Revised 6/21
PETITION FOR INJUNCTION FOR
PROTECTION AGAINST DOMESTIC
VIOLENCE
PACKET
Includes:
Peaceful Paths Information Sheet
Intake Personnel Acknowledgment
Instructions for Petition for Injunction
Petition for Injunction
Cover Sheet for Family Court Cases
Instructions for Notice of Related Cases
Notice of Related Cases
Request to Dismiss and Waiver of Hearing
Revised August 12, 2022
Includes
October 2022 Florida Supreme Court Forms
February 2017 Local Forms
Revised 6/21
If you are filing for a Domestic Violence, Dating Violence, or Stalking Injunction:
FREE LEGAL HELP is available.
Peaceful Paths Domestic Abuse Network, Inc. can help you with your Petition for an Injunction
for Protection (Restraining Order). We have attorneys and advocates to assist you in
completing the Petition and representing you at your hearing. Peaceful Paths offers other free
services that are listed below.
It is extremely important to be represented at your court hearing. To contact the attorneys at
the Injunction for Protection Project at Peaceful Paths (IFP Attorneys), please call 352-377-
5690 ex 536. The IFP Attorneys can help before you file your Petition or after it has been filed.
To speak with a Peaceful Paths advocate please call:
Alachua County
: 352-374-3636 x 2609 or ask the Clerk for the Peaceful Paths advocate. The IFP
room is on the 1st Floor of the civil (old) courthouse across from the civil filing window.
Bradford/Union County:
You can contact the advocates at 325-318-4852 or 352-318-9654
We look forward to assisting you with your Petition and with any other services that would be of help to
you during this difficult time.
Contact Peaceful Paths Services by calling 352-377-8255 (24 hours) or
352-377-5690 (business hours):
Peaceful Paths provides a wide range of free and confidential services including:
• Injunction for Protection Attorney Project
• Emergency shelter
• Supportive housing
• 24 hour crisis helpline
• Counseling and support groups for adults, teens, and children
• Victim advocacy
• Children's programs
• Financial literacy classes
DV 3
INTAKE PERSONNEL ACKNOWLEDGMENT
Florida Rule of Family Law 12.610(b)(4)(A) requires the clerk of
the court for family or domestic/repeat/dating/ sexual violence
intake personnel to assist the petitioner in obtaining an
injunction for protection against domestic, repeat, dating, or
sexual violence as provided by law.
In the foregoing injunction petition
____ the clerk of court, or
____ domestic/repeat/dating/sexual violence intake personnel
assisted the petitioner in preparing the petition.
DV 4
Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection
Against Domestic Violence (10/22)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM
12.980(a)
PETITION FOR INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE (10/22)
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 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.
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
DV 5
Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection
Against Domestic Violence (10/22)
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 in front of a notary public or the clerk of the circuit court in the county where you
live. The clerk will take your completed petition to a judge. You should keep a copy for your records. If
you have any questions or need assistance completing this form, the clerk or family law intake staff will
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.
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!
DV 6
Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection
Against Domestic Violence (10/22)
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.
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 will 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.
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 ELECTION
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. If you elect to participate in electronic
service, which means serving or receiving pleadings by electronic mail (e-mail), or through the Florida
Courts E-Filing Portal, 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; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the
procedures must always be followed once the initial 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
DV 7
Instructions for Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection
Against Domestic Violence (10/22)
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 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.
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.
DV 8
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT,
IN AND FOR ALACHUA COUNTY, FLORIDA
______________________________________
Petitioner
Case No.: ________________
and
______________________________________
Respondent
PETITION FOR INJUNCTION FOR PROTECTION
AGAINST DOMESTIC VIOLENCE
I, {full legal name} , being sworn, certify 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} .
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.
DV 9
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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}
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
DV 10
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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 section 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 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.
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:
DV 11
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
.
_______Please indicate here if you are attaching additional pages to continue these facts.
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
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} .
DV 12
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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
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.
DV 13
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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 child(ren). {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 child(ren). {Explain}: ___________________________
Supervision should be provided by a Family Visitation Center, or other (specify):
_______________________________________________________________________
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}.
