioner

Printed Name:

{Do not write your address if you are filing or have filed a

Request for Confidential Filing of Address, Form 12.980(h).}

Address:

City, State, Zip:

Telephone Number:

Designated E-Mail Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against

Domestic Violence (06/24)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(f),

PETITION FOR INJUNCTION FOR

PROTECTION AGAINST REPEAT VIOLENCE

(06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

If you or a member of your immediate family are a victim of repeat violence, you can use this form to ask the court

for a protective order prohibiting repeat violence. Repeat violence means that two incidents of violence have been

committed against you or a member of your immediate family by another person, one of which must have been

within 6 months of filing this petition. Repeat violence includes assault, aggravated assault, battery, aggravated

battery, sexual assault, sexual battery, stalking, aggravated stalking, kidnapping, or false imprisonment, or any

criminal offense resulting in physical injury or death. Because you are making a request to the court, you are called

the petitioner. The person whom you are asking the court to protect you from is called the respondent. If you are

under the age of eighteen and have never been married or had the disabilities of nonage removed by a court, one

of your parents or your legal guardian must sign this petition on your behalf.

The parent or legal guardian of any minor child who is living at home may seek an injunction for protection against

repeat violence on behalf of the minor child. With respect to a minor child who is living at home, the parent or legal

guardian must have been an eye-witness to, or have direct physical evidence or affidavits from eye-witnesses of,

the specific facts and circumstances that form the basis of the petition.

If the respondent is your spouse, former spouse, related to you by blood or marriage, living with you now or has

lived with you in the past (if you are or were living as a family), or the other parent of your child(ren), whether or

not you have ever been married or ever lived together, you should use Petition for Injunction for Protection Against

Domestic Violence, Florida Supreme Court Approved Family Law Form 12.980(a), rather than this form.

This form should be typed or printed in black ink. You should complete this form (giving as much detail as possible)

and sign it. You must file this form electronically pursuant to Florida Rule of General Practice and Judicial

Administration 2.525 OR bring the form to a clerk in the county where you live. You should keep a copy for your

records. If you have any questions or need assistance completing this form, a court clerk or family law intake staff

can help you.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that you or a member of your immediate family are a victim

Instructions for Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection

Against Repeat Violence (06/24)

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of repeat violence and that an immediate and present danger of repeat violence to you or that family exists, the

judge will sign a Temporary Injunction for Protection Against Repeat Violence, Florida Supreme Court Approved

Family Law Form 12.980(k). A temporary injunction is issued without notice to the respondent. The clerk will give

your petition, the temporary injunction, and any other papers filed with your petition to the sheriff or other law

enforcement officer for personal service on the respondent. The temporary injunction will take effect immediately

after the respondent is served with a copy of it. It lasts until a full hearing can be held or for a period of 15 days,

whichever comes first. The court may extend the temporary injunction beyond 15 days for a good reason, which

may include failure to obtain service on the respondent.

The temporary injunction is issued ex parte. This means that the judge has considered only the information

presented by one side—YOU. Section I of the temporary injunction gives a date that you should appear in court for

a hearing. You will be expected to testify about the facts in your petition. The respondent will be given the

opportunity to testify at this hearing, also. At the hearing, the judge will decide whether to issue a Final Judgment

of Injunction for Protection Against Repeat Violence (After Notice), Florida Supreme Court Approved Family Law

Form 12.980(l), which will remain in effect for a specific time period or until modified or dissolved by the court. If

you and/or the respondent do not appear, the temporary injunction may be continued in force, extended, or

dismissed, and/or additional orders may be granted, including entry of a permanent injunction and the imposition

of court costs. You and respondent will be bound by the terms of any injunction or order issued at the final

hearing.

IF EITHER YOU OR RESPONDENT DO NOT APPEAR AT THE FINAL HEARING, YOU WILL BOTH BE BOUND BY THE

TERMS OF ANY INJUNCTION OR ORDER ISSUED IN THIS MATTER.

If the judge signs a temporary or final injunction, the clerk will provide you with the necessary copies. Make sure

that you keep one certified copy of the injunction with you at all times!

What can I do if the judge denies my petition?

If your petition is denied on the grounds that it appears to the court that no immediate and present danger of repeat

violence exists, the court will set a full hearing on your petition. The respondent will be notified by personal service

of your petition and the hearing. If your petition is denied, you may: amend your petition by filing a Supplemental

Affidavit in Support of Petition for Injunction for Protection, Florida Supreme Court Approved Family Law Form

12.980(g); attend the hearing and present facts that support your petition; and/or dismiss your petition.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules of General Practice and Judicial Administration now require that all documents required or

Instructions for Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection

Against Repeat Violence (06/24)

-19-

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration

provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by e-mail and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

If you require that your address be confidential for safety reasons, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit.

You should then write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection

Against Repeat Violence (06/24)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

, Case No.:

Petitioner,

Division:

and

,

Respondent.

PETITION FOR INJUNCTION FOR PROTECTION

AGAINST REPEAT VIOLENCE

I, {full legal name} , declare under penalties of perjury,

that the following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed. However, if you fear that disclosing your address to the respondent

would put you in danger, you should complete and file a Request for Confidential Filing of Address, Florida Supreme

Court Approved Family Law Form 12.980(h), and write “confidential” in the space provided on this form for your

address and telephone number.)

1. Petitioner currently lives at the following address: {address, city, state, zip code}

.

{Indicate if applicable}

____Petitioner seeks an injunction for protection on behalf of a minor child. Petitioner is the parent or

legal guardian of {full legal name} , a minor child

who is living at home.

2. Petitioner’s attorney’s name, address, and telephone number is:

.

(If you do not have an attorney, write “none.”)

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)

1. Respondent currently lives at the following address: {address, city, state, and zip code}

.

Respondent’s Driver’s License number is: {if known} .

2. Petitioner has known Respondent since: {date} .

3. Respondent’s last known place of employment:

Employment address:

Working hours:

Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection Against Repeat

Violence (06/24)

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4. Physical description of Respondent:

Race: Sex: Male Female Date of Birth:

Height: Weight: Eye Color: Hair Color:

Distinguishing marks and/or scars:

Vehicle: (make/model) Color: Tag Number:

5. Other names Respondent goes by (aliases or nicknames):

6. Respondent’s attorney’s name, address, and telephone number is:

.

(If you do not know whether Respondent has an attorney, write “unknown.” If Respondent does not have

an attorney, write “none.”)

SECTION III. CASE HISTORY AND REASON FOR SEEKING PETITION (This section must be completed.)

1. Has Petitioner ever received or tried to get an injunction for protection against domestic violence, repeat

violence, dating violence, or sexual violence against Respondent in this or any other court?

