# Supreme Court of Florida

____________

No. SC 15

- 339

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IN RE: AMENDMENTS TO THE SUPREME COURT APPROVED

FAMILY LAW FORMS

.

[April 23, 2015]

PER CURIAM.

Pursuant to the procedures approved by this Court in Amendments to the

Florida Family La w Rules of Procedure & Family Law Forms , 810 So. 2d 1, 14

(Fla. 2000), this Court has internally reviewed the Florida Supreme Court

Approved Family Law Forms and has determined that amendments to form

12.980(n), Petition for an Injunction for Protection Ag ainst Dating Violence , are

needed

. Input on th is issue was received from the Advisory Workgroup on the

Florida Supreme Court Approved Family Law Forms, which provided valuable

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

Section 784. 046(2)(b), Florida Statutes (2014) provides that a person who is

either “the victim of dating violence and has reasonable cause to believe he or she

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is in imminent danger of becoming the victim of another act of dating violence” or

“has reasonable cause to believe he or she is in imminent danger of becoming the

victim of an act of dating violence

, ” has standing to file a petition for an injunction

for protection against dating violence. § 784.046(2)(b), Fla. Stat. (2014). Both the

instructions to the form and the content of the form are amended to more clearly

reflect this standard. Additionally, section 784.046(2)(b) provides that a parent or

legal guardian has standing to petition for an injunction for protection against

dating violence on behalf of a m inor living at home. If the person against whom

the injunction is sought is also a parent or legal guardian, the petitioning parent or

legal guardian must have been “an eyewitness to, or have direct physical evidence

or affidavits from eyewitnesses of, th e specific facts and circumstances that form

the basis upon which relief is sought.” § 784.046(4)(a) 1. , Fla. Stat. (2014). If the

person against whom the injunction is sought is not a parent, stepparent, or legal

guardian of the minor, the petitioner mus t “ [ h ] ave a reasonable cause to believe

that the minor child is a victim of . . . dating violence to form the basis upon which

relief is sought.” § 784.046(4)(a)2., Fla. Stat. (2014). T he instructions and the

wording of the form are amended to better exp lain these requirements. 1



## 1 . Other minor and editorial amendments are also made to the form.

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-

The amended form is adopted as set forth in the appendix to this opinion,

fully engrossed, effective for immediate use. The form may also be accessed and

downloaded from the Florida State Court’s website at

http://www.flcourts .org/resources

- and

- services/court

- improvement/problem

solving

- courts/family

- courts/family

- law

- forms.stml . By adoption of the amended

form, we express no opinion as to its correctness or applicability. We also direct

that the amended form be published for comment. Interested persons shall have

sixty days from the date of this opinion to file comments with the Court. 2



## It is so ordered.

2

. All commen ts must be filed with the Court on or before June 22, 2015 , 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 stand ing with The Florida Bar, the comment must be electronically filed via the Portal in accordance with In re: Electronic Filing in the Supreme Court of Florida via the Florida Courts E

- Filing Portal , Fla. Admin. Order
No. AOSC13

- 7 (Feb 18, 2013). If filed b y a non

- lawyer or a lawyer not licensed to practice in Florida, the comment must be electronically filed via e

- mail in
accordance with In re Mandatory Submission of Electronic Copies of Documents

, Fla. Admin. Order No. AOSC04

- 84 (Sept. 13, 2004). Electron ically filed documents must be submitted in Microsoft Word 97 or higher. 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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LABARGA, C.J., and PARIENTE, LEWIS, QUINCE, CANADY, POLSTON, and PERRY, JJ., concur.

THE FILING OF A MOTION FO R REHEARING SHALL NOT ALTER THE
EFFECTIVE DATE OF THESE AMENDMENTS.

Original Proceedings

– Florida Supreme Court Approved Family Law FormsInstructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Pro tection

Against Dating Violence ( 04 / 15 )



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- INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(n) PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING VIOLENCE ( 04 / 15 )

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 ca use 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 con tinuing 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 acquaint anceship 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,

aggrava ted 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 b ehalf 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 part y 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

- witnesse s 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 gua rdian 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 youInstructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Pro tection

Against Dating Violence ( 04 / 15 )



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- 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 the presence of a notary or in front of 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 f amily 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 an immediate and present danger of dating violence exists, the judge will sign a Temporary Injunctio n 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 w ith 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 f or 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 g ranted, 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?Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection

Against Dating Violence ( 04 / 15 )



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- 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. Th e 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 Appr oved 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 f ound 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 forms. For further information, see Section 784.046, Flor ida Statutes, and Rule 12.610, Florida Family Law Rules of
Procedure.Fl orida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

Violence (04/15 )



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-

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

Case No.:

Division:

, Petitioner,

and

, Respondent.



## PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING VIOLENCE

I, {full legal name} , being sworn, certify that the following statements are true:

SECTION I. PETITION ER (This section is about you. It must be completed.)

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 c hild 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.")

SECTI ON II. RESPONDENT (This section is about the person you want to be protected from. It must be completed.)Fl orida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating

Violence (04/15 )



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- 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: ___________________________

4. Physical description of Respondent:

Race:

_____ Sex: Male ____ Female ____ Date of B irth: 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 h as 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 m ust 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}

______________________________________________________________________________

___ ___________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

_________________________ _____________________________________________________Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protectio n Against Dating

Violence ( 04 / 15 )



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- ______________________________________________________________________________

______________________________________________________________________________

_______________________________________________ _______________________________

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

3. Has Petitioner ever received or tried to get an inju nction 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 know n}

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}

__

______________________________________________________________________________

______________________________________________________________________________

_____________________ _________________________________________________________.

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 ____

__________________________________________________________

________________________________________________________________________

________________________________________________________________________

____________________________________ ____________________________________

________________________________________________________________________

________________________________________________________________________

__________________________________________________________ ______________

________________________________________________________________________Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protectio n Against

Dating Violence ( 04 / 15 )



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- ________________________________________________________________________

________________________________________________________________________

__ ______________________________________________________________________. _____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 Protectio n Against Dating

Violence ( 04 / 15 )



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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.

Descri be weapon(s):______________________________________________________________

______________________________________________________________________________

b.____ This or prior acts of dating violence have been previously reported to: {person or agenc y}

______________________________________________________________________________

______________________________________________________________________________.

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

1. Petitioner asks the Court to e nter 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 violen ce 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; t he address of Petitioner's place(s) of employment and/or school is:_______________________________________________________________________

______________________________________________________________________________; c. prohibiting Respondent from contac ting 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(n), Petition for Injunction for Protectio n Against Dating

Violence ( 04 / 15 )



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- ______________________________________________________________________________;

f. ____ prohibiting Respondent from knowingly and intentionally going to or within 100 feet of Petitioner’s motor vehicle; and any oth er 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 TH E 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.

I UNDERSTAND THAT I AM SWEARING OR AFFIRMIN G UNDER OATH TO THE TRUTHFULNESS OF THE

CLAIMS MADE IN THIS PETITION AND THAT THE PUNISHMENT FOR KNOWINGLY MAKING A FALSE STATEMENT INCLUDES FINES AND/OR IMPRISONMENT.

Dated:____________________________ _____________________________________

__ Signature of Petitioner
Printed Name:
Address: City, State, Zip: Telephone Number:
Fax Number: Designated E

- Mail Address(es):______________

_______________________________________

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on by

.

NOTARY PUBLIC or DEPUTY CLERKFlorida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protectio n Against Dating

Violence ( 04 / 15 )



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- [Print, type, or stamp commissioned name of notary or clerk.] Personally known
Produced identification Type of identification produced

_____________________________________