DV 14
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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.
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:
DV 15
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
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 child(ren);
i. ___ establishing a temporary parenting plan including a temporary time-sharing
schedule for the parties’ minor child(ren);
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 child(ren);
n. ___ ordering Respondent to participate in treatment, intervention, and/or
counseling services;
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
child(ren), 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
DV 16
Florida Supreme Court Approved Family Law Form 12.980(a), Petition for Injunction for Protection Against
Domestic Violence (10/22)
INJUNCTION OR ORDER ISSUED AT THAT HEARING.
I HAVE READ EVERY STATEMENT MADE IN THIS PETITION, AND EACH STATEMENT IS TRUE AND
CORRECT. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE
UNDER PENALTY OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION 837.02, FLORIDA
STATUTES.
THIS PETITION MUST BE SIGNED BY THE PETITIONER BUT IT IS NOT REQUIRED TO BE NOTARIZED IF IT IS
FILED DURING THE SCOPE AND DURATION OF A STATE OF EMERGENCY DECLARED BY A
GOVERNMENTAL ENTITY.
Dated: ___________________________
Signature of Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Designated E-Mail Address(es):
STATE OF FLORIDA
COUNTY OF ________________________
Sworn to (or affirmed) and subscribed before me by means of
physical presence or online
notarization, on _______________________ by _____________________________________________.
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or
clerk.]
Personally known OR Produced identification
Type of identification produced: ________________________________________________________
DV 17
Florida Family Law Rules of Procedure Form 12.928, Cover Sheet for Family Court Cases (11/13)
Cover Sheet for Family Court Cases
I. Case Style
IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT,
IN AND FOR ALACHUA COUNTY, FLORIDA
______________________________________ Case No.: ________________
Petitioner Division: __________________
and
______________________________________
Respondent
II. Type of Action/Proceeding. Place a check beside the proceeding you are initiating. If you are
simultaneously filing more than one type of proceeding against the same opposing party, such as a
modification and an enforcement proceeding, complete a separate cover sheet for each action being filed.
If you are reopening a case, choose one of the three options below it.
(A) X Initial Action/Petition
(B) ___ Reopening Case
1. ___ Modification/Supplemental Petition
2. ___ Motion for Civil Contempt/Enforcement
3. ___ Other
III. Type of Case. If the case fits more than one type of case, select the most definitive.
(A) ___ Simplified Dissolution of Marriage
(B) ___ Dissolution of Marriage
(C) X Domestic Violence
(D) ___ Dating Violence
(E) ___ Repeat Violence
(F) ___ Sexual Violence
(G) ___ Stalking
(H) ___ Support IV-D (Department of Revenue,
Child Support Enforcement)
(I) ___ Support Non-IV-D (not Department of
Revenue, Child Support Enforcement)
(J) ___ UIFSA IV-D (Department of Revenue,
Child Support Enforcement)
(K) ___ UIFSA Non-IV-D (not Department of
Revenue, Child Support Enforcement)
(L) ___ Other Family Court
(M) ___ Adoption Arising Out of Chapter 63
(N) ___ Name Change
(O) ___ Paternity/Disestablishment of Paternity
(P) ___ Juvenile Delinquency
(Q) ___ Petition for Dependency
(R) ___ Shelter Petition
(S) ___ Termination of Parental Rights Arising
Out of Chapter 39
(T) ___ Adoption Arising Out of Chapter 39
(U) ___ CINS/FINS
IV. Rule of Judicial Administration 2.545(d) requires that a Notice of Related Cases Form, Family Law Form
12.900(h), be filed with the initial pleading/petition by the filing attorney or self-represented litigant in
order to notify the court of related cases. Is Form 12.900(h) being filed with this Cover Sheet for Family
Court Cases and initial pleading/petition?
___ No, to the best of my knowledge, no related cases exist.
___ Yes, all related cases are listed on Family Law Form 12.900(h).
ATTORNEY OR PARTY SIGNATURE
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my
knowledge and belief.