Yes No If yes, what happened in that case? {include case number, if known}

.

2. Has Respondent ever received or tried to get an injunction for protection against domestic violence, repeat

violence, dating violence, or sexual violence against Petitioner in this or any other court?

Yes No If yes, what happened in that case? {include case number, if known}

.

3. Describe any other court case that is either going on now or that happened in the past between Petitioner

and Respondent {include case number, if known}:

.

4. Respondent has directed at least two incidents of violence, meaning assault, aggravated assault, battery,

aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking, kidnapping, or false

imprisonment, or any criminal offense resulting in physical injury or death against Petitioner or a member

of Petitioner’s immediate family. One of these two incidents of violence has occurred within 6 months of

the date of filing of this petition. The most recent incident (including date and location) is described below.

On {date} , at {location} ,

Respondent

.

Please indicate here if you are attaching additional pages to continue these facts.

Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection Against Repeat

Violence (06/24)

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-22-

5. Other prior incidents (including dates and location) are described below:

On {date} , at {location} ,

Respondent

.

Please indicate here if you are attaching additional pages to continue these facts.

6. Petitioner genuinely fears repeat violence by Respondent. Explain:

.

7. Additional Information

{Choose all that apply}

a. Respondent owns, has, and/or is known to have guns or other weapons.

Describe weapon(s):

.

b. This or prior acts of repeat violence have been previously reported to: {person or agency}

.

SECTION IV. INJUNCTION (This section must be completed.)

1. Petitioner asks the Court to enter a TEMPORARY INJUNCTION for protection against repeat violence

that will be in place from now until the scheduled hearing in this matter.

2. Petitioner asks the Court to enter, after a hearing has been held on this petition, a final judgment of

injunction prohibiting Respondent from committing any acts of violence against Petitioner and:

a. prohibiting Respondent from going to or within 500 feet of any place Petitioner lives;

b. prohibiting Respondent from going to or within 500 feet of Petitioner’s place(s) of employment or the

school that Petitioner attends; the address of Petitioner’s place(s) of employment and/or school is:

;

c. prohibiting Respondent from contacting Petitioner by telephone, mail, by e-mail, in writing, through

another person, or in any other manner;

d. ordering Respondent not to use or possess any guns or firearms;

{Indicate all that apply}

e. prohibiting Respondent from going to or within 500 feet of the following place(s) Petitioner or

Petitioner’s immediate family must go to often:

.

Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection Against Repeat

Violence (06/24)

3

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f. prohibiting Respondent from knowingly and intentionally going to or within 100 feet of Petitioner’s

motor vehicle; and any other terms the Court deems necessary for the safety of Petitioner and Petitioner’s

immediate family.

I UNDERSTAND THAT BY FILING THIS PETITION, I AM ASKING THE COURT TO HOLD A HEARING ON THIS PETITION,

THAT BOTH THE RESPONDENT AND I WILL BE NOTIFIED OF THE HEARING, AND THAT I MUST APPEAR AT THE

HEARING. I UNDERSTAND THAT IF EITHER RESPONDENT OR I FAIL TO APPEAR AT THE FINAL HEARING, WE WILL

BE BOUND BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED AT THAT HEARING.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS

STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE UNDER

PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated:

Signature of Petitioner

Printed Name:

{Do not write your address if you are filing or have filed a

Request for Confidential Filing of Address, Form 12.980(h).}

Address:

City, State, Zip:

Telephone Number:

Designated E-Mail Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(f), Petition for Injunction for Protection Against Repeat

Violence (06/24)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(g)

SUPPLEMENTAL AFFIDAVIT IN SUPPORT OF PETITION FOR INJUNCTION

FOR PROTECTION AGAINST DOMESTIC, REPEAT, DATING, OR SEXUAL

VIOLENCE, OR STALKING (06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

You may use this form if your Petition for Injunction for Protection Against Domestic Violence, Florida Supreme

Court Approved Family Law Form 12.980(a), your Petition for Injunction for Protection Against Repeat Violence,

Florida Supreme Court Approved Family Law Form 12.980(f), your Petition for Injunction for Protection Against

Dating Violence, Florida Supreme Court Approved Family Law Form 12.980(n), your Petition for Injunction for

Protection Against Sexual Violence, Florida Supreme Court Approved Family Law Form 12.890(q), or your Petition

for Injunction for Protection Against Stalking, Florida Supreme Court Approved Family Law Form 12.980(t), was

denied by the judge.

You should use this supplemental affidavit to add facts or clarify the facts you wrote in your original petition.

For a domestic violence case, you should include facts that establish that you have been a victim of violence or are

in imminent danger of becoming a victim of violence from the respondent.

For a repeat violence case, you should include facts that establish that you or a member of your immediate family

have or has been a victim of at least two prior incidents of violence, that one of those incidents occurred within the

last six months and that there is an immediate and present risk of danger to you or a member of your immediate

family.

For a dating violence case, you should include fact that establish that you have been a victim of violence or are in

imminent danger of becoming a victim of violence from the respondent who is an individual with whom you have

or have had a continuing and significant relationship of a romantic or intimate nature, to be determined by

consideration of such facts as: whether the dating relationship existed within the past six months; whether the

nature of the relationship included an expectation of affection or sexual involvement; and whether the frequency

and type of interaction between you and the individual included involvement over time and on a continued basis.

Dating violence does not include violence in a casual acquaintanceship or violence between individuals who have

only engaged in ordinary fraternization in a business or social context.

For a sexual violence case, you should include facts that establish that you are a victim of sexual violence or the

parent of a minor child living at home who is a victim of sexual violence, and that you have reported the sexual

violence to law enforcement and are cooperating in the criminal proceeding if there is one. If the respondent was

in state prison for sexual violence against you or the minor child and the respondent is out of prison or is getting out

Instructions for Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of

Petition for Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

-25-

within 90 days of the petition, include that information in your supplemental affidavit, along with a copy of the notice

of inmate release.

For a stalking case, you should include facts that establish that you are either a victim of stalking or cyberstalking, or

that you are the parent or legal guardian of a minor child living at home who is a victim of stalking or cyberstalking.

The facts must establish that stalking exists in order for the judge to order a temporary injunction for protection

against stalking. Please be specific as to where the incidents of stalking took place. These locations may include,

but need not be limited to, a home, school, or place of employment. For cyberstalking, please include a description

of all evidence of contacts and/or threats made by the respondent in voice messages, texts, emails, or other

electronic communication.

This form should be typed or printed in black ink. After completing this form, you should sign it. You must file this

form electronically pursuant to Florida Rule of General Practice and Judicial Administration 2.525 OR bring the form

to a clerk in the county where you live. You should keep a copy for your records. If you have any questions or need

assistance completing this form, a court clerk or family law intake staff can help you.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

What should I do next?

After you complete this supplemental affidavit, the clerk will attach it to your original petition and all the documents

will be submitted to the judge as your Amended Petition.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules General Practice and of Judicial Administration now require that all documents required or

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of Judicial Administration provided under either

Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by email and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of Judicial Administration 2.516.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of

Petition for Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

-26-

Special notes . . .

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

If you require that your address be confidential for safety reasons, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit.

You should then write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of

Petition for Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

-27-

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

, Case No.:

Petitioner,

Division:

and

,

Respondent.

SUPPLEMENTAL AFFIDAVIT IN SUPPORT OF PETITION FOR

INJUNCTION FOR PROTECTION AGAINST

( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE

( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE ( ) STALKING

I, {full legal name} __________________________________________________________, declare under penalties

of perjury, that the following statements are true:

{Please complete all paragraphs that relate to your case}

1. On {date} ____________________, at {place and address}

,

Respondent said or did the following things that hurt me or a member of my immediate family and made

me afraid for my or my family member’s safety:

_____ Please indicate here if you are attaching additional pages to continue these facts.

Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of Petition for

Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

1

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2. On {date} ____________________, at {place and address} ,

the following event(s) took place:

_____ Please indicate here if you are attaching additional pages to continue these facts.

3. On {date} , the following incidents of stalking occurred at the following locations:

{the locations may include, but need not be limited to, a home, school, or place of employment}

For cyberstalking, the following is a description of all evidence of contacts and/or threats made by

Respondent in voice messages, texts, emails, or other electronic communication:

_____ Please indicate here if you are attaching additional pages to continue these facts.

4. _____ Please indicate here if you are attaching copies of medical records for treatment you may have

received for injuries referred to in your petition or in this supplemental affidavit, copies of any police or

sheriff reports concerning incidents of violence involving you and Respondent, or any notice of inmate

release.

Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of Petition for

Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

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UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS

STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS SUPPLEMENTAL AFFIDAVIT ARE

BEING MADE UNDER PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated:

Signature of Petitioner

Printed Name:

{Do not write your address if you are filing or have filed a

Request for Confidential Filing of Address, Form 12.980(h).}

Address:

City, State, Zip:

Telephone Number:

Designated E-Mail Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(g), Supplemental Affidavit in Support of Petition for

Injunction for Protection Against Domestic, Repeat, Dating, or Sexual Violence, or Stalking (06/24)

3

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(i)

MOTION FOR EXTENSION OF INJUNCTION FOR PROTECTION AGAINST

DOMESTIC, REPEAT, DATING, OR SEXUAL VIOLENCE, OR STALKING

(06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about local

domestic violence victim assistance programs, shelters, and other related services. You may also call the Domestic

Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule 12.610,

Florida Family Law Rules of Procedure.

When should this form be used?

If you are the petitioner on a previously entered injunction for protection against domestic violence, repeat violence,

dating violence, sexual violence, or stalking, and that injunction will soon expire, you may use this form to request that

the court extend the injunction. You must file a motion for extension BEFORE the previously entered order expires.

This form should be typed or printed in black ink. After completing this form, you should sign it. You must file this form

electronically pursuant to Florida Rule of General Practice and Judicial Administration 2.525 OR bring the form to a

clerk in the county where you live. You should keep a copy for your records. If you have any questions or need assistance

completing this form, a court clerk or family law intake staff can help you.

What should I do next?

For your case to proceed, you will need to set a hearing on your motion. You must properly notify the other party of

the motion and hearing. You should check with the clerk of court for information on the local procedure for scheduling

a hearing. When you know the date and time of your hearing, you should file Notice of Hearing (General), Florida

Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form. You will need to serve

a copy of your motion and Notice of Hearing on the other party by U.S. mail, e-mail, or hand delivery. Service of your

motion must be in a manner that is reasonably calculated to apprise the other party of your motion and the hearing.

Please note that if notice is mailed or e-mailed, the court in certain circumstances may not consider mailing or e-mailing

to be adequate notice. If you want to be sure, you should consider using certified mail, return receipt requested, or

having the motion personally served. This is a technical area of the law; if you have any questions about it, you should

consult a lawyer. For more information on personal service, see the instructions for Summons: Personal Service on an

Individual, Florida Family Law Rules of Procedure Form 12.910(a).

You will need to appear at the hearing on your motion. After the hearing, if the judge grants your motion, he or she

will prepare an Order Extending Injunction for Protection Against Domestic Violence, Repeat Violence, Dating

Violence, or Sexual Violence, or Stalking, Florida Supreme Court Approved Family Law Form 12.980(m). After the

judge signs the order, the clerk will provide you with the necessary copies. Make sure that you keep a certified copy

of the previously entered injunction AND a certified copy of the order extending that injunction with you at all times.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(i), Motion for Extension of Injunction for

Protection Against Domestic, Repeat, Dating, or Sexual Violence; or Stalking (06/24)

-31-

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or other

pleadings or documents electronically; however, they are not required to do so. If you choose to file your pleadings

or other documents electronically, you must do so in accordance with Florida Rule of General Practice and Judicial

Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules and

procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server, the

Florida Rules of General Practice and Judicial Administration now require that all documents required or permitted to

be served on the other party must be served by electronic mail (e-mail) except in certain circumstances. You must

strictly comply with the format requirements set forth in the Rules of General Practice and Judicial Administration

and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may find this rule at

www.flcourts.org through the link to the Rules of General Practice and Judicial Administration provided under either

Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by email and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must provide

your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions

for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current

Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General

Practice and Judicial Administration 2.516.

Special notes . . .

When completing this form, you should make sure that your reasons for requesting that the injunction be extended

are stated clearly and that you include all relevant facts.

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps

you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of

Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must put his or

her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.

If you require that your address be confidential for safety reasons, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit.

You should then write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(i), Motion for Extension of Injunction for

Protection Against Domestic, Repeat, Dating, or Sexual Violence; or Stalking (06/24)

-32-

IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,

IN AND FOR __________________________ COUNTY, FLORIDA

______________________________, Case No.:

Petitioner,

Division:

And

______________________________,

Respondent,

MOTION FOR EXTENSION OF INJUNCTION FOR PROTECTION AGAINST

( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE

( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE ( ) STALKING

I, {full legal name} ______________________________________________________________, declare under

penalties of perjury, that the following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed; however, if you fear that disclosing your address would put you

in danger because you are the victim of sexual battery, aggravated child abuse, stalking, aggravated stalking,

harassment, aggravated battery, or domestic violence, you should complete and file a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and write "confidential" in the space

provided on this form for your address and telephone number.)

1. Petitioner currently lives at the following address: {street address}

{city, state, and zip code}

Telephone Number: {area code and number}

2. Petitioner's attorney's name, address and telephone number is:

(If you do not have an attorney, write "none.")

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)

New information about Respondent, since the current injunction was issued: (If known, write Respondent’s new

address, place of employment, physical description, vehicle, aliases or nicknames, or attorney’s name.)

Florida Supreme Court Approved Family Law Form 12.980(i), Motion for Extension of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence; or Stalking (06/24)

1

-33-

SECTION III. CASE HISTORY AND REASON FOR SEEKING EXTENSION OF INJUNCTION

1. Describe any attempts since the date of the current injunction by either Petitioner or Respondent to get

an injunction for protection in this or any other court (other than the injunction you are asking to extend

in this motion).

2. Describe any other court cases (including city, state, and case numbers, if known) since the date of the

current injunction between Petitioner and Respondent, including any cases involving the parties' minor

child(ren), divorce, juvenile dependency, guardianship, or other civil or criminal cases.

3. Petitioner requests that the previously entered injunction for protection against domestic violence, repeat

violence, dating violence, sexual violence, or stalking, be extended for the following specific reasons:

{State in detail why you wish the injunction to remain in effect.}

_____ Please indicate here if you are attaching additional pages to continue these facts.

4. Petitioner genuinely fears the continued threat of violence or stalking by Respondent.

Florida Supreme Court Approved Family Law Form 12.980(i), Motion for Extension of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence; or Stalking (06/24)

2

-34-

SECTION IV. REQUESTED RELIEF

1. Petitioner understands that the Court will hold a hearing on this motion and that he or she must appear at

the hearing.

2. Petitioner asks the Court to enter an order in this case that extends the previously entered injunction for a

period of or ( ) until modified or dissolved by the court.

I certify that a copy of this document was ( ) mailed ( ) e-mailed ( ) mailed by certified mail, return receipt

requested, ( ) furnished to a law enforcement officer for personal service to the person(s) listed below on {date}

Other party or his/her attorney:

Name:

Address:

City, State, Zip:

Designated E-Mail Address(es):

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE

FACTS STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS MOTION ARE BEING

MADE UNDER PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated: __________________ _______________________________________

Signature of Petitioner

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(i), Motion for Extension of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence; or Stalking (06/24)

3

-35-

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY

LAW FORM 12.980(j)

MOTION FOR MODIFICATION OF INJUNCTION FOR PROTECTION

AGAINST DOMESTIC, REPEAT, DATING, OR SEXUAL VIOLENCE, OR

STALKING (06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

This form may be used if you are a party to a previously entered injunction for protection against domestic, repeat,

dating, or sexual violence, or stalking, and you want the court to modify the terms of the injunction. If you use this

form, you are called the moving party.

This form should be typed or printed in black ink. After completing this form, you should sign it. You must file this

form electronically pursuant to Florida Rule of General Practice and Judicial Administration 2.525 OR bring the form

to a clerk in the county where you live. You should keep a copy for your records. You must file a motion for

modification before the previously entered order expires. If you have any questions or need assistance completing

this form, a court clerk or family law intake staff can help you.

What should I do next?

For your case to proceed, you will need to set a hearing on your motion. You must properly notify the other party

of the motion and hearing. You should check with the clerk of court for information on the local procedure for

scheduling a hearing. When you know the date and time of your hearing, you should file Notice of Hearing (General),

Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form. You will

need to serve a copy of your motion and Notice of Hearing on the other party. Service of your motion must be in a

manner that is reasonably calculated to apprise the other party of your motion and the hearing. Please note that if

notice is mailed or e-mailed, the court in certain circumstances may not consider mailing or e-mailing to be adequate

notice. If you want to be sure, you should consider using certified mail, return receipt requested, or having the

motion personally served. If you are not represented by an attorney in this action, you must file proof that the

other party personally received notice of your motion. This is a technical area of the law; if you have any questions

about it, you should consult a lawyer. For more information on personal service, see the instructions for Summons:

Personal Service on an Individual, Florida Family Law Rules of Procedure Form 12.910(a).

You will need to appear at a hearing on your motion for modification of injunction. After the hearing, if the judge

grants your motion, he or she will prepare a new injunction for protection that contains the modifications. After the

judge signs the new injunction, the clerk will provide you with the necessary copies. Make sure that you keep a

certified copy of the new injunction with you at all times!

Instructions for Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction

for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

-36-

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules of General Practice and Judicial Administration now require that all documents required or

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration

provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by email and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

If the injunction you are seeking to modify is for domestic violence and you want the court to modify alimony, child

support, or time-sharing of minor child(ren), you must establish that there has been a change in circumstance(s), as

required by chapter 61, Florida Statutes, or chapter 741, Florida Statutes, as applicable, that requires this (these)

modification(s). Be sure that you make these change(s) clear in your motion.

With this form you may also file the following:

● Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form

12.980(h), if you fear that disclosing your address would put you in danger because you are the victim

of sexual battery, aggravated child abuse, stalking, aggravated stalking, harassment, aggravated

battery, or domestic violence, and you wish to keep your address confidential.

● Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court

Approved Family Law Form 12.902(d), must be completed and attached if the modification(s) you are

seeking involves temporary custody of any minor child(ren).

● Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), must be

completed and attached if the modification(s) you are seeking involves temporary alimony or

temporary child support.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction

for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

-37-

When completing this form, you should make sure that your reasons for requesting that the injunction be modified

are stated clearly and that you include all relevant facts.

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

If you require that your address be confidential for safety reasons, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit.

You should then write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction

for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

-38-

IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,

IN AND FOR __________________________ COUNTY, FLORIDA

______________________________, Case No.:

Petitioner,

Division:

And

______________________________,

Respondent,

MOTION FOR MODIFICATION OF INJUNCTION FOR PROTECTION

AGAINST ( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE

( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE ( ) STALKING

I, {full legal name} __________________________________________________________, declare under penalties

of perjury, that the following statements are true:

SECTION I. MOVING PARTY

(This section is about you. It must be completed. However, if you fear that disclosing your address would put you

in danger because you are the victim of sexual battery, stalking, aggravated child abuse, aggravated stalking,

harassment, aggravated battery, or domestic violence, you should complete and file a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and write "confidential" in the space

provided on this form for your address and telephone number.)

1. Moving Party is the _____ Petitioner _____ Respondent in this case.

2. Moving Party currently lives at the following address: {street address}

{city, state, and zip code}

Telephone Number: {area code and number}

3. Moving Party's attorney's name, address and telephone number is:

(If you do not have an attorney, write "none.")

SECTION II. NEW INFORMATION

New information since the previous injunction was issued: (If known, write the other party's new address, place of

employment, physical description, vehicle, aliases or nicknames, or attorney’s name.)

Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

1

-39-

SECTION III. CASE HISTORY AND REASON FOR SEEKING MODIFICATION OF INJUNCTION

1. Describe any attempts since the date of the current injunction by either Petitioner or Respondent to get an

injunction for protection in this or any other court (other than the injunction you are asking to modify in

this motion).

2. Describe any other court cases (including case numbers, if known) since the date of the current injunction

between Petitioner and Respondent, including any cases involving the parties' minor child(ren), divorce,

juvenile dependency, guardianship, or other civil or criminal cases.

3. Moving Party requests that the previously entered injunction for protection against domestic violence,

repeat violence, dating violence, sexual violence, or stalking, be modified for the following specific reasons:

{State why you wish the injunction to be changed.}

_____ Please indicate here if you are attaching additional pages to continue these facts.

SECTION IV. REQUESTED RELIEF

1. Moving Party understands that the Court will hold a hearing on this motion and that he or she must appear

at the hearing.

2. Moving Party asks the Court to enter an order in this case that modifies the previously entered injunction

in the following ways: {State how you wish the injunction to be changed.}

Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

2

-40-

I certify that a copy of this document was ( ) mailed ( ) e-mailed ( ) mailed by certified mail, return receipt

requested, ( ) furnished to a law enforcement officer for personal service to the person(s) listed below on {date}

.

Other party or his/her attorney:

Name:

Address:

City, State, Zip:

Designated E-Mail Address(es):

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE

FACTS STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS MOTION ARE BEING

MADE UNDER PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated: __________________ _______________________________________

Signature of Petitioner

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(j), Motion for Modification of Injunction for Protection

Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (06/24)

3

-41-

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(n)

PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING

VIOLENCE (06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

If you are a victim of dating violence, and have reasonable cause to believe you are in imminent danger of becoming

the victim of another act of dating violence, or if you have reasonable cause to believe that you are in imminent

danger of becoming a victim of dating violence, you can use this form to ask the court for a protective order

prohibiting dating violence. Dating violence means violence between individuals who have or have had a continuing

and significant relationship of a romantic or intimate nature. The dating relationship must have existed within the

past six months, the nature of the relationship must have been characterized by the expectation of affection or

sexual involvement between the parties, and the frequency and type of interaction must have included that the

persons have been involved over time and on a continuous basis during the course of the relationship. Dating

violence does not include violence in a casual acquaintanceship or violence between individuals who only have

engaged in ordinary fraternization in a business or social context. Dating violence includes assault, aggravated

assault, battery, aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking, kidnapping, or false

imprisonment, or any criminal offense resulting in physical injury or death. Because you are making a request to the

court, you are called the petitioner. The person whom you are asking the court to protect you from is called the

respondent. If you are under the age of eighteen and have never been married or had the disabilities of nonage

removed by a court, one of your parents or your legal guardian must sign this petition on your behalf.

If you are filing on behalf of a child or children

The parent or legal guardian of any minor child who is living at home may seek an injunction for protection against

dating violence on behalf of the minor child. With respect to a minor child who is living at home, if the party against

whom the protective injunction is sought is also a parent, stepparent, or legal guardian, you, as the parent or legal

guardian filing the petition, must have been an eye-witness to, or have direct physical evidence or affidavits from

eye-witnesses of, the specific facts and circumstances that form the basis of the petition. If the party against whom

the protective injunction is sought is a person OTHER THAN a parent, stepparent, or legal guardian of the minor

child, you, as the parent or legal guardian filing the petition, must state why you have reasonable cause to believe

that the minor child is a victim of dating violence.

Additional Information

If the respondent is your spouse, former spouse, related to you by blood or marriage, living with you now or has

lived with you in the past (if you are or were living as a family), or the other parent of your child(ren), whether or

Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection

Against Dating Violence (06/24)

-42-

not you have ever been married or ever lived together, you should use Petition for Injunction for Protection Against

Domestic Violence, Florida Supreme Court Approved Family Law Form 12.980(a), rather than this form.

This form should be typed or printed in black ink. You should complete this form (giving as much detail as possible)

and sign it. You must file this form electronically pursuant to Florida Rule of General Practice and Judicial

Administration 2.525 OR bring the form to a clerk in the county where you live. You should keep a copy for your

records. If you have any questions or need assistance completing this form, a court clerk or family law intake staff

can help you.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that an immediate and present danger of dating violence

exists, the judge will sign a Temporary Injunction for Protection Against Dating Violence, Florida Supreme Court

Approved Family Law Form 12.980(o). A temporary injunction is issued without notice to the respondent. The clerk

will give your petition, the temporary injunction, and any other papers filed with your petition to the sheriff or other

law enforcement officer for personal service on the respondent. The temporary injunction will take effect

immediately after the respondent is served with a copy of it. It lasts until a full hearing can be held or for a period

of 15 days, whichever comes first. The court may extend the temporary injunction beyond 15 days for a good reason,

which may include failure to obtain service on the respondent.

The temporary injunction is issued ex parte. This means that the judge has considered only the information

presented by one side—YOU. Section I of the temporary injunction gives a date that you should appear in court for

a hearing. You will be expected to testify about the facts in your petition. The respondent will be given the

opportunity to testify at this hearing, also. At the hearing, the judge will decide whether to issue a Final Judgment

of Injunction for Protection Against Dating Violence (After Notice), Florida Supreme Court Approved Family Law

Form 12.980(p), which will remain in effect for a specific time period or until modified or dissolved by the court. If

you and/or the respondent do not appear, the temporary injunction may be continued in force, extended, or

dismissed, and/or additional orders may be granted, including entry of a permanent injunction and the imposition

of court costs. You and respondent will be bound by the terms of any injunction or order issued at the final

hearing.

IF EITHER YOU OR RESPONDENT DO NOT APPEAR AT THE FINAL HEARING, YOU WILL BOTH BE BOUND BY THE

TERMS OF ANY INJUNCTION OR ORDER ISSUED IN THIS MATTER.

If the judge signs a temporary or final injunction, the clerk will provide you with the necessary copies. Make sure

that you keep one certified copy of the injunction with you at all times!

What can I do if the judge denies my petition?

If your petition is denied on the grounds that it appears to the court that no immediate and present danger of dating

violence exists, the court will set a full hearing on your petition. The respondent will be notified by personal service

of your petition and the hearing. If your petition is denied, you may: amend your petition by filing a Supplemental

Affidavit in Support of Petition for Injunction for Protection, Florida Supreme Court Approved Family Law Form

12.980(g); attend the hearing and present facts that support your petition; and/or dismiss your petition.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection

Against Dating Violence (06/24)

-43-

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules of General Practice and Judicial Administration now require that all documents required or

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration

provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by e-mail and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

If you require that your address be confidential for safety reasons, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit.

You should then write “confidential” in the space provided on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection

Against Dating Violence (06/24)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

, Case No.:

Petitioner,

Division:

and

,

Respondent.

PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING

VIOLENCE

I, {full legal name} , declare under penalties of perjury,

that the following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed. However, if you fear that disclosing your address to the respondent

would put you in danger, you should complete and file a Request for Confidential Filing of Address, Florida Supreme

Court Approved Family Law Form 12.980(h), and write “confidential” in the space provided on this form for your

address and telephone number.)

1. Petitioner currently lives at the following address: {address, city, state, zip code}

.

Date of Birth of Petitioner: .

{Indicate if applicable}

Petitioner seeks an injunction for protection on behalf of a minor child. Petitioner is the parent

or legal guardian of {full legal name} , a minor child

who is living at home.

2. Petitioner’s attorney’s name, address, and telephone number is:

.

(If you do not have an attorney, write “none.”)

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)

1. Respondent currently lives at the following address: {address, city, state, and zip code}

Respondent’s Driver’s License number is: {if known}

2. Petitioner has known Respondent since: {date} .

3. Respondent’s last known place of employment:

Employment address:

Working hours:

Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

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4. Physical description of Respondent:

Race: Sex: Male Female Date of Birth:

Height: Weight: Eye Color: Hair Color:

Distinguishing marks and/or scars:

Vehicle: (make/model) Color: Tag Number:

5. Other names Respondent goes by (aliases or nicknames):

6. Respondent’s attorney’s name, address, and telephone number is:

(If you do not know whether Respondent has an attorney, write “unknown.” If Respondent does not have

an attorney, write “none.”)

7. If Respondent is a minor, the address of Respondent’s parent or legal guardian is:

SECTION III. CASE HISTORY AND REASON FOR SEEKING PETITION (This section must be completed.)

1. Have the Petitioner and Respondent been involved in a dating relationship within the past six months?

Yes No

2. Describe the nature of the relationship between the Petitioner and Respondent {Include the length of time

of the relationship, the romantic or intimate nature of the relationship, the frequency or type of

interaction, and any other facts that characterize the relationship}

Please indicate here if you are attaching additional pages to continue these facts.

3. Has Petitioner ever received or tried to get an injunction for protection against domestic violence, dating

violence, repeat violence, or sexual violence, or stalking against Respondent in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

4. Has Respondent ever received or tried to get an injunction for protection against domestic violence, dating

violence, repeat violence, or sexual violence, or stalking against Petitioner in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

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5. Describe any other court case that is either going on now or that happened in the past between Petitioner

and Respondent {Include case number, if known}:

.

6. Respondent has directed an incident of violence, meaning assault, aggravated assault, battery, aggravated

battery, sexual assault, sexual battery, stalking, aggravated stalking, kidnapping, or false imprisonment, or

any criminal offense resulting in physical injury or death against Petitioner or a minor child living at home.

The incident (including date and location) is described below.

On {date} , at {location} ,

Respondent

Please indicate here if you are attaching additional pages to continue these facts.

7. Other prior incidents (including dates and location) are described below:

On {date(s)} , at {location(s)} ,

Respondent

Please indicate here if you are attaching additional pages to continue these facts.

8. Imminent Danger

{Please complete either paragraph a or b below}

a. Petitioner is a victim of dating violence and has reasonable cause to believe he or she is in imminent

danger of becoming a victim of another act of dating violence. {Explain what Respondent has done to make

you a victim of dating violence and to make you fear that you are in imminent danger of becoming a victim

of another act of dating violence.}

.

OR

b. Petitioner has reasonable cause to believe he or she is in imminent danger of becoming a victim of

dating violence as demonstrated by the fact that Respondent has: {Explain what Respondent has done that

makes you fear that you are in imminent danger of becoming a victim of dating violence.}

Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

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.

9. Additional Information

{Indicate all that apply}

a. Respondent owns, has, and/or is known to have guns or other weapons.

Describe weapon(s):

b. This or prior acts of dating violence have been previously reported to: {person or agency}

SECTION IV. INJUNCTION

(This section must be completed.)

1. Petitioner asks the Court to enter a TEMPORARY INJUNCTION for protection against dating violence that

will be in place from now until the scheduled hearing in this matter.

2. Petitioner asks the Court to enter an injunction prohibiting Respondent from committing any acts of

violence against Petitioner and:

a. prohibiting Respondent from going to or within 500 feet of any place Petitioner lives;

b. prohibiting Respondent from going to or within 500 feet of Petitioner’s place(s) of employment or the

school that Petitioner attends; the address of Petitioner’s place(s) of employment and/or school is:

;

c. prohibiting Respondent from contacting Petitioner by telephone, mail, by e-mail, in writing, through

another person, or in any other manner;

d. ordering Respondent not to use or possess any guns or firearms;

{Indicate all that apply}

e. prohibiting Respondent from going to or within 500 feet of the following place(s) Petitioner or

Petitioner’s immediate family must go to often:

;

f. prohibiting Respondent from knowingly and intentionally going to or within 100 feet of

Petitioner’s motor vehicle; and any other terms the Court deems necessary for the safety of Petitioner and

Petitioner’s immediate family.

I UNDERSTAND THAT BY FILING THIS PETITION, I AM ASKING THE COURT TO HOLD A HEARING ON THIS PETITION,

THAT BOTH THE RESPONDENT AND I WILL BE NOTIFIED OF THE HEARING, AND THAT I MUST APPEAR AT THE

HEARING. I UNDERSTAND THAT IF EITHER RESPONDENT OR I FAIL TO APPEAR AT THE FINAL HEARING, WE WILL

BE BOUND BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED AT THAT HEARING.

Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

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UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS

STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE UNDER

PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated:

Signature of Petitioner

Printed Name:

{Do not write your address if you are filing or have filed a

Request for Confidential Filing of Address, Form 12.980(h).}

Address:

City, State, Zip:

Telephone Number:

Designated E-Mail Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} . {state} , {telephone number} .

{email address} .

Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(q)

PETITION FOR INJUNCTION FOR

PROTECTION AGAINST SEXUAL VIOLENCE (06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

If you are a victim of sexual violence or the parent or legal guardian of a minor child who is living at home and is a

victim of sexual violence, you can use this form to ask the court for a protective order prohibiting sexual violence.

Sexual violence means any one incident of:

● sexual battery, as defined in Chapter 794, Florida Statutes;

● a lewd or lascivious act, as defined in Chapter 800, Florida Statutes, committed upon or in the presence of a

person younger than 16 years of age;

● luring or enticing a child, as described in Chapter 787, Florida Statutes;

● sexual performance by a child, as described in Chapter 827, Florida Statutes; or

● any other forcible felony wherein a sexual act is committed or attempted.

In order to get an injunction, you must have reported the sexual violence to a law enforcement agency and be

cooperating in the criminal proceeding if there is one. It does not matter whether criminal charges based on the

sexual violence have been filed, reduced, or dismissed by the state attorney’s office. You may also seek an injunction

for protection against sexual violence if the respondent was sent to prison for committing one of the sexual violence

crimes listed above against you or your minor child living at home and respondent is out of prison or is getting out

of prison within 90 days of your petition. Attach the notice of inmate release to your petition.

Because you are making a request to the court, you are called the petitioner. The person whom you are asking the

court to protect you from is called the respondent. If you are seeking an injunction for protection against sexual

violence on behalf of a minor child who is living at home, the parent or legal guardian must have been an eyewitness

to, or have direct physical evidence or affidavits from eyewitnesses of, the specific facts and circumstances that form

the basis of the petition. If you are under the age of eighteen and have never been married or had the disabilities

of nonage removed by a court, one of your parents or your legal guardian must sign this petition on your behalf.

If the respondent is your spouse, former spouse, related to you by blood or marriage, living with you now or has

lived with you in the past (if you are or were living as a family), or is the other parent of your child(ren) whether or

not you have ever been married or ever lived together, you should use Petition for Injunction for Protection Against

Domestic Violence, Florida Supreme Court Approved Family Law Form 12.980(a), rather than this form.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection

Against Sexual Violence (06/24)

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This form should be typed or printed in black ink. You should complete this form (giving as much detail as possible)

and sign it. You must file this form electronically pursuant to Florida Rule of General Practice and Judicial

Administration 2.525 OR bring the form to a clerk in the county where you live. You should keep a copy for your

records. If you have any questions or need assistance completing this form, a court clerk or family law intake staff

can help you.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that an immediate and present danger of violence exists,

the judge will sign a Temporary Injunction for Protection Against Sexual Violence, Florida Supreme Court Approved

Family Law Form 12.980(r). A temporary injunction is issued without notice to the respondent. The clerk will give

your petition, the temporary injunction, and any other papers filed with your petition to the sheriff or other law

enforcement officer for personal service on the respondent. The temporary injunction will take effect immediately

after the respondent is served with a copy of it. It lasts until a full hearing can be held or for a period of 15 days,

whichever comes first, unless the respondent is incarcerated, and in such instance the temporary injunction is

effective for 15 days following the date the respondent is released from incarceration. The court may extend the

temporary injunction beyond 15 days for a good reason, which may include failure to obtain service on the

respondent.

The temporary injunction is issued ex parte. This means that the judge has considered only the information

presented by one side—YOU. Section I of the temporary injunction gives a date that you should appear in court for

a hearing. You will be expected to testify about the facts in your petition. The respondent will be given the

opportunity to testify at this hearing, also. At the hearing, the judge will decide whether to issue a Final Judgment

of Injunction for Protection Against Sexual Violence (After Notice), Florida Supreme Court Approved Family Law

Form 12.980(s), which will remain in effect for a specific time period or until modified or dissolved by the court. If

you and/or the respondent do not appear, the temporary injunction may be continued in force, extended, or

dismissed, and/or additional orders may be granted, including entry of a permanent injunction and the imposition

of court costs. You and respondent will be bound by the terms of any injunction or order issued at the final

hearing.

IF EITHER YOU OR RESPONDENT DO NOT APPEAR AT THE FINAL HEARING, YOU WILL BOTH BE BOUND BY THE

TERMS OF ANY INJUNCTION OR ORDER ISSUED IN THIS MATTER.

If the judge signs a temporary or final injunction, the clerk will provide you with the necessary copies. Make sure

that you keep one certified copy of the injunction with you at all times!

What can I do if the judge denies my petition?

If your petition is denied on the grounds that it appears to the court that no immediate and present danger of sexual

violence exists, the court will set a full hearing on your petition. The respondent will be notified by personal service

of your petition and the hearing. If your petition is denied, you may: amend your petition by filing a Supplemental

Affidavit in Support of Petition for Injunction for Protection, Florida Supreme Court Approved Family Law Form

12.980 (g); attend the hearing and present facts that support your petition; and/or dismiss your petition.

IMPORTANT INFORMATION REGARDING E-FILING

The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and

documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or

other pleadings or documents electronically; however, they are not required to do so. If you choose to file your

pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and

Instructions for Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection

Against Sexual Violence (06/24)

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Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules

and procedures should be carefully read and followed.

IMPORTANT INFORMATION REGARDING E-SERVICE

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server,

the Florida Rules of General Practice and Judicial Administration now require that all documents required or

permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances.

You must strictly comply with the format requirements set forth in the Rules of General Practice and Judicial

Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may

find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration

provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

SELF-REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E-MAIL UNLESS OTHERWISE EXCUSED. If a self-

represented litigant has been excused from serving documents by e-mail and then elects to serve and receive

documents by e-mail, the procedures must always be followed once that election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of

Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must

provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and

instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914;

Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and

Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

Disclosure from Nonlawyer, Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer

helps you fill out this form, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law

Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out this form also must

put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps

you complete.

If you fear that disclosing your address would put you in danger, you should complete a Request for Confidential

Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), and file it with the clerk of the circuit

court and write “confidential” in the space provided for your address on the petition.

Instructions for Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection

Against Sexual Violence (06/24)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

, Case No.:

Petitioner,

Division:

and

,

Respondent.

PETITION FOR INJUNCTION FOR PROTECTION AGAINST SEXUAL VIOLENCE

I, {full legal name} declare under penalties of perjury, that the

following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed; however, if you fear that disclosing your address to the

respondent would put you in danger, you should complete and file a Request for Confidential Filing of Address,

Florida Supreme Court Approved Family Law Form 12.980(h), and write “confidential” in the space provided on

this form for your address.)

1. Petitioner currently lives at the following address: {address, city, state, zip code}

.

Date of Birth of Petitioner:

{Indicate if applicable}

Petitioner seeks an injunction for protection on behalf of a minor child.

Petitioner is the parent or legal guardian of {full legal name} ,

a minor child who is living at home.

2. Petitioner’s attorney’s name, address, and telephone number is:

(If you do not have an attorney, write “none.”)

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)

1. Respondent currently lives at the following address: {address, city, state, and zip code}

Respondent’s Driver’s License number is: {if known}

Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection Against Sexual

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2. Respondent’s last known place of employment:

Employment address:

Working hours:

3. Physical description of Respondent:

Race: Sex: Male Female Date of Birth:

Height: Weight: Eye Color: Hair Color:

Distinguishing marks and/or scars:

Vehicle: (make/model) Color: Tag Number:

4. Other names Respondent goes by (aliases or nicknames):

5. Respondent’s attorney’s name, address, and telephone number is:

(If you do not know whether Respondent has an attorney, write “unknown.” If Respondent does not have

an attorney, write “none.”)

6. If Respondent is a minor, the address of Respondent’s parent or legal guardian is:

SECTION III. CASE HISTORY AND REASON FOR SEEKING PETITION

(This section must be completed.)

1. Petitioner has suffered sexual violence as shown by the fact that the Respondent has: {describe the acts of

violence}

Please indicate here if you are attaching additional pages to continue these facts.

{Indicate all that apply}

a. Petitioner reported the sexual violence to law enforcement and is cooperating in any criminal

proceeding. The incident report number by law enforcement is: _______________. {If there is a criminal

case, include case number, if known} .

b. Respondent was sent to prison for committing sexual violence against Petitioner or Petitioner’s

minor child living at home and Respondent is out of prison or is getting out of prison within 90 days. The

notice of inmate release is attached.

Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection Against Sexual

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2. Has Petitioner ever received or tried to get an injunction for protection against domestic violence, dating

violence, repeat violence, or sexual violence against Respondent in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

3. Has Respondent ever received or tried to get an injunction for protection against domestic violence, dating

violence, repeat violence, or sexual violence against Petitioner in this or any other court?

Yes No If yes, what happened in that case? {Include case number, if known}

4. Describe any other court case that is either going on now or that happened in the past between Petitioner

and Respondent {Include case number, if known}:

5. Additional Information

{Indicate all that apply}

a. Respondent owns, has, and/or is known to have guns or other weapons.

Describe weapon(s):

b. This or prior acts of violence have been previously reported to: {person or agency}

SECTION IV. INJUNCTION

(This section must be completed.)

1. Petitioner asks the Court to enter a TEMPORARY INJUNCTION for protection against sexual violence that

will be in place from now until the scheduled hearing in this matter.

2. Petitioner asks the Court to enter an injunction prohibiting Respondent from committing any acts of

violence against Petitioner and:

a. prohibiting Respondent from going to or within 500 feet of any place Petitioner lives;

b. prohibiting Respondent from going to or within 500 feet of Petitioner’s place(s) of employment or the

school that Petitioner attends; the address of Petitioner’s place(s) of employment and/or school is:

;

c. prohibiting Respondent from contacting Petitioner by telephone, mail, by e-mail, in writing, through

another person, or in any other manner;

d. ordering Respondent not to use or possess any guns or firearms;

{Indicate all that apply}

e. prohibiting Respondent from going to or within 500 feet of the following place(s) Petitioner or

Petitioner’s immediate family must go to often:

Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection Against Sexual

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f. prohibiting Respondent from knowingly and intentionally going to or within 100 feet of Petitioner’s

motor vehicle; AND any other terms the Court deems necessary for the safety of Petitioner and Petitioner’s

immediate family.

I UNDERSTAND THAT BY FILING THIS PETITION, I AM ASKING THE COURT TO HOLD A HEARING ON THIS PETITION,

THAT BOTH THE RESPONDENT AND I WILL BE NOTIFIED OF THE HEARING, AND THAT I MUST APPEAR AT THE

HEARING. I UNDERSTAND THAT IF EITHER RESPONDENT OR I FAIL TO APPEAR AT THE FINAL HEARING, WE WILL

BE BOUND BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED AT THAT HEARING.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS

STATED IN IT ARE TRUE. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE UNDER

PENALTIES OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 92.525, FLORIDA STATUTES.

Dated:

Signature of Petitioner

Printed Name:

{Do not write your address if you are filing or have filed a

Request for Confidential Filing of Address, Form 12.980(h).}

Address:

City, State, Zip:

Telephone Number:

Designated E-Mail Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent

This form was completed with the assistance of:

{name of individual} ,

{name of business or individual} ,

{address} ,

{city} _____________________,{state} ,______ {telephone number} .

{email address}

Florida Supreme Court Approved Family Law Form 12.980(q), Petition for Injunction for Protection Against Sexual

Violence (06/24)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW

FORM 12.980(t)

PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING

(06/24)

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of

these forms. The words that are in bold underline are defined in that section. The clerk of the circuit court or family

law intake staff can help you complete any necessary domestic violence forms and can give you information about

local domestic violence victim assistance programs, shelters, and other related services. You may also call the

Domestic Violence Hotline at 1-800-500-1119. For further information, see Chapter 741, Florida Statutes, and Rule

12.610, Florida Family Law Rules of Procedure.

When should this form be used?

If you are a victim of stalking, you can use this form to ask the court for a protective order prohibiting stalking.

Stalking means the repeated following, harassment, or cyberstalking of one person by another. Cyberstalk means

to engage in a course of conduct to communicate, or to cause to be communicated, words, images, or language by

or through the use of electronic mail or electronic communication, directed at a specific person, causing substantial

emotional distress to that person and serving no legitimate purpose.

Because you are making a request to the court, you are called the petitioner. The person whom you are asking the

court to protect you from is called the respondent. If you are under the age of eighteen and have never been married

or had the disabilities of nonage removed by a court, and are living at home, one of your parents or your legal

guardian must sign this petition on your behalf.

The parent or legal guardian of any minor child who is living at home may seek an injunction for protection against

stalking on behalf of the minor child.

If the respondent is your spouse, former spouse, related to you by blood or marriage, living with you now or has

lived with you in the past (if you are or were living as a family), or the other parent of your child(ren), whether or

not you have ever been married or ever lived together, you may, instead, choose to use the Petition for Injunction

for Protection Against Domestic Violence, Florida Supreme Court Approved Family Law Form 12.980(a), rather than

this form.

This form should be typed or printed in black ink. You should complete this form (giving as much detail as possible)

and sign it. You must file this form electronically pursuant to Florida Rule of General Practice and Judicial

Administration 2.525 OR bring the form to a clerk in the county where you currently or temporarily reside; the county

where the respondent resides; or the county where the stalking occurred. You should keep a copy for your records.

If have any questions or need assistance completing this form, a court clerk or family law intake staff can help you.

There is no filing fee for a petition for protection against stalking.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that stalking or cyberstalking exists, the judge will sign a

Temporary Injunction for Protection Against Stalking, Florida Supreme Court Approved Family Law Form 12.980(u).

A temporary injunction is issued without notice to the respondent. The clerk will give your petition, the temporary

injunction, and any other papers filed with your petition to the sheriff or other law enforcement officer for personal

Instructions for Florida Supreme Court Approved Family Law Form 12.980(t), Petition for Injunction for Protection

Against Stalking (06/24)

This text is long and has been trimmed here. Open the source document for the complete record.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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