Signature FL Bar No.:
Attorney or party (Bar number, if attorney)
________________________________________ ______________________
(Type or print name) Date E-mail address
DV 18
Florida Family Law Rules of Procedure Form 12.928, Cover Sheet for Family Court Cases (11/13)
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}
{address}
{city} , {state} ____, {telephone number}
.
DV 19
Instructions for Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases (11/13)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(h), NOTICE OF
RELATED CASES (11/13)
When should this form be used?
Florida Rule of Judicial Administration 2.545(d) requires the petitioner in a family law case to file with the
court a notice of related cases, if any. Your circuit may also require this form to be filed even if there are
no related cases. A case is considered related if
• it involves the same parties, children, or issues and is pending when the family law case is
filed; or
• it affects the court’s jurisdiction to proceed; or
• an order in the related case may conflict with an order on the same issues in the new case; or
• an order in the new case may conflict with an order in the earlier case.
This form is used to provide the required notice to the court.
This form should be typed or printed in black ink. It must be filed with the clerk of the circuit court with
the initial pleading in the family law case.
What should I do next?
A copy of the form must be served on the presiding judges, either the chief judge or the family law
administrative judge, and all parties in the related cases. You should also keep a copy for your records.
Service must be in accordance with Florida Rule of Judicial Administration 2.516.
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” in these instructions are defined there.
For further information, see Florida Rule of Judicial Administration 2.545(d).
Special notes . . .
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, 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 these forms must
also 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.
DV 20
Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases (11/13)
IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT,
IN AND FOR ALACHUA COUNTY, FLORIDA
______________________________________
Petitioner
Case No.: ________________
and
______________________________________
Respondent
NOTICE OF RELATED CASES
1. Petitioner submits this Notice of Related Cases as required by Florida Rule of Judicial Administration
2.545(d). A related case may be an open or closed civil, criminal, guardianship, domestic violence,
juvenile delinquency, juvenile dependency, or domestic relations case. A case is “related” to this
family law case if it involves any of the same parties, children, or issues and it is pending at the time
the party files a family case; if it affects the court’s jurisdiction to proceed; if an order in the related
case may conflict with an order on the same issues in the new case; or if an order in the new case may
conflict with an order in the earlier litigation.
[check one only]
___ There are no related cases.
___ The following are the related cases (add additional pages if necessary):
Related Case No. 1
Case Name(s):
Petitioner :
Respondent :
Case No.: _____________________________ Division:
Type of Proceeding: [check all that apply]
____ Dissolution of Marriage ____ Paternity
____ Custody ____ Adoption
____ Child Support ____ Modification/Enforcement/Contempt Proceedings
____ Juvenile Dependency ____ Juvenile Delinquency
____ Termination of Parental Rights ____ Criminal
____ Domestic/Sexual/Dating/Repeat ____ Mental Health
Violence or Stalking Injunctions ____Other {specify} _________________________
State where case was decided or is pending: ____ Florida ____Other: {specify}
Name of Court where case was decided or is pending (for example, Fifth Circuit Court, Marion
County, Florida):
Title of last Court Order/Judgment (if any):
Date of Court Order/Judgment (if any):
Relationship of cases [check all that apply]:
___ pending case involves same parties, children, or issues;
___ may affect court’s jurisdiction;
___ order in related case may conflict with an order in this case;
DV 21
Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases (11/13)
___ order in this case may conflict with previous order in related case.
Statement as to the relationship of the cases:
Related Case No. 2
Case Name(s):
Petitioner :
Respondent :
Case No.: _____________________________ Division:
Type of Proceeding: [check all that apply]
____ Dissolution of Marriage ____ Paternity
____ Custody ____ Adoption
____ Child Support ____ Modification/Enforcement/Contempt Proceedings
____ Juvenile Dependency ____ Juvenile Delinquency
____ Termination of Parental Rights ____ Criminal
____ Domestic/Sexual/Dating/Repeat ____ Mental Health
Violence or Stalking Injunctions ____Other {specify} _________________________
State where case was decided or is pending: ____ Florida ____Other: {specify}
Name of Court where case was decided or is pending (for example, Fifth Circuit Court, Marion
County, Florida):
Title of last Court Order/Judgment (if any):
Date of Court Order/Judgment (if any):
Relationship of cases [check all that apply]:
___ pending case involves same parties, children, or issues;
___ may affect court’s jurisdiction;
___ order in related case may conflict with an order in this case;
___ order in this case may conflict with previous order in related case.
Statement as to the relationship of the cases:
Related Case No. 3
Case Name(s):
Petitioner :
Respondent :
Case No.: _____________________________ Division:
Type of Proceeding: [check all that apply]
____ Dissolution of Marriage ____ Paternity
____ Custody ____ Adoption
____ Child Support ____ Modification/Enforcement/Contempt Proceedings
____ Juvenile Dependency ____ Juvenile Delinquency
____ Termination of Parental Rights ____ Criminal
DV 22
Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases (11/13)
____ Domestic/Sexual/Dating/Repeat ____ Mental Health
Violence or Stalking Injunctions ____Other {specify} _________________________
State where case was decided or is pending: ____ Florida ____Other: {specify}
Name of Court where case was decided or is pending (for example, Fifth Circuit Court, Marion
County, Florida):
Title of last Court Order/Judgment (if any):
Date of Court Order/Judgment (if any):
Relationship of cases [check all that apply]:
___ pending case involves same parties, children, or issues;
___ may affect court’s jurisdiction;
___ order in related case may conflict with an order in this case;
___ order in this case may conflict with previous order in related case.
Statement as to the relationship of the cases:
2. [check one only]
___ I do not request coordination of litigation in any of the cases listed above.
___ I do request coordination of the following cases:
_________________________________________________________________________________
_________________________________________________________________________________
3. [check all that apply]
___ Assignment to one judge
___ Coordination of existing cases
will conserve judicial resources and promote an efficient determination of these cases
because:___________________________________________ ___________________________.
4. The Petitioner acknowledges a continuing duty to inform the court of any cases in this or any other
state that could affect the current proceeding.
Dated: __________________________
Petitioner’s Signature
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
E-mail Address(es):
DV 23
Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases (11/13)
CERTIFICATE OF SERVICE
I CERTIFY that I delivered a copy of this Notice of Related Cases to the _________________ County
Sheriff’s Department or a certified process server for service on the Respondent, and [check all used]
(__) e-mailed (__) mailed (__) hand delivered, a copy to {name}______________________________,
who is the [check all that apply] ( ) {name} _________________________, a party to the related case on
{date}_________________.
Signature of Petitioner/Attorney for Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
E-mail Address(es):
Florida Bar Number:
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} ___________________________________________________________________,
{address}____________________________________________________________________________,
{city} ____________________________,{state} _______, {telephone number} ____________________.
3/18/14 Nilon
IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT,
IN AND FOR ALACHUA COUNTY, FLORIDA
______________________________________
Petitioner
Case No.: ________________
and
______________________________________
Respondent
_______________________________________________/
REQUEST TO DISMISS PETITION FOR INJUNCTION
IF TEMPORARY INJUNCTION IS DENIED
1. I understand that I am entitled to a full, final hearing before a judge on my Petition for Injunction
for Protection Against Domestic/Repeat/Dating/Sexual Violence/Stalking within 15 days of its
filing. This hearing will determine if there will be a final/permanent injunction entered. The
Respondent will be served with a copy of my Petition by the Alachua County Sheriff’s Office.
Respondent has the right to appear and be heard by the Court at the final hearing.
2. I understand that the Judge will decide today if there will be a temporary injunction (no contact
order) in place during that 15 day period.
3. If my request for a temporary injunction is denied, I understand that the case might still be
scheduled for a hearing. I understand that the Respondent will still be served with a copy of my
Petition even though no temporary injunction or “no contact” was ordered by the judge.
With this knowledge, I do NOT believe it will be in my best interest to have a final hearing if the
temporary injunction (no contact order) is not entered. In the event the temporary injunction is not
entered, I WAIVE AND GIVE UP my right to the final hearing and request that the case be dismissed at
that time. The case will END and my Petition will NOT be served upon the Respondent.
Petitioner Signature:
Date